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
Billing and Payment
Billing reminders for providers treating Qualified Medicare Beneficiaries | more
Clinical Resources
Talking to your patients about pharyngitis testing | more
Incentive Programs
Updates to 2019 and 2020 PIP and CPC+ manuals | more
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
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
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
Requirements & Responsibilities
May medical policy updates | more
Change Healthcare to begin Medicare chart reviews | more