Newsletters and Updates
Provider alerts
- March 26, 2021
Important updates and reminders
- February 2, 2021
COVID-19 vaccine update
- February 2, 2021
Changes to preferred drug list (PDL) effective January 1, 2021
- November 10, 2020
Prior authorization lookup tool
- November 6, 2020
Behavioral health Optum transition
- October 22, 2020
Changes to preferred drug list (PDL) effective October 1, 2020
- September 8, 2020
Care gaps update
- September 1, 2020
Member benefit change - chiropractic services
- August 19, 2020
Prenatal notification form
- July 30, 2020
Changes to preferred drug list (PDL) effective July 1, 2020
- July 1, 2020
In-office lab tests update
- June 10, 2020
Changes to preferred drug list (PDL) effective April 1, 2020
Previous provider alerts
- April 24, 2020
PDL update - ranitidine recall (PDF)
- April 9, 2020
Early Intervention Services (EIS) billing guide (PDF)
- April 7, 2020
PASRR requirement for members residing in a nursing facility (PDF)
- March 25, 2020
Early Intervention Services codes and modifiers (PDF)
- March 13, 2020
Coronavirus disease (COVID-19) update 2 (PDF)
- March 5, 2020
Coronavirus disease (COVID-19) update (PDF)
- February 28, 2020
PASRR requirement for members residing in a nursing facility (PDF)
- February 28, 2020
UM fax number changes (PDF)
- January 29, 2020
Non-emergency transportation (PDF)
- January 14, 2020
Changes to preferred drug list (PDL) effective October 1, 2019 (PDF)
- December 19, 2019
Important Updates and Reminders (PDF)
- November 7, 2019
Opioid use disorder eLearning module (PDF)
- October 25, 2019
Changes to preferred drug list (PDL) effective October 1, 2019 (PDF)
- September 16, 2019
Hepatitis A Vaccine Update (PDF)
- August 30, 2019
Corrected claim submission time frame change (PDF)
- July 22, 2019
Changes to preferred drug list (PDF) effective July 1, 2019 (PDF)
- July 1, 2019
Provider appeal time frame change (PDF)
- June 14, 2019
Inpatient claims update (PDF)
- February 19, 2019
Referring, Ordering, Prescribing, or Attending (ROPA) practitioner’s name and NPI required on claims for specific services (PDF)
- January 1, 2019
HEDIS® medical record review reminder (PDF)
- December 31, 2018
SMMC program transition notice for regions 2 and 3 (PDF)
- December 30, 2018
HIPAA authorization reminder (PDF)
- December 15, 2018
Correction to over-the-counter expanded benefit (PDF)
- December 3, 2018
CMS-1500 emergent transportation claims submission (PDF)
- November 30, 2018
Services requiring prior authorization under 2018-2023 Statewide Medicaid Managed Care (SMMC) contracts (PDF)
- November 30, 2018
SMMC program transition notice for regions 5, 6, 7, and 8 (PDF)
- November 9, 2018
New electronic funds transfer (EFT) resources (PDF)
- November 8, 2018
Prestige Health Choice awarded National Committee for Quality Assurance (NCQA) accreditation (PDF)
- September 12, 2018
CLIA ID number required for laboratory test claims (PDF)
- September 11, 2018
Opioid supply limits modified (PDF)
- July 30, 2018
Reminder to use claims modifiers 25 and 59 appropriately (PDF)
- June 14, 2018
Nationwide scams involving faxed prescriptions (PDF)
- April 27, 2018
Long-term care and mixed services claims (PDF)
- April 26, 2018
Billing update for dialysis providers (PDF)
- April 23, 2018
Corrected claims: Discontinue use of frequency code 6 (PDF)
- April 2, 2018
Coastal Care Services® place of service 12 billing update (PDF)
- April 1, 2018
HEDIS® training (PDF)
- March 23, 2018
Requirements for expedited authorization requests (PDF)
- March 19, 2018
OptumHealth℠ Care Solutions transplant claims submission process (PDF)
- March 19, 2018
Direct secure messaging (DSM) (PDF)
- March 12, 2018
Anxiety disorders e-learning training module now available (PDF)
- February 25, 2018
Using your CLIA ID when filing claims (PDF)
- February 19, 2018
Basaglar® human insulin analog (PDF)
- January 23, 2018
Hospice prior authorization requirements (PDF)
- January 23, 2018
ICD-10 diagnosis guidelines notice (PDF)
- January 12, 2018
Depression e-learning training module now available (PDF)
- October 23, 2017
2017 year-end provider incentive program to improve member health outcomes (PDF)
- October 12, 2017
New list of HCPCS codes requiring prior authorization (PDF)
- September 25, 2017
New requirement for expedited authorization requests (PDF)
- August 24, 2017
New Submission Guidelines for Corrected, Replacement, or Voided Claims (PDF)
- July 25, 2017
New submission guidelines for Medicare dual eligible claims (PDF)
- July 9, 2017
Basaglar® human insulin analog (PDF)
- May 5, 2017
Clinical policies now available (PDF)
- May 2, 2017
Services requiring prior authorization (PDF)
- July 27, 2016
Zika virus update: Insect repellent added to expanded benefits (PDF)
- May 30, 2016
Target pharmacy no longer in Prestige pharmacy network (PDF)
- May 26, 2016
Prestige looks to ensure accurate encounter data (PDF)
- April 21, 2016
Electronic remittance advice (ERA) modifications (PDF)
- April 13, 2016
The Agency for Health Care Administration issues on-site activities alert (PDF)
- February 12, 2016
Emdeon rebranded as "Change Healthcare" (PDF)
- February 12, 2016
New requirements on claims for specific services (PDF)
Ordering, referring, or prescribing provider's name and NPI required
- February 4, 2016
Notification of express enrollment for Medicaid recipients (PDF)
