Month

August 2020
Priority Health News Get ready for a new auth tool Register today for webinar training to learn how to use the new tool, launching in September | more Complete your PriorityMedicare D-SNP Model of Care training before Dec. 31 Reminder: If you see D-SNP patients, complete Model of Care training | more Authorizations Authorization is...
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At Affinia, we applaud and thank you for continued patience and grit through our shared experience during the multiple phases of the Covid-19 pandemic. While the world around us is still not fully back to normal, we wanted to pause and connect with you on how we are adapting to circumstances, accelerating transformation, and our...
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Written by: Courtney Sorenson, PharmD Candidate and Paige Thomey, PharmD Candidate Key Points Compared to former years, Michigan children have received significantly fewer immunizations Decreased immunization rates and the similarities between influenza and COVID-19 pose serious threats to our healthcare communities as influenza season approaches Michigan has seen a significant decrease in routine immunizations as...
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Written by: Courtney Sorenson, PharmD Candidate and Paige Thomey, PharmD Candidate Key Points As of October 1, 2020, all Michigan Medicaid formularies will consolidate to a single drug list called the Medicaid Preferred Drug List (PDL) Most Medicaid plans will be sending both provider and patient level communication if they are impacted by this change...
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Payer Updates Sent on behalf of Brenda R. Lever, Director, Provider Network Management, Blue Cross Complete of Michigan Effective September 1, 2020, Blue Cross Complete will implement two policy updates. The updates are as follows: Modifier 25 policy update – Blue Cross Complete will pay a reduced reimbursement of certain evaluation and management procedures billed...
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