Newsletters and Updates

 

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Provider updates

June 11, 2026
Change in Medicaid Coverage for GLP-1 Medications (PDF)

June 10, 2026
HEDIS Measure SAA Provider Notice (PDF)

June 10, 2026
Formulary Update July 2026 (PDF)

June 9, 2026
Formulary Update May 2026 (PDF)

May 27, 2026
Upcoming Billing Changes for Home Health Providers (PDF)

May 15, 2026
Class 1 Recall: TRUE METRIX Blood Glucose Monitoring Systems (PDF)

May 7, 2026
New Prior Authorization Codes (PDF)

May 4, 2026
Formulary Update May 2026 (PDF)

April 23, 2026
HEDIS Measure: Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) (PDF)

April 23, 2026
HEDIS Measure: Pharmacotherapy for Opioid Use Disorder (POD) (PDF)

April 23, 2026
HEDIS Measure: Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)  (PDF)

April 15, 2026
Let Us Know – Member Intervention Form Update (PDF)

April 8, 2026
Preferred Drug List (PDL) changes (PDF)

April 8, 2026
New Vendor – Edifecs Clinical Insights (CI) Solution Informational Sessions (PDF)

April 3, 2026
Vendor letters added to the claims overpayment response process in NaviNet (PDF)

March 12, 2026
Reminder: Correct coding for vaccines to prevent denials (PDF)

March 9, 2026
Introducing Edifecs Clinical Insights (CI) as part of our Care Optimization program (PDF)

February 17, 2026
NaviNet Claim Appeals Status Check Update (PDF)

February 16, 2026
New Prior Authorization Codes (PDF)

January 12, 2026
Healthcare Effectiveness Data and Information Set (HEDIS®) annual medical record review (PDF)