News and Updates
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Provider COVID-19 alerts
Stay up-to-date on the latest news and updates for all things COVID-19.
- COVID-19 at-home test kit coverage updates (PDF)
- MDHHS to offer webinars on final stage of COVID-19 public health emergency response (PDF)
- COVID-19 at-home test kit coverage (PDF)
- COVID-19 administration of vaccine and booster coding update (PDF)
- Billing update for additional doses of COVID-19 vaccine (PDF)
- COVID-19 vaccine pharmacy billing and reimbursement update (PDF)
- MDHHS urges providers to enroll now for COVID-19 vaccination of children ages 12 and under (PDF)
- COVID-19 vaccination status report available on NaviNet beginning Aug. 11, 2021 (PDF)
- COVID-19 vaccine enhanced administration fee (PDF)
- Blue Cross Complete billing guidance for administration of COVID-19 vaccines (PDF)
- COVID-19 vaccination update (PDF)
- MDHHS COVID-19 response: recession of portions of bulletin MSA 20-28 (PDF)
- COVID-19 relief funding (PDF)
- MDHHS clinical guidance to licensed physicians, dentist, FSOF and hospitals (PDF)
- Hospital transfers related to COVID-19 (PDF)
- MDHHS COVID-19 response: suspending all Medicaid closures (PDF)
- Blue Cross Complete pharmacy COVID-19 update (PDF)
- MDHHS COVID-19 test criteria expansion (PDF)
- Telehealth billing reminder (PDF)
- COVID-19 provider FAQ (PDF)
- Provider notice on COVID-19 updated (PDF)
- COVID-19 and provider CHAMPS enrollment (PDF)
- Telehealth COVID-19 (PDF)
Provider alerts
Stay up-to-date on the latest news and updates for all things Medicaid.
- Claim payment policy: evaluation and management services billed with treatment room revenue codes (PDF)
- Monitored anesthesia care for gastrointestinal endoscopy (PDF)
- Balloon ostial dilation (balloon sinuplasty) clinical policy (PDF)
- Blue Cross Complete in-office laboratory testing – updated (PDF)
- March of Dimes Breaking Through Bias™ In Maternity Care Provider Training (PDF)
- Pharmacy benefit update – August 1, 2022 formulary changes (PDF)
- Blue Cross Complete remittance advice changes (PDF)
- March of Dimes Breaking Through Bias™ In Maternity Care Provider Training (PDF)
- Delayed launch of Blue Cross Complete's new prior authorization system (PDF)
- Blue Cross Complete updates to prior authorization requirements for medications (PDF)
- Join us for Blue Cross Complete's virtual provider conference (PDF)
- New online tool coming for prior authorizations (PDF)
- Pharmacy benefit update – May 1, 2022 formulary changes (PDF)
- National Imaging Associates Medical Specialty Solutions program webinars (PDF)
- Blue Cross Complete to implement new "connecting our members to premier ancillary services and specialists" COMPASS program (PDF)
- National Imaging Associates to manage diagnostic imaging services for Blue Cross Complete, effective May 1, 2022 (PDF)
- Newborn prior authorization requests (PDF)
- Referring provider claims - update (PDF)
- Updates to the Healthy Michigan Plan Health Risk Assessment (PDF)
- Monthly Jiva webinar training sessions (PDF)
- Pharmacy benefit update – formulary changes (PDF)
- National Imaging Associates to manage diagnostic imaging services for Blue Cross Complete effective April 1, 2022 (PDF)
- NaviNet user access rollup (PDF)
- Annual provider satisfaction survey 2021 (PDF)
- Referring provider claims (PDF)
- Pharmacy benefit update – formulary changes (PDF)
- Clinical review requirements suspended for admission to skilled nursing facilities from all Michigan hospitals due to latest COVID-19 surge (PDF)
- Endovascular treatment for intermittent claudication (PDF)
- HEDIS telehealth tips (PDF)
- JIVA – upcoming change adds step requiring users to select provider for login (PDF)
- Presumptive and definitive drug testing payment policy (PDF)
- Clarification around neuropsychological testing (PDF)
- New prior authorization form effective Oct. 1, 2021 and submission tips (PDF)
- Certain Phillips Respironics ventilators, BiPAP and CPAP machines recalled due to potential health risks (PDF)
- Coming soon: new program encourages primary care physicians to proactively schedule routine office visits (PDF)
- Providers now able to run NaviNet reports at Tax ID number level (PDF)
- Hepatitis C letter sent to all members age 18 and older (PDF)
- New opioid medication prescribing limits edit (PDF)
- Balance billing members (PDF)
- Referring provider claims (PDF)
- MDHHS announces launch of pilot MiCAL crisis helpline (PDF)
- Billing reminder for federally qualified, rural health and tribal health clinics (PDF)
- MDHHS blood pressure cuff coverage grid (PDF)
- Blue Cross Complete payment system and remittance advice changes (PDF)
- LogistiCare rebranding notification (PDF)
- Blue Cross Complete HEDIS telehealth guidelines (PDF)
- Obstetrical ultrasounds examination policy (PDF)
- Non-obstetrical pelvic ultrasounds policy (PDF)
- Prior Authorization Lookup Tool Available (PDF)
- MDHHS plan of care requirement update (PDF)
- HEDIS well child coding tips (PDF)
- Prior Authorization Reduction Notification (PDF)
- Emergency Services Level of Care Review Policy (PDF)
- New Multiple Therapy Reduction Policy (PDF)
- Modifier 25 Policy (PDF)
- New ambulatory surgery center procedures policy (PDF)
- Outpatient surgical procedures policy (PDF)
- Healthy Michigan Plan beneficiaries work requirement reporting (PDF)
- Healthcare common procedure coding system medications prior authoriation required (PDF)
- Core measures notification (PDF)
- Medicaid enroll deadline extended (PDF)
- Healthy MI Plan Health Risk Assessment updates (PDF)
Provider news
Our bi-monthly Connections and Complete Update publications provide valuable information to providers, including health plan news, state of Michigan Medicaid updates, guidelines to good health and more.
Connections
Current edition: September 2022 (PDF)
See past Connections editions in the Connections Archive.
Complete Update
Current edition: October 2022 (PDF)
See past Complete Update editions in the Complete Update Archive
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Get your health plan news via email. Sign up for our Network News service at no cost to receive:
- Blue Cross Complete Connections newsletter
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