News

The Andrews Unverity student medical insurance changed for this new academic year. Previously they had Commercial Travelers through National Guardian Life insurance company. Effective 8/17/20, the Commercial Travelers/National Guardian Life medical insurance terminated.

Effective 8/18/20, Andrews Univeristy student insurance is now with AETNA Student Health Plan for the 20-21 academic year.

You now have the option to submit pharmacy prior authorizations for Priority Health members electronically.

Save time and get faster pharmacy decisions

We know you spend substantial time on prior authorizations and that it’s a common pain-point for many practices. That’s why we’ve partnered with Surescripts to implement an electronic prior authorization (ePA) solution for Rx drugs that will eliminate the need for time-consuming paper forms, faxes and phone calls, and allow us to return faster decisions to you.

MDHHS Announces $25 million for Personal Protective Equipment to Keep Frontline Workers and Patients Safe from COVID-19  

LANSING, MICH.  A $25 million grant program for personal protective equipment (PPE) will allow medical facilities and other providers to keep their staff and patients safe, the Michigan Department of Health and Human Services (MDHHS) announced. 

Attached below is Aetna's First Tier, Downstream and Related entities (FDR) Q2 Compliance newsletter. 

Webinar Schedule and Registration Link:

https://attendee.gotowebinar.com/rt/3027825633263034379

You’re busy, so this quick read will provide you with useful updates from UnitedHealthcare. This brief is designed to:

MDHHS is hosting a series of CHAMPS 101 Webinars over the next several weeks for interested providers and billers.  MI Operations & Regulatory Affairs wanted to share in the event that we’d like to share with any of our provider community .

Humana to Offer LabCorp At-Home COVID-19 Test Collection and

Collaborate with Walmart and Quest Diagnostics to Expand Access to Drive-Thru Testing

Frequently Asked Questions – Monday, August 10

Overview

1. What is Humana announcing?

Priority Health has provided  their Summer 2020 Provider and Practice Digest with all of the latest Priority Health information.

Please see the attachment for details.

A Note from Meridian Health:

The Medicaid Targeted Distribution Funding through the CARES Act application deadline was extended for 1.) Phase 2 general distribution to Medicaid, Medicaid managed care, Children's Health Insurance Program (CHIP) and dental providers, and 2.) certain Medicare providers who experienced challenges in the Phase 1 Medicare General Distribution application period. These groups can apply for relief funding through Friday, August 28, 2020 according to the HHS press release issued on July 31.

From the press release:

As the public health emergency continues, and the country slowly starts to reopen, we continue to look for ways to support our customers and the providers who are dedicating their lives to deliver important care.

myHealth Wellness Program Postponed   

UnitedHealthcare recognizes that the persistence of COVID-19 cases across the country continues to have an impact on the healthcare system – both for COVID-19-related care as well as for regular preventive visits. To provide ongoing support to members and providers, UnitedHealthcare is extending many of the COVID-19 temporary program, process and coverage changes through Oct. 22, 2020.

From United Health Care:

Please see the attached Collateral that will inform you on how to apply for additional Relief Funds:

• How to apply:
• Eligibility Requirements
• Use of Funds
• Attestation Requirements
• Where to find more information site.

Please note even thought this form stated expires 07/20/20, again the state has extended applications till August 3rd 2020.

Again, please see the attachment for details.

As we shared earlier, on September 14, we’re launching GuidingCare, a new authorization tool that will replace Clear Coverage. Make sure you’re ready to successfully request authorizations this fall by registering for webinar trainings. 

What steps do you need to take to ensure success?

Department of Veterans Affairs (VA) has selected Optum as a third-party administrator for Regions Two of the VA Community Care Network (CCN). This contract became effective on January 20, 2020.

Optum would like to host virtual training sessions before the end of August 2020.

In the meantime, the instructions on the VACCN Referral Process is as follows:

Last week Priority Health  announced that on July 1, 2020, we would return to paying the standard facility-based rate for expanded services provided via telehealth.

Given the investment our providers have made in telehealth, ongoing concerns about patients not visiting provider offices for needed care, and the rapidly evolving COVID-19 situation, we have reversed this decision. We'll continue to pay at the non-facility rate, using the rest of 2020 to review data on telehealth services to inform our future policies.

The July 2020 UnitedHealthcare Network Bulletin Summary is attached for your reference. In addition, also attached are informational flyers on:

• Resource Kit 2020 United Healthcare Community Care
• Q3 2020 MI Common Formulary Updates
• Summary of COVID 19  dated July 1, 2020
• Diabetes Prevention Program

In response to the COVID-19 pandemic, we implemented several temporary changes to support you and your patients.

The purpose of this communication is to give you an update on which of these changes is ending on June 30, 2020, and what’s being extended. We’ve also made a new change for July 1, 2020.