January 2021 Drug List Change Notification
Updates on Existing Criteria:
January 2021. The following changes to criteria are effective January 22, 2021:
Preauthorization Criteria – Clinical Updates...
News and updates
2021 Commercial sales materials are now online
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...
December 2020 Drug List Change Notification
Updates on Existing Criteria:
December 2020. The following changes to criteria are effective December 22, 2020:
Preauthorization Criteria – Clinical Updates...
Telehealth Reimbursement and Behavioral Health Update
Reiterating our policy for telehealth services reimbursement and addressing requests for Behavioral Health telehealth, post-pandemic.
Annual changes to prior authorization requirements
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...
When Members Ask You About Flu Shots, Please Tell Them This
“Get one.” That’s it, plain and simple.As part of our annual anti-...
November 2020 Drug List Change Notification
Updates on Existing Criteria:
November 2020. The following changes to criteria are effective November 22, 2020:
Preauthorization Criteria – Clinical Updates...
COVID-19 Provider Relief Plan FAQ
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...
October 2020 Drug List Change Notification
Updates on Existing Criteria:
October 2020. The following changes to criteria are effective October 22, 2020:
Preauthorization Criteria – Clinical Updates...
Preauthorization Criteria – Clinical Updates...
How Teledentistry can add value to your practice
Teledentistry: what it is, and how it can help.