- 2021 Affirmative Statement Concerning Utilization Management Decisions
- 2021 Clinical Practice Guidelines
- Admission, Discharge & Data transfer results in improved care management
- AIM Specialty Health® lung cancer screening prior authorization guideline update
- August 2021 Clinical Utilization Management (UM) Guidelines
- August 2021 Medical Policies and Utilization Management Guidelines update
- Availity Portal eligibility and benefits (Additional benefit notes and digital member ID Cards)
- Clinical Criteria Updates Notification August 2021
- Clinical Criteria Updates Notification December 2020
- Clinical Criteria Updates Notification February 2021
- Clinical Criteria Updates Notification June 2021
- Clinical Criteria Updates Notification March 2021
- Clinical Criteria Updates Notification May 2021
- Clinical Criteria Updates Notification November 2020
- Diabetes testing and screening HEDIS measures
- EnrollSafe/EFT Enrollment Portal Flyer
- EnrollSafe will replace CAQH Enrollhub® as the electronic funds transfer (EFT)
- February 2021 Clinical Utilization Management (UM) Guidelines
- February 2021 Medical Policies and Utilization Management Guidelines update
- Federally qualified health centers and rural health clinic modifier requirements
- Get faster payments with EFT
- HB1576 Implementation of Nonemergency Medical Transportation
- HEDIS 2020: Medicaid Measure Update and Summary of Changes from NCQA
- HEDIS measures: Follow-Up After ED Visits for Mental Illness and Alcohol and Drug Dependency
- Important update: behavioral health fax numbers changing
- Keeping up with routine vaccinations during COVID-19
- Let’s Vaccinate
- May 2021 Clinical Utilization Management (UM) Guidelines
- May 2021 Medical Policies and Utilization Management Guidelines update
- MCG Care Guidelines 24th edition customization
- MCG Care Guidelines 25th Edition
- Metabolic monitoring and diabetes screening measures for those on antipsychotics medications
- New claim submission requirement for durable medical equipment delivery verification
- Non-payment remittance advice enhancements are here
- Nonemergency medical transportation changes effective June 1, 2021
- November 2020 Clinical Utilization Management (UM) Guidelines update 2/22/21
- November 2021 Clinical Utilization Management (UM) Guidelines
- November 2020 Medical Policies and Utilization Management Guidelines update 2/12/21
- Prior authorization requirements for moderate to deep anesthesia for dental surgery in the facility setting
- Provider notification for claim filing requirements
- Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting
- Reimbursement Policy Update -Drug Screen Testing
- Specialty Rx Precertification Additional Documentation Notice effective August 1, 2021
- Submitting prior authorizations is getting easier
- The Behavioral Health Areas of Expertise Profile improves the referral process
- Unspecified diagnosis reminder
- Updates to the AIM Advanced Imaging Clinical Appropriateness Guidelines
- Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines
- Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilator
- What Matters Most: Improving the Patient Experience
January 4, 2021