Fast Facts
July 15, 2025
Supporting documentation for prior authorization requests (PDF)
July 10, 2025
Summer issue of Connections available online (PDF)
July 7, 2025
Updated respiratory pathogen panel reimbursement policy (PDF)
June 26, 2025
Provider Manual announcement (PDF)
June 17, 2025
Save The Date! Improvements to the claims overpayment response process are on the way (PDF)
June 9, 2025
Statewide Preferred Drug List (PDL) changes, effective July 7, 2025 (PDF)
June 5, 2025
Rite Aid pharmacy closure notice (PDF)
May 15, 2025
Consider prescribing preferred adalimumab biosimilar products (PDF)
May 6, 2025
Doula services available (PDF)
April 24, 2025
The 2025 Medical Provider Claims Filing Instructions are now available online. (PDF)
April 17. 2025
Update: Formulary Changes (PDF)
April 16, 2025
DHS MA 112 newborn form reminder (PDF)
March 21, 2025
Spring issue of Connections available online (PDF)
March 6, 2025
No prior authorization required for Fluticasone HFA inhalers for members under the age of 19 (PDF)
February 4, 2025
HEDIS advance notice (PDF)
January 30, 2025
Optum medical record review for outpatient facility claims (PDF)
January 29, 2025
275 claim attachment transactions update (PDF)
January 28, 2025
Update to services requiring prior authorization (PDF)