Priority Health: Physician and Practice News Digest Spring 2021

July 26, 2021

Priority Health has now provided their Spring 2021 Provider and Practice News Digest. The following important informaiton can be found in the links below:

Authorizations

Changes to our musculoskeletal authorizations coming Jan. 1, 2022 | more

We’re transitioning to InterQual® 2021 criteria starting Aug. 23, 2021 | more

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Billing and payment

Physician fee schedule for certain hand surgery procedures increased July 1 | more

Tips to ensure successful Medicaid billing | more

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Incentive programs

Updates to Filemart reporting starting with our July 2021 report release | more

Learn about changes to our 2021 PIP manual | more

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Priority Health news

THC providers new to Priority Health: Register for provider training and onboarding | more

Update to our Spine Center of Excellence program | more

Transition of Care for new Priority Health Medicaid members | more

We’re welcoming Total Health Care to Priority Health | more

Priority Health Connect available to all members | more

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Pharmacy

July 2021 commercial formulary changes | more

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Requirements & responsibilities

We’re bringing automation to provider information submissions | more

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