Skip to Main Content Area
Provider Updates
Provider Updates
  • Clinical Editing Update for Routine Foot Care - issued 7-12-18
  • Inpatient Readmission Policy for Medicare Advantage - issued 6-29-18
  • 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
  • Skilled Nursing Facility Benefit for Some Federal Employee Program Members - issued 1-24-18
  • New ePayment Process (LBS) - issued 01-19-18
  • 2018 Medicare Advantage Therapy Caps - issued 1-19-18
  • HIV Experienced Provider Attestation - issued 1-17-18
  • Therapy Visit Approval Process Update Effective April 8, 2018 - issued 1-8-18
  • 2018 Medical Utilization Management Updates - issued 1-8-18
  • Change in Coverage for Copaxone -issued 1-5-18
  • Inflectra Preferred Infliximab Product Replacing Remicade Starting February 1 - issued 1-3-18
  • Early Elective Delivery Reimbursement for Commercial Lines of Business - issued 01-01-18
  • Excellus NICU Services Policy Notice - issued 12-22-17
  • Additional Information About New Membership- Syracuse University, Onondaga County - issued 12-18-17
  • Riomet Recall -issued 12-8-17
  • Reminder for PCPs - Form DOH-4359 Physician Order for Personal Care Services - issued 12-5-17
  • Christmas Day and New Years Day Pay Cycle Updates - issued 12-4-17
  • New Membership Effective January 1 - Onondaga Community College - issued 12-1-17
  • Preauthorization Updates for Certain Mental Health Group Therapies - issued 11-30-17
  • Medicaid Blood Glucose Test Strips and Meters Claims Processing Error -issued 11-28-17
  • Electronic Data Interchange Clearinghouse Edit Reminders - Diagnosis Coding - issued 11-17-17
  • Clinical Updates for Brand and Generic Glumetza -issued 11-16-17
  • Third Party Exclusions Reminder - issued 11-15-17
  • Clinical Updates for Select Diabetic Prescription Medications -issued 11-15-17
  • New Membership Effective January 1 - Syracuse University and Onondaga County - issued 11-13-17
  • Hospital Billing Reminder for Lab Services - issued 11-13-17
  • Change in Coverage for Brand Name Drugs -issued 11-10-17
  • Prior Authorization Required for Skeletal Muscle Relaxants -issued 11-7-17
  • New Billing Requirement for HCPCS Code Q5102 -issued 11-6-17
  • 2017 Provider Manual Now Available - issued 11-03-17
  • Required Use of Web Self-Service Tools Effective November 15 - issued 11-1-17
  • Hepatitis C Preferred Program Regimen - issued 11-01-17
  • Updated Grievance and Appeal Form Notice - issued 10-24-17
  • Advair, Advair HFA & Brand AirDuo Removed from MMC Formulary -issued 10-13-17
  • MiniMed Infusion Set Recall -issued 10-12-17
  • Updated Provider Relations Territory - Specialty Providers - issued 10-9-2017
  • Updated Provider Relations Territory - Madison County - issued 10-9-2017
  • Anthem Non Payment of MRI and CT in Outpatient Hospital Setting - issued 10-6-17
  • New Provider Relations Representative for Behavioral Health - issued 10-02-17
  • New Provider Relations Representative for CNY and Utica - issued 10-2-17
  • Rehabilitative Services Adjustment for Individual and Small Groups - Retraction - issued 9-28-17
  • Payment Reduction for Early Elective Delivery - Commercial Lines of Business - issued 9-27-17
  • New Post Office Box Effective October 1 - issued 9-20-17
  • New Provider Relations Representative for Rochester Region - issued 9-18-17
  • New Limits for Diabetes Test Strips for Medicaid Managed Care Members -issued 9-13-17
  • Spine Pathway Training - Fall Seminar Invitation -issued 9-11-17
  • Rehabilitative Services Adjustment for Individual and Small Group - issued 9-6-17
  • Prenatal Recommendation Standards - issued 9-1-17
  • Recall of Pravastatin Sodium Tablets USP 40MG -issued 9-1-17
  • Recall of Liquid Products Manufactured by PharmaTech LLC -issued 9-1-17
  • No Referral Requirement for Medicare Advantage HMO as of January 1, 2018 - issued 8-29-17
  • Clinical Editing for Durable Medical Equipment - Rental vs. Purchase - issued 8-29-17
  • TruHearing for Medicare Advantage Hearing Aid Benefit - issued 8-18-17
  • Labor Day Pay Cycle Update - issued 8-15-17
  • Behavioral Health Network Opened to Additional Provider Types -issued 8-14-17
  • Medicaid Managed Care Payment Reductions for Early Elective Delivery - issued 8-3-17
  • Nursing Assessment Requests for Members in Broome County - issued 8-1-17
  • Removal of OPANA® ER from the Market -issued 7-31-17
  • Customer Care Provider Lines Unavailable Weekdays From Noon-1 p.m. - issued 7-27-17