2021 Provider Alerts

December 27, 2021
December issue of our provider newsletter, Connections, now online (PDF)
December 20, 2021
Prior authorization waived for patient transfers (PDF)
December 1, 2021
Changes to the Preferred Drug List (PDL) (PDF)
November 23, 2021
Update: ivermectin quantity limit (PDF)
November 15, 2021
Naloxone take-home distribution by federally qualified health centers (FQHCs) and rural health clinics (RHCs) (PDF)
November 3, 2021
2021 – 2022 flu vaccination (PDF)
October 27, 2021
2021 Provider Manual is now available online (PDF)
October 18, 2021
Update: quantity limits (PDF)
October 15, 2021
Electric breast pump limitations and reimbursement rate change (PDF)
October 12, 2021
NaviNet user access rollup (PDF)
October 11, 2021
2021 claims filing instructions now available (PDF)
September 15, 2021
Presumptive and definitive drug testing payment policy (PDF)
September 7, 2021
Expansion of providers for the administration of SARS-CoV-2 vaccines and monoclonal antibody therapy (PDF)
August 30, 2021
Administration and payment of SARS-CoV-2 vaccines for homebound Participants (PDF)
August 25, 2021
Ground ambulance billing reminders (PDF)
August 1, 2021
Change in reimbursement for normal, low, and high calibration solution/chips (PDF)
July 27, 2021
Update: formulary changes (PDF)
July 20, 2021
Timely filing deadlines reminder (PDF)
July 15, 2021
July issue of our provider newsletter, Connections, now online (PDF)
June 29, 2021
ONAF forms no longer accepted via fax starting July 1, 2021 (PDF)
June 17, 2021
Participant ID card primary care provider (PCP) information change (PDF)
June 17, 2021
Jiva application upgrade — additional free webinar demonstrations offered (PDF)
June 16, 2021
Critical reminder: Balance billing Participants is prohibited (PDF)
June 1, 2021
Prior authorization requirements reinstated for certain services (PDF)
June 1, 2021
Important requirements for nursing facilities effective August 1, 2021 (PDF)
June 1, 2021
Prior authorization requirements: therapeutic duplication and safety edits (PDF)
May 27, 2021
Additional HCPCS medication codes requiring prior authorization (PDF)
May 12, 2021
Providers can now run NaviNet reports at the Tax ID Number (TIN) level (PDF)
May 3, 2021
COVID-19 vaccine reimbursement April update (PDF)
May 1, 2021
ONAF form no longer accepted via fax (PDF)
March 25, 2021
March issue of Connections is now available (PDF)
February 10, 2021
Updated CPT codes for the administration of SARS-CoV-2 vaccines (PDF)
January 13, 2021
Prior authorization lookup tool now available on the provider website (PDF)
January 7, 2021
CPT codes for the administration of SARS-CoV-2 vaccines (PDF)

Archive

Providers