2021 Fast Facts

December 27, 2021
December issue of our provider newsletter, Connections, now online (PDF)
December 20, 2021
Prior authorization waived for patient transfers (PDF)
December 15, 2021
Update: ivermectin quantity limit (PDF)
December 1, 2021
Changes to the Preferred Drug List (PDL) (PDF)
November 22, 2021
Updated 2021 Provider Manual is now available online (PDF)
November 15, 2021
Naloxone take-home distribution by federally qualified health centers (FQHCs) and rural health clinics (RHCs) (PDF)
November 3, 2021
2021 – 2022 flu vaccination (PDF)
October 18, 2021
Update: quantity limits (PDF)
October 14, 2021
Presumptive and definitive drug testing payment policy (PDF)
October 12, 2021
NaviNet user access rollup (PDF)
October 11, 2021
2021 claims filing instructions now available (PDF)
August 31, 2021
Expansion of providers for the administration of SARS-CoV-2 vaccines and monoclonal antibody therapy (PDF)
August 30, 2021
Administration and payment of SARS-CoV-2 vaccines for homebound members (PDF)
August 26, 2021
Ground ambulance billing reminders (PDF)
July 27, 2021
Update: formulary changes (PDF)
July 21, 2021
Timely filing deadlines reminder (PDF)
July 15, 2021
July issue of our provider newsletter, Connections, now online (PDF)
July 12, 2021
Monthly Jiva training sessions offered at no-cost via webinar starting July 19, 2021 (PDF)
July 1, 2021
New Condition Optimization Prospective Outreach Program starts on September 1, 2021 (PDF)
July 1, 2021
Prior authorization requirements reinstated for certain services (PDF)
June 29, 2021
ONAF forms no longer accepted via fax starting July 1, 2021 (PDF)
June 24, 2021
New program encourages PCPs to proactively schedule routine office visits (PDF)
June 17, 2021
Member ID card primary care provider (PCP) information change (PDF)
June 10, 2021
Change to payment method for FQHC HEDIS® incentive codes (PDF)
June 3, 2021
Prior Authorization requirements: therapeutic duplication and safety edits (PDF)
May 27, 2021
Additional HCPCS medication codes requiring prior authorization (PDF)
May 24, 2021
Critical reminder: balance billing members is prohibited (PDF)
May 12, 2021
Providers can now run NaviNet reports at the Tax ID Number (TIN) level (PDF)
May 3, 2021
COVID-19 vaccine reimbursement April update (PDF)
May 1, 2021
Reimbursement guidelines for sexually transmitted infection tests (PDF)
May 1, 2021
ONAF forms no longer accepted via fax (PDF)
March 25, 2021
Our March issue of Connections is now available online (PDF)
February 15, 2021
CPT II Code reimbursement guidelines (PDF)
February 10, 2021
Updated CPT Codes for the Administration of SARS-CoV-2 Vaccines (PDF)
January 21, 2021
Changes to the Bright Start breast pump program (PDF)
January 20, 2021
Discontinuation of dental referral fax forms (PDF)
January 13, 2021
Prior authorization lookup tool now available (PDF)
January 7, 2021
CPT Codes for the Administration of SARS-CoV-2 Vaccines (PDF)

Fast Facts archive

Providers