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Provider Notices

As a participating provider, we want to ensure your practice receives timely notice of changes and updates to billing policies, pre-authorization lists, and industry regulations which may materially impact your practice. Provider notice of material changes are always issued via postal mail, and may target a specific provider type or specialty.

Past Provider Notices can be viewed below.

• Clinical Edit updates (effective 5/1/2023)
• Preventive E/M Reimbursement update (effective 5/1/2023)
• CMS NPP reductions (effective 3/15/2023)
• Euflexxa named preferred product for viscosupplementation injections (effective 7/20/2019)
• 2018 Clinical Edit and Administrative policy standardization (effective 7/1/2018)
• 2017 PDR and 835 ERA overpayment enhancements
• 2017 Credentialing changes (effective 7/15/2017)
• MagellanRX Zarxio GCSF preferred July 2017(effective 7/1/2017)
• eviCore announcement II (effective 4/1/2017)
• Magellan expansion notification April 2017 (effective 4/1/2017)
• eviCore announcement (effective 4/1/2017)
• Magellan Rx expansion notification January 2017 (effective 1/1/2017)
• MagellanRX Gel One preferred January 2017 (effective 1/1/2017)
• 2017 Prior Authorization changes (effective 1/1/2017)
• Massage therapy benefit coverage (effective 1/1/2017)
• Beacon name changing to Affinity (effective 1/1/2017)
• New changes to ICD-10 rules (effective 1/1/2017)
• Interspinous Process Decompression System notification (effective 10/1/2016)
• MagellanRX expansion notification October 2016 (effective 10/1/2016)
• MagellanRX expansion notification July 2016 (effective 7/1/2016)
• Self-Administered Medications List
• Self-Administered Medications Letter (effective 7/1/2016)
• Billing changes to routine medical and surgical supplies (effective 2/1/2016)
• Magellan Rx expansion notification (effective 1/1/2016)
• Medicare: Annual women's exam (effective 11/5/2015)
• AIM expansion (effective 1/1/2015)

Provider Newsletters

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This site is meant to help you learn about plans and healthcare for you and your family. This site is subject to change in order to comply with state and federal law, including the Affordable Care Act (ACA) and related regulations, and connectivity with the federal Marketplace. If questions regarding benefits arise, the summary of benefits and coverage document is the master resource.