Providers

The latest COVID-19 updates

As the COVID-19 vaccines continue to be distributed across the country, we are committed to ensuring providers have the latest information related to our response to COVID-19. The following information outlines some of the latest updates, including increased vaccine reimbursement, encouraging patient vaccinations, our coverage of COVID-19 tests, and accommodations we continue to make during the public health emergency (PHE) period.

Please read the attachment for all of the latest details from CIGNA.

From Priority Health:

Thanks to your feedback, we’re planning several enhancements to GuidingCare authorization process in 2021. These changes will speed up some authorizations, giving your practice more time to focus on patient care.

Today, the following enhancements start:

Priority Health has shared a handout that helps offices navigate questions as they may arise.  Plese read and print the attachment for all of the details!

The Telehealth PCP is a new plan that just launched in 2021 for Individual members. The plan offers virtual-first primary care coverage through our partner, Doctor on Demand®. However, by choosing this plan, members are assigned a PCP from Doctor on Demand. Any in-person care needed is referred back to the Priority Health HMO network.

Individuals can choose their own plan during open enrollment either through the marketplace, their agent or Priority Health directly.

COVID-19 news from UnitedHealthcare

Billing and temporary provision updates, member outreach to encourage vaccinations

UnitedHealthcare is revising our COVID-19 resources to reflect additional billing guidance, and updating a number of temporary cost share provisions that were established as part of the COVID-19 response. Here’s a high-level summary of the changes and effective dates

Please read the attachment for all of the NEW details from United Healthcare!

Attached you will find the monthly handouts from Meridian for the month of March 2021:

Topics include:

Provided to you from United Healthcare:

Please review the attached Medicaid home blood pressure cuff coverage grid that has been created by the State of MI.   The grid can be used by providers to check inclusion criteria, preauthorization requirements, and special instructions specific to each to the UHC managed care plan prior to prescribing blood pressure cuffs to patients with hypertension for blood pressure self-monitoring.    .    

Michigan Department of Health and Human Services (MDHHS) Blood Pressure Cuff Coverage Grid

Dear Medical Care Group Business Administrator,

If you or any of your physicians participate in electronic claims transactions with Blue Cross or BCN, you need to take action. Please forward this information to your billing contacts to ensure there are no gaps in communications.

Background

From CIGNA--

AS A TRUSTED SOURCE, YOU CAN MAKE THE DIFFERENCE IN GETTING VACCINE HESITANT PATIENTS PROTECTED

Only 26% of respondents say they have asked a health care professional for information about the vaccine so far. – Kaiser Family Foundation Report on Vaccine Hesitancy

From our Partners at United Healthcare:

Many of you are aware that Microsoft is no longer going to support IE11 (Internet Explorer) starting 8/17/21.   We have been partnering with UHC Digital on an education strategy to our Core/Strategic providers who are using EI11.  Since Link and the Provider Portal will be impacted it is important our providers make the transition over to a new browser.  

UnitedHealthcare online tools and web compatibility