News

UnitedHealthcare June Network Bulletin

Front & Center
• COVID-19 Antibody Test Registration Requested (page 5)

1.            All hospital-affiliated and freestanding laboratories, as well as physician practices with in-house laboratories, are being requested to register the COVID-19 antibody test(s) that will be used for our members.

Attached are two handouts supplied from Meridian for May 2020:

• Children's Behavioral Health Measures
• Adult Behavioral Health Measures

Have you been enjoying these monthly updates? Would you prefer to receive them via email? Visit the Bulletins page for your state and fill out our sign-up form to receive the monthly update directly in your inbox!

Priority Health has NEW Claims tool which now supports Microsoft Word and Excel file attachments for appeal and medical record submissions

The Claims tool within the Provider Portal now supports Microsoft Word (.doc and .docx) and Excel (.xls and .xlsx) file attachments for appeal and medical record submissions. This is in addition to file types already supported, which include: csv, .pdf, .png., jpg, .jpeg and .txt.

Beginning the week of May 18, 2020, we’ll be reaching out to Medicaid members, or guardians, who are due for immunizations, asking them to schedule these appointments with their primary care providers (PCPs).

We’re also resuming sending reminders for well-child visits. These reminders are sent quarterly via letter or email and ask members, or guardians, to schedule the appointment with their PCP.

Immunization campaign

We’ll be reaching out to two groups of members with phone calls from our customer service team:

In honor of Risk Management Week, Michigan Professional Insurance Exchange is extending this special invitation to you to join us for three separate webinars, June 16-18 for the 2020 Regional Education and Networking Meeting. Don’t miss this excellent opportunity to gain strategies to mitigate risks and improve patient safety while virtually networking with other risk management, executive, clinical and patient safety leaders. Registration for each webinar is highlighted below.

UnitedHealthcare Is Waiving Cost Share for Medicare Advantage Members

Thank you for your continued efforts toward helping our members and communities stay healthy. We’re supporting you, your staff and members as they get ready to visit their primary and specialty health care providers for preventive care and for chronic conditions – care that may have been delayed.

We know how important it is to have the Priority Health members you see assigned to your practice. That’s why we’re making changes based on your feedback to improve our member assignment.

We’ve started with our individual product reviewing our members’ assignment against claims data. Effective May 1, we’ve updated HMO and POS members’ assignments when they’re seeing a PCP different than the one chosen at enrollment. Members seeing a provider at the same office or accountable care organization (ACN) assignments will not change.

Aetna Better Health has provided updates to their COVID policy for their face to face requirement as of May 1st:

• Bulletin Number:  MSA 20-12       COVID-19 Response: Relaxing Face-to-Face Requirement

Also, ABH recently sent telehealth surveys to practices - see attachments:                                                            

• Telehealth Survey                                        Medical Practice Group
• Telehealth Survey Behavior Health          Behavior Health Providers

Please review the attached provider notifications sent via fax blast recently by Aetna Better Health:

• Bulletin No 171 Temporary Changes in Prior Authorization/Precertification and Admissions Protocols for Aetna Better Health of Michigan  
• Bulletin No 171 FAQ Temporary Changes in Prior Authorization/Precertification and Admissions Protocols for Aetna Better Health of Michigan  

In addition, please review the attached MSA COVID 19 Bulletins.

Please read the attached latest issue of the Priority Health Physician and Practice News Spring 2020 Digest.

Included in this issue is the latest information on:

• COVID 19
• Authorizations
• Billing and Payment
• Clinical Resources
• Incentive Programs
• Priority Health News
• Pharmacy
• Plans, Benefits and Coverage
• Requirements and Responsibilities
• Training Opportunities and Education

Please review the attached provider notifications from Aetna Better Health:

COVID-19 update for providers

We’re in this together and are committed to working with you. As promised, we’ll stay in touch with information you need to care for our communities.

While you and your organizations are dealing with the challenges of the COVID-19 pandemic, your Affirmant team is here to support you.

From our partners at Affirmant Health Partners:

From Meridian:

Please see our operational changes (attached)  to provide administrative relief to our provider partners. We hope this helps in easing administrative tasks during this time.

The April 2020 UnitedHealthcare Network Bulletin Summary is attached below.

The entire bulletin can be found on www.UHCprovider.com > News and Network Bulletin  located at the bottom of the page.

Humana to Waive Medical Costs Related to Coronavirus Treatment

Costs waived whether care is virtual, in a doctor’s office or hospital setting

Also, please see the link below for any updates for our COVID-19 information. 

COVID-19 update for providers from Priority Health

Information about COVID-19 is changing rapidly, and we know it’s important to stay updated. We’ll send weekly email updates during this situation.

UHC Leadership has requested to keep in mind that Medicaid members cannot be charged co-pays or services fee’s when providing telehealth services.  These are listed as covered benefits with Fee Schedule’s built for payments. 

Attached is the MDHHS fee schedule for your reference.

The  MDHHS fee schedule site for your reference and is also listed:

https://www.michigan.gov/documents/mdhhs/Telemedicine_012020_678209_7.pdf