2023 Fast Facts

December 21, 2023
The Winter issue of our provider newsletter, Connections, is now online (PDF)
December 19, 2023
Changes to the 2024 pediatric preventive dental P4P program (PDF)
December 13, 2023
Flovent, Levemir, and Humira notice (PDF)
December 12, 2023
Clarification for codes 99441, 99442, and 99443 (PDF)
December 7, 2023
Electronic visit verification system January 1, 2024 go-live (PDF)
December 7, 2023
Preferred Drug List notice (PDF)
November 28, 2023
Important: provider/practice updates (PDF)
November 16, 2023
Important reminder: ordering and dispensing blood pressure monitors (PDF)
November 16, 2023
Pediatric Dental Periodicity Schedule updates (PDF)
November 7, 2023
2023 – 2024 flu vaccination (PDF)
November 1, 2023
Update to procedure codes (S9123 and S9124) and modifiers for Electronic Visit Verification (EVV) reporting for pediatric shift care services (PDF)
October 30, 2023
Hepatitis C agents on the Preferred Drug List no longer require prior authorization within quantity limits (PDF)
October 26, 2023
Update to durable medical equipment (DME) services requiring prior authorization (PDF)
October 25, 2023
Street medicine provision of care place of service (POS) and expanded provider types (PDF)
October 19, 2023
November formulary changes (PDF)
October 2, 2023
Certain ambulatory surgery prior authorization requirements removed (PDF)
September 14, 2023
Ambulance services requiring prior authorization (PDF)
September 7, 2023
August's electronic visit verification soft launch (PDF)
August 31, 2023
Code change notice for pediatric shift care (PDF)
August 22, 2023
Sterilization consent notification (PDF)
August 8, 2023
Electronic documentation — added transaction functionality for providers (PDF)
July 25, 2023
Connections summer issue (PDF)
July 24, 2023
EPSDT ECHO clinic recordings are now available (PDF)
July 10, 2023
Electronic visit verification system soft launch (PDF)
June 29, 2023
Upgrade of the EDI claims compliance to Strategic National Implementation Process (SNIP) Level 4, effective August 1, 2023 (PDF)
June 26, 2023
NaviNet HEDIS PCP rollup report (PDF)
June 13, 2023
NaviNet tools available to view Medical Assistance eligibility redetermination dates (PDF)
June 13, 2023
Medical provider claims filing instructions are now available (PDF)
June 6, 2023
Akorn issues recall due to company shutdown (PDF)
June 6, 2023
2023 Dental Provider Supplement (PDF)
May 31, 2023
American Dental Association (ADA) claim form is required effective June 1, 2023 (PDF)
May 18, 2023
Makena removal notice (PDF)
May 16, 2023
2023 Provider Manual (PDF)
May 15, 2023
Inpatient delivery notification and inpatient maternity authorizations reminder (PDF)
May 2, 2023
Anesthesia services for gastrointestinal endoscopy policy update (PDF)
April 11, 2023
Transplant care coordination process change (PDF)
April 5, 2023
Integrated Care Plan (ICP) sharing in NaviNet (PDF)
April 4, 2023
Incontinence supply prior authorization policy reminder (PDF)
March 30, 2023
May formulary changes (PDF)
March 22, 2023
Change Healthcare user guide link updates (PDF)
March 21, 2023
Updated training material for NaviNet medical authorizations is now available online (PDF)
March 21, 2023
Spring issue of Connections now online (PDF)
March 7, 2023
Dental benefit limit exception (BLE) update (PDF)

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Providers