News

Attached are the March  2022 monthly handouts and process changes from Meridian:

UHC Network Bulletin is Network News - 

Please sign up for tailored emails directly to your desk on topics that your office finds valueable from UHC at the below link:

On March 4, 2022, BCN mailed a letter to one or more of your primary care physicians who have BCN Advantage^SM patients who are eligible for a new precision medicine pilot program using pharmacogenomic (PGx) testing.

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:

 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. 

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!

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.

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?

SAVE THE DATE!

Thursday, February 24th, 2022

1:00pm – 3:00pm CST

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.

• Meridian Medicaid Plan (ie Meridian Health)
• Meridian Medicare-Medicaid Plan ( MMP)

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:

• Hierarchical Condition Category Gap Program FAQ
• HAP Documenttion Tips - Acute Myocardial Infarctions (AMI), Arthritis,Atrial Fibrillation/Flutter, Active Cancer and much more!

Please see the attached document stating the prior auth waiver has been extended to 2/4/2022.

WellCare/MeridianHealth’s Quality Improvement Department is hosting an exciting opportunity to learn about Risk Adjustment and Clinical Documentation. This free, virtual webinar will help you improve patient documentation and coding practices which will ensure patients have access to adequate resources and quality care. This webinar is ideal for providers, nurses, and anyone in your practice to who codes patient diagnoses.

Please see the attached document for all of the highlights regarding updates from Prioirty Health.

This announcement is applicable to all in-network hospitals and skilled nursing facilities(SNFs) in Michigan statewide

Due to the persistence of COVID-19 cases in your area, UnitedHealthcare is extending and expanding the temporary program provisions outlined below. This information and dedicated support resources are being communicated directly to you as one of the impacted hospitals or facilities.

Since the COVID-19 pandemic began, Cigna has taken important steps to deliver timely accommodations to providers and customers, helping to ensure that customers have continued access to COVID-19 diagnostic services, testing, and treatment in safe settings.

Reinstituting and extending interim accommodations

With the recent surge of COVID-19 cases resulting in increased strain on providers, we are making a number of accommodations to support you.