Provider Alerts

October 28, 2025HEDIS CPT II code reminder — help close gaps in care (PDF)
October 27, 2025New functionality! NaviNet disputes submission (PDF)
October 23, 2025Update: Formulary changes (PDF)
October 15, 20252025 – 2026 flu vaccination (PDF)
October 8, 2025Update: Formulary changes (PDF)
October 6, 2025New Enhancement to Pharmacy Claim Processing (PDF)
September 3, 2025New functionality! NaviNet claim investigation attachments (PDF)
August 28, 2025Personal assistance services — start date reminder (PDF)
August 26, 2025Update: Formulary Changes (PDF)
August 12, 2025SUCRALFATE RECALL NOTICE: Nostrum Laboratories, Inc. issues a voluntary nationwide recall (PDF)
August 5, 2025Improvements to the claims overpayment response process are on the way (PDF)
July 15, 2025Supporting documentation for prior authorization requests (PDF)
July 9, 2025Summer issue of Connections available online (PDF)
July 7, 2025Updated respiratory pathogen panel reimbursement policy (PDF)
July 2, 2025Risk Adjustment Program — new vendor, UST HealthProof (PDF)
June 17, 2025Save The Date! Improvements to the claims overpayment response process (PDF) are on the way
June 9, 2025Statewide Preferred Drug List (PDL) changes effective July 7, 2025 (PDF)
June 5, 2025Rite Aid pharmacy closure notice (PDF)
May 15, 2025Consider prescribing preferred adalimumab biosimilar products (PDF)
April 24, 20252025 HCBS Provider Claims Filing Instructions announcement (PDF)
April 24 2025The 2025 Medical Provider Claims Filing Instructions (PDF) are now available online
April 17, 20252025 Dental Supplement announcement (PDF)
April 17, 2025Update: Formulary Changes (PDF)
April 17, 2025Provider Manual announcement (PDF)
March 21, 2025Spring issue of Connections available online (PDF)
February 4, 2025HEDIS advance notice (PDF)
January 30, 2025Optum medical record review for outpatient facility claims (PDF)
January 29, 2025275 claim attachment transactions update (PDF)
January 28, 2025Update to services requiring prior authorization (PDF)
January 16, 2025Non-Solicitation Reminder (PDF)

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