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Provider Updates
Provider Updates
  • HIV-Experienced Physician Attestation - Issued 1-22-2019
  • Recall of Valsartan-containing tablets by Aurobindo Pharma USA, Inc. - Issued 1-16-2019
  • Recall of Losartan by Torrent Pharmaceuticals - Issued 1-15-2019
  • Inovalon Medical Record Retrieval for Out-of-Area Members - Issued 1-8-2019
  • Musculoskeletal Preauthorization Program Effective February 1, 2019 - Issued 1-4-2019
  • Important Information & Reminders for Physical, Occupational & Speech Therapy Providers - Issued 1-4-2019
  • Coding Updates for Psychotherapy & Neuropsychotherapy Services - Issued 1-4-2019
  • Medicare D Opioid Prescription Reminder - Issued 12-27-2018
  • Sleep Management Program Clarification - Issued 12-19-2018
  • State Legislation for Coverage of Prostate Cancer Screening - Issued 12-17-2018
  • Holiday Closures and Pay Cycle Updates - Issued 12-10-2018
  • Access to Claim History, Electronic Remittance Advice via the PaySpan® Health Portal - Issued 12-10-2018
  • Preauthorization Requirement for Direct-Pay Medicare Advantage Members - Issued 12-6-2018
  • New Membership - St. Lawrence Health System - Issued 12-4-2018
  • Coverage Reminders for Continuous Glucose Monitoring Systems - Issued 11-20-2018
  • Use Management Requirements for Atripla - Issued 11-19-2018
  • Behavioral Health Telemedicine Services Coming Soon - Issued 11-16-2018
  • Correct Use of the Provider Request for a Grievance or Appeal Form - Issued 11-15-2018
  • Sexual Assault Exam Reimbursement - Issued 11-6-2018
  • Clinical Editing Updates for Laboratory and Pathology - Issued 10-31-2018
  • Elimination of Paper Check with Combined Paper Remittance/Electronic Payment Option - Issued 10-31-2018
  • Clinical Editing Updates for Sleep Program - Issued 10-31-2018
  • New Administrative Policy Effective February 1, 2019 –Screening Mammogram - Issued 10-29-2018
  • Coverage Change for Dipeptidyl-Peptidase 4 (DPP-4) - Issued - 10-26-2018
  • FluMist Covered for 2018-2019 Flu Season - Issued 10-22-2018
  • Sleep Management Program Reminder - Issued 10-18-2018
  • Musculoskeletal Preauthorization Program Delay - issued 10-15-2018
  • Fourth Quarter 2018 MS DRG Software Update - issued 10-10-2018
  • Required Use of Web Tool for Vision Benefits and Eligibility - issued 10-5-2018
  • Customer Care October 8 Closure - issued 10-3-2018
  • Children's Behavioral Health Benefit for Medicaid Managed Care Members - issued 10-1-2018
  • Sleep Management Program - issued 9-20-18
  • National Drug Code Information for Hematopoietic Agents - issued 9-14-18
  • National Drug Code Information for Hyaluronic Acid Drugs - issued 9-14-18
  • Federal Employee Program Electronic Remit 835 Update - issued 9-13-18
  • Safety Net Business Administered by Health Plan Effective October 1 - issued 9-12-18
  • Telemedicine Services to Include Managed Medicaid Members - issued 9-12-18
  • Flu Vaccine Reimbursement - issued 9-5-18
  • Documentation Requirements for Home and Community-Based Services - issued 8-22-18
  • Medical Utilization Management Program Updates Effective November 19 - issued 8-17-18
  • New Dental Membership Effective September 1 - Fuccillo Automotive - issued 8-15-18
  • Labor Day Pay Cycle Update - issued 8-13-18
  • Safety Net - CVS and Target Transition to Walgreens - issued 8-1-18
  • Opt In to Receive Email Communications - issued 7-30-18
  • Home and Community-Based Services Utilization Reminders and Discharge Template - issued 7-20-18
  • Preferred Hyaluronic Acid Therapy Effective October 15, 2018 - issued 7-15-18
  • Clinical Editing Update for Routine Foot Care - issued 7-12-18
  • Essential Plan Provider Network Expansion - issued 6-27-18
  • New Claim Submission Information for Lifetime Benefit Solutions - issued 6-26-18
  • Injectable Drug Rate Error - issued 6-25-18
  • Notification of Paper Claim Billing Errors -issued 6-20-18
  • Reminders Related to NYS Requirements for Authorizations, Appeals, Grievances - issued 6-18-18
  • July 4 Pay Cycle Information - issued 6-14-18
  • Addressing Chiropractic Practice Pattern Variations - issued 6-12-18
  • Advanced Opioid Management Program Available July 1 - issued 6-7-18
  • Provider Education - Beta Blocker Contraindication Codes - issued 6-5-18
  • Paroxetine Added to Beers Criteria - issued 6-1-18
  • Change to NYS Requirements Related to Authorizations, Appeals, Grievances - issued 5-25-18
  • Provider Portal Updates - issued 5-23-18
  • Vision Updates on the Provider Portal - issued 5-16-18
  • Lifetime Benefit Solutions Service Reminder - issued 5-14-18
  • Zarxio is Preferred Filgrastim Therapy - issued 5-1-18
  • Claim Information Must Match Our Eligibility Information - issued 4-12-18
  • Go Paperless with ERAs/EFTs through InstaMed® -issued 4-11-18
  • Important Information About the Customer Care Provider Phone Lines - issued 4-6-18
  • Preauthorization Requirement Removed for Safety Net Therapy Services as of April 8 - issued 3-16-18
  • UPDATE - Skilled Nursing Facility Benefit for Some Federal Employee Program Members - issued 3-8-18
  • Prenatal Incentive Program Reminder - issued 3-7-18
  • New Medicare Card Announcement - issued 3-7-18
  • Alpha-Numeric Prefix Notice - issued 3-7-18
  • Implementation Delay for Musculoskeletal Preauthorization Program - issued 3-5-18
  • Reminder - Change to Therapy Approval Process Effective April 8 - issued 3-1-18
  • Medical Record Risk Adjustment Review - General - issued 2-20-18
  • Medical Record Risk Adjustment - Behavioral Health - issued 2-20-18
  • Important Pharmacy Network Update Effective April 1 2018 - issued 2-20-18
  • Foot Care Claim Denials - issued 2-16-18
  • Inflectra Preferred Infliximab Product for New Starts ONLY Effective February 1 - issued 2-6-18
  • Syracuse University Member Card Update - issued 02-05-18
  • Applying NCDs and LCDs to Claim Processing - issued 02-05-18
  • Change in Coverage for Advair® Diskus and Advair® HFA - issued 1-26-18