Priority Health Updates

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 no longer required for in-network hospice services | more

Register today for our new authorization tool webinar training | more

Medical policies transitioning to 2020 InterQual® Criteria | more

We’re transitioning to InterQual® 2020 | more

Change to behavioral health immediate reconsideration reviews | more

Updated process for peer-to-peer reviews starts July 1 | more

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Billing and Payment

Billing reminders for providers treating Qualified Medicare Beneficiaries | more

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Clinical Resources

Talking to your patients about pharyngitis testing | more

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Incentive Programs

Updates to 2019 and 2020 PIP and CPC+ manuals | more

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Priority Health News

COVID-19 update for providers | more

Priority Health and Cigna enter strategic alliance | more

Financial relief for members and employers in response to COVID-19 | more

Claims tool now supports Microsoft Word and Excel file attachments | more

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Pharmacy

Medicaid Health plans transitioning to Preferred Drug List (PDL) | more

Metformin ER products recalled | more

Update to July 1 commercial formulary changes | more

We’re removing prior authorization requirements for infliximab | more

July 1, 2020 formulary changes | more

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Plans, Benefits & Coverage

New mental wellness tool, myStrength, available to all members | more

Acupuncture now covered for Medicare members with chronic low back pain | more

Michigan auto insurance reform law | more

Outreach to Medicaid members due for immunizations | more

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Requirements & Responsibilities

May medical policy updates | more

Change Healthcare to begin Medicare chart reviews | more

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