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)

Fast Facts archive