Humana - Resource Links and Provider Manual for 2022
This article is a repeat of information from Humana on resources that will allow offices to find out answers to their questions:
This article is a repeat of information from Humana on resources that will allow offices to find out answers to their questions:
Blue Cross Blue Shield of Michigan and Blue Care Network are transitioning to Availity® Essentials for our provider portal.
From Humana:
Attached are some resources that help with understanding Humana’s home health determinations. There is a brief webinar offered in the Making It Easier series for Home Health billing (link below).
Dear Medical Care Group Business Administrator:
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Dear Medical Care Group Business Administrator,
From Meridian: Below is the MDHHS Bulletin to provide information on Homecare Services; NPs or PAs can no longer order for Homecare Services. Only a physician can place these orders effective January 1, 2022.
Meridian has shared some additional phone numbers for offices to utilize if they are finding issues thru the provider portal in obtaining authorizations.
Meridian Complete:
Please read the latest news from United Healthcare in their attached Bulletin.
Priority Health has provided their Spring 2022 Physican and Practice Newsletter; please read the full detail in the attachment
Dear Medical Care Group Business Administrator:
From Priority Health:
Please see your April 2022 Collateral from United Healthcare, and if you have not signed up for their Network Bulletin to be sent to you on a monthly basis please visit www.uhcprovider.com to sign up.
Attached are the March 2022 monthly handouts and process changes from Meridian:
Humana has provided the latest provider manual and links to their resources for your office use.
Please sign up for tailored emails directly to your desk on topics that your office finds valueable from UHC at the below link:
From Aetna Better Health - the March 22 Monthly Informational handouts:
On March 4, 2022, BCN mailed a letter to one or more of your primary care physicians who have BCN AdvantageSM patients who are eligible for a new precision medicine pilot program using pharmacogenomic (PGx) testing.
Attached is the quarterly compliance newletter from Aetna.
Effective April 1, 2022, Meridian’s Medicaid provider portal will be available on a new platform.
Registration for the new portal opens on March 1, 2022 and can be completed at:
provider.mimeridian.com
Attached you will find the Meridian February 2022 Monthly Informational Handouts covering the following topics:
To our offices from Aetna Better Health:
Attached are the February 2022 monthly updates on the following topics:
Provided to our office from Aetna:
Sometimes there is a lot of information regarding payors that is confusing to our offices on what is or is not participating.
Aetna Signature Administrator (ASA) are PAR with Lakeland Care Network.
Dear BCN Medical Care Group Business Administrator:
To our offices,
There are upcoming significant changes that Meridian has informed us about.
Please open the below attachment and read the detailed information regarding these significant changes by the Meridian system being implimented on April 1, 2022.
Please feel free to print and share the attachment with your fellow teams.
Thank you!
United Health care wants to make offices aware of a recent change that will impact your current process. As of December 1, 2021, providers for most plans are no longer required to submit observation notification after a patient has been discharged home from observation level of care.
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ABH of Michigan has been notified by MDHHS of claims that have rejected for "Provider Type Not Allowed for Referring/Ordering/Attending NPI"
Claims releated to the rejections received by the health plan will be recovered and corrected claims will need to be submitted.
Please review claims billing guidelines to ensure your claims are billed properly.
Please see the attahment for all details from ABH.
Dear Medical Care Group Business Administrator:
Priority Health has decided to cancel the March 2022 launch of Clinical+ due to feedback we received from providers who tested this tool for us.
Why are we making this change?
Due to the persistence of COVID-19 cases in your area, UnitedHealthcare is extending and expanding the temporary program provisions outlined in the attachment below. This announcement is applicable to all in-network hospitals and skilled nursing facilities (SNFs) in Michigan statewide.
SAVE THE DATE!
Thursday, February 24th, 2022
1:00pm – 3:00pm CST
Priority Health has scheduled the 2022 Behavioral Health Collaborative Care meetings. Practices interested in earning the incentive for this measure should plan to attend at least 3 out of 4 quarterly virtual meetings to discuss collaborative care activities, share best practices and discuss barriers to implementation.
Between 1/1/2022 and 2/28/2022, prior authorizations are NOT required for post-acute stays at skilled nursing facility, long-term acute care hosipital or nursing facility.
Please read the full attachment for the full details of the policy update.
HAP has shared the latest monthly handouts for your offices:
Please see the attachments for all of the details: