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Provider Updates
Provider Updates
  • New ePayment Process (LBS) - issued 01-19-18
  • 2018 Medicare Advantage Therapy Caps - issued 1-19-18
  • Dental Claim Adjustment Form Reminder - issued 01-18-18
  • 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
  • Dental Taxonomy Code Correction, Question and Answer - issued 12-27-17
  • 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
  • 2018 Dental Billing Updates and Reminders - issued 11-22-17
  • 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
  • Dental Transformation Timeline and Payment Options - issued 9-8-17
  • Rehabilitative Services Adjustment for Individual and Small Group - issued 9-6-17
  • Promoting Dental Provider Opt-In - issued 9-5-17
  • 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
  • New Member Cards Issued for Dental Benefit - issued 8-17-17
  • 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
  • Change in Coverage for Continuous Blood Glucose Monitoring Systems -issued 7-10-17
  • Maternal Depression Screening Added to Preventive Services Coverage Grid - issued 7-6-17
  • Spine Pathway Training -issued 7-5-17
  • Mental Health Follow-up Care Within Set Time Frame - issued 7-5-17
  • Update to Beers Criteria: Paroxetine -issued 6-29-17
  • PR Update Rochester Region - Jessica Alt - issued 6-28-17
  • New Membership - Wadhams Enterprises, Inc. - issued 6-22-17
  • July 4 Pay Cycle Update - issued 6-21-17
  • Recall of Mibelas™ 24 Fe Tablets - issued 6-14-17
  • Prior Authorization Requirements for Rituxan - issued 6-12-17
  • New PO Box for Paper Claims and Correspondence Coming Soon - issued 6-9-17
  • Child Health Plus Member Renewal With New York State of Health Marketplace - issued 6-1-17
  • Change in Coverage for Lantus, Levemir and Tresiba - issued 6-1-17
  • Prior Authorization Requirements for Oncaspar and Erwinaze - issued 6-1-17
  • New Membership - Pyramid Management Group - issued 5-22-17
  • Clear Coverage Web Browser Update June 1 -issued 5-18-17
  • Memorial Day Pay Cycle Update - issued 5-12-17
  • Nursing Assessment Requests for Members in Herkimer, Oneida and Otsego Counties - issued 5-10-17
  • PR Update Utica Region - Bianca Brown - issued 5-1-17
  • NDC and J-Code Billing Requirements Effective July 14 2017 - issued 4-14-17
  • Opting In To Receive Communications Electronically - issued 4-3-17
  • Prenatal and Postpartum CPT II Codes -issued 3-30-17
  • Some Mammography and Colonoscopy Consult Claims Denied in Error - issued 3-24-17
  • Delay in Preauthorization of Therapy Visits for Safety Net Members - issued 3-24-17
  • New Membership - St. Lawrence County - issued 3-23-17
  • Provider Relations Update for Cortland Co - New PR Rep - issued 3-21-17
  • Care Coordination Among PCPs and Behavioral Health Providers - issued 3-17-17
  • Required Use of Web Self-Service Tools as of April 12 - issued 3-16-17
  • Update to Facility HCRA Surcharge Electronic Remittance - issued 3-15-17
  • Delay in Update of Facility HCRA Surcharge Electronic Remittance - issued 2-24-17
  • New Membership - Franklin County -issued 2-21-17
  • Spine Pathway Training Opportunities for Chiropractors and Physical Therapists - issued 2-15-17
  • Cologuard Coverage Reminders -issued 2-15-17
  • PR Update Utica Region - Territory Change - issued 2-15-17
  • PR Updates for Utica and CNY Regions - New PR Rep Assigned to Territory - issued 2-15-17
  • PR Changes for Oswego County - issued 2-15-17
  • Billing Codes J3357 and J0256 -issued 2-13-17
  • Facility HCRA Surcharge Remit Update -issued 2-3-17
  • InstaMed® EFT/ERA Services for Federal Employee Program -issued 2-3-17
  • Vaccines for Children Reminder -issued 1-31-17