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Provider Communications Archive

Health Options for Providers



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Provider Communication Archive:
Oct 2018 NOTICE OF REVISED MEDICAL POLICIES EFFECTIVE Nov 15
Sept 2018 PROVIDER FORUM INVITATION
Sept 2018 MEDICATIONS TO REQUIRE MEDICAL PRIOR AUTHORIZATION, EFFECTIVE DEC 3, 2018
Aug 2018 MEDICATIONS TO REQUIRE MEDICAL PRIOR AUTHORIZATION, EFFECTIVE OCT 1, 2018
July 2018 NOTICE OF REVISED AND NEW DRUG & MEDICAL POLICIES EFFECTIVE AUG 15
June 2018 LabCorp is Preferred Provider for Outpatient Laboratory Testing
June 2018 MEDICATIONS TO REQUIRE MEDICAL PRIOR AUTHORIZATION, EFFECTIVE SEPT 3, 2018
May 2018 SELF AUDITS/OVERPAYMENTS
Apr 2018 NOTICE OF REVISED AND NEW DRUG & MEDICAL POLICIES EFFECTIVE MAY 15
Mar 2018 Recognizing and Reporting Quality of Care and Quality of Service Concerns
Feb 2018 2017 Provider Survey Results
Feb 2018 PROVIDER FORUM INVITATION
Jan 2018 SUBSTANCE ABUSE TREATMENT PRIOR AUTHORIZATION PROCEDURE CHANGE
Jan 2018 MEDICATIONS TO REQUIRE MEDICAL PRIOR AUTHORIZATION, EFFECTIVE MARCH 5TH, 2018 (REVISED)
Jan 2018 NOTICE OF PRIOR AUTHORIZATION CODES REMOVAL EFFECTIVE FEB. 15
Jan 2018 PROVIDER EDUCATION WEBINARS: NEW EHS OPERATING SYSTEM
Jan 2018 NOTICE OF REVISED AND NEW DRUG & MEDICAL POLICIES EFFECTIVE FEB 15
Dec 2017 IMPORTANT CHANGES RELATED TO NEW OPERATING PLATFORM TRANSITION
Dec 2017 NEW OPERATING PLATFORM (EHS) TO GO LIVE JAN 1
Dec 2017 LTSS PROVIDER AUTHORIZATION UPDATE
Nov 2017 MEDICATIONS TO REQUIRE MEDICAL PRIOR AUTHORIZATION, EFFECTIVE JANUARY 8TH, 2018
Oct 2017 MY DIABETES REPORT CARD
Oct 2017 NOTICE OF REVISED AND NEW DRUG & MEDICAL POLICIES EFFECTIVE NOV 1
Aug 2017 EPSDT REPORTS ARE NOW AVAILABLE ON NAVINET
Aug 2017 YOU’RE INVITED TO OUR PROVIDER FORUMS (8/14, 8/15 and 8/16)
Aug 2017 NOTICE OF REVISED AND NEW DRUG & MEDICAL POLICIES EFFECTIVE SEPT. 1
July 2017 INTRODUCTION LETTER TO THE OPERATIONAL CHANGES EFFECTIVE SEPT 2017
June 2017 YOU’RE INVITED TO OUR PROVIDER FORUMS
Feb 2017 PROVIDER PLAN OF CARE PROCESS ENHANCED
Jan 2017 HIGHMARK HEALTH OPTIONS LAUNCHES COMMUNITY REPOSITORY
Jan 2017 PCPS: WATCH YOUR MAIL FOR NEW PHYSICIAN PORTFOLIO
Sept 2016 REMINDER: ATTEND A HIGHMARK HEALTH OPTIONS PROVIDER FORUM
Sept 2016 REPORT CRITICAL INCIDENTS WITHIN TWO BUSINESS DAYS
Sept 2016 ENHANCED CLINICAL EDITING PROCESS — EIGHT NEW DRUG POLICIES AIM TO PROMOTE CORRECT CODING
Sept 2016 HIGHMARK HEALTH OPTIONS PROVIDER FORUMS
Sept 2016 NEW REIMBURSEMENT RATES FOR LUCENTIS AND EYLEA, EFFECTIVE SEPT. 1
Sept 2016 NEW PHONE NUMBER FOR PROVIDERS
Aug 2016 REMINDER TO TRACK MISSED HOME CARE VISITS
Aug 2016 PLEASE COMPLETE & RETURN IMPORTANT RISK-GAP CLOSURE FORMS
July 2016 New Fax Number for Claim Appeals and Correction From Previous Bulletin
June 2016 ENHANCED CLINICAL EDITING PROCESSES
June 2016 READMISSIONS AND RETROSPECTIVE AUTHORIZATIONS
June 2016 ADJUSTMENTS TO IUD REIMBURSEMENT RATES
June 2016 STATE REVISIONS AND UPDATES TO THE COMPREHENSIVE MEDICAL REPORT B (MAP B) FORM
June 2016 ADJUSTMENTS TO REIMBURSEMENT RATES/BILLING CODES FOR INSTITUTIONS FOR MENTAL DISEASE (IMDs)
June 2016 READMISSIONS AND RETROSPECTIVE AUTHORIZATIONS
May 2016 MY DIABETES REPORT CARD MAILING
May 2016 NEW FAX NUMBERS AVAILABLE FOR SUBMITTING AUTHS (MEDICAID)
Apr 2016 ADJUSTMENTS TO REIMBURSEMENT RATES
Feb 2016 PROVIDER FORUMS – LTSS FOCUS
Feb 2016 FLUORIDE VARNISH — THE PHYSICIAN'S ROLE IN CHILDREN’S ORAL HEALTH
Jan 2016 ORAL CARE
Jan 2016 ENHANCED CLINICAL EDITING PROCESSES
Jan 2016 ADJUSTMENTS TO REIMBURSEMENT RATES
Oct 2015 ENHANCED CLINICAL EDITING PROCESSES
July 2015 ICD-10 REMINDER AND NEW APPEALS AND GRIEVANCE ADDRESS
July 2015 ICD-10 COMPLIANCE DATE QUICKLY APPROACHING
July 2015 EARLY PERIODIC SCREENING DIAGNOSIS AND TREATMENT (EPSDT) PROGRAM
July 2015 AUTHORIZATION UPDATE - FOR LTSS PROVIDERS
June 2015 VACCINE BILLING PROCEDURE DIFFERS FOR CHILDREN AND ADULTS (CLARIFICATION)
June 2015 LONG TERM SERVICES AND SUPPORTS TO REQUIRE AUTHORIZATION, EFFECTIVE JUNE 15, 2015
May 2015 PROVIDER RELATIONS REPRESENTATIVE TERRITORY CHANGES
April 2015 UPDATE ON NAVINET ACCESS
Mar 2015 LONG-TERM SUPPORT SERVICES (LTSS) AUTHORIZATION UPDATE
Mar 2015 EFT AND ERA
Feb 2015 PROVIDER FORUMS
Feb 2015 VACCINE REIMBURSEMENTS
Feb 2015 NIA PROGRAMS
Feb 2015 AUTHORIZATION REQUIREMENTS FOR HEALTH OPTIONS MEMBERS ARE IN PLACE
Feb 2015 CLAIM SUBMISSION REMINDERS
Feb 2015 BEHAVIORAL HEALTH SERVICES
Jan 2015 FORMULARY AND PHARMACY UPDATE
Jan 2015 MEMBER ID CARDS AND PCP ASSIGNMENTS
Jan 2015 PCP ASSIGNMENTS AND OUTPATIENT LAB SERVICES
Jan 2015 PHYSICAL & OCCUPATIONAL THERAPY DAILY MAXIMUM INCREASED
Jan 2015 SUBMITTING AUTHORIZATION REQUESTS
Jan 2015 FREQUENTLY ASKED QUESTIONS
Dec 2014 RADIOLOGY MANAGEMENT PROGRAM BEGINS FEB. 1, 2015
Dec 2014 CONTINUITY OF CARE AND AUTHORIZATION REQUESTS
Dec 2014 FREQUENTLY ASKED QUESTIONS
Dec 2014 PROVIDER MANUAL UPDATED
Dec 2014 PROVIDER MANUAL NOW ONLINE
Nov 2014 CORRECTIONS TO THE HEALTH OPTIONS WORKSHOP
Nov 2014 HEALTH OPTIONS WORKSHOP
Oct 2014 MEDICAID PROGRAM UPDATE
Oct 2014 FEE SCHEDULE UPDATE
Sept 2014 MEDICAID PROGRAM UPDATE