News and updates

The 2021 commercial brochures, summaries, and summary of benefits and coverage documents (SBCs) are now on our website. These materials are specific to Idaho, Montana, Oregon, and Washington. Please...

Updates on Existing Criteria: December 2020. The following changes to criteria are effective December 22, 2020: Preauthorization Criteria – Clinical Updates...

Reiterating our policy for telehealth services reimbursement and addressing requests for Behavioral Health telehealth, post-pandemic.

Every year prior authorization requirements are subject to change; some codes are added while others are removed. Please see our prior authorization grid to confirm whether a service requires a prior...

Updates on Existing Criteria: November 2020. The following changes to criteria are effective November 22, 2020: Preauthorization Criteria – Clinical Updates...

See our FAQ, COVID-19 Provider Relief Plan and Other Frequently Asked Questions (pdf), for answers to questions we’ve received from our provider community in response to the COVID-19 Provider Relief...

Updates on Existing Criteria: October 2020. The following changes to criteria are effective October 22, 2020:
Preauthorization Criteria – Clinical Updates...

Teledentistry: what it is, and how it can help.

In our effort to support providers, we've compiled COVID-19-related answers to the most commonly asked questions about coding instructions, reimbursement provisions, telehealth, and more. We want to...