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 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)
Attention Pharmacy Providers
Effective October 1, 2020, Medicaid health plans have transitioned to coverage that is identical to Fee For Service Medicaid for drugs in PDL classes. As part of this process, the Medicaid health plans were also required to implement Medicaid Drug Rebate Program logic and a mandatory $3.00 dispensing fee for state defined independent pharmacies.
For additional information, see the link below:
Provider alerts
Stay up-to-date on the latest news and updates for all things Medicaid.
- 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, CPAP machines recalled due to potential health risks (PDF)
- Coming soon: new program encourages primary care physicians to proactively schedule routine office visits (PDF)
- Monthly Jiva training sessions via webinar starting July 19, 2021 (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)
- We treat hep C: educational opportunities for providers (PDF)
- New opioid medication prescribing limits edit (PDF)
- Balance billing members (PDF)
- Referring provider claims (PDF)
- We treat hep C: educational opportunities for providers (PDF)
- MDHHS announces launch of pilot MiCAL crisis helpline (PDF)
- Billing reminder for federally qualified, rural health and tribal health clinics (PDF)
- JIVA - two functions disabled for maintenance through May (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)
- Blue Cross Complete data center scheduled maintenance (PDF)
- HEDIS well child coding tips (PDF)
- Prior Authorization Reduction Notification (PDF)
- Emergency Services Level of Care Review Policy (PDF)
- Single Preferred Drug List planned for October 1, 2020 (PDF)
- New Multiple Therapy Reduction Policy (PDF)
- Modifier 25 Policy (PDF)
- Additional EOB Codes will appear on your Remittance Advices starting August 1, 2020 (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 2021 (PDF)
See past Connections editions in the Connections Archive.
Complete Update
Current edition: August 2021 (PDF)
See past Complete Update editions in the Complete Update Archive
Network News service
Get your health plan news via email. Sign up for our Network News service at no cost to receive:
- Blue Cross Complete Connections newsletter
- The Complete Update mini newsletter
- Immediate information on process and policy updates