January/February 2025
National
New year, new National Network Manual
How you request IOP services is changing
What's new for Platinum in 2025?
Oxford behavioral membership has a new home
Northeast
MA: Professional development at your fingertips
NY: New! Child Health Plus adds benefits in 2025
NY: Updated reimbursement rates for Commercial plans
NY: Take two of these for better health
NY: Partner with us to support HARP members in recovery
VA: How you submit prior authorizations is changing
Southeast
TN: Attention out-of-network providers: Commercial Prior Authorization request submission change
Central
KY: Look out 2025 – We're ready to grow
MN and TX: Welcome XO Health
NM: Turquoise Care members get a lift
NM and TX: Providence Employee Health Plan change
West
AK, CA, MT and WA: Providence Employee Health Plan change
CA: Don't delay! Respond quickly to records requests
Announcements
CPT code 96146 has been added to the National Gold Card code exemption list
The STAR submission tool is available to all – training is now optional
Training
November 2024
National
Connecting care, mind and body - the benefits of value-based care
Updated state-specific mobile crisis listings now available
Attend a free webinar on Nov. 21 and learn about the Surest health plan
Help more patients find your SUD programs
More convenience ahead for the online STAR prior authorization tool
Does the HIPAA privacy rule always rule?
Central
Change to UnitedHealthcare Community Plan of Minnesota Medicaid coverage for 2025
Northeast
Pennsylvania: Now you can submit prior authorization requests online any time
New Hampshire: Optum will no longer manage behavioral health benefits for Harvard Pilgrim Stride
West
Washington: Benefits administration change for Premera Blue Cross Medicare Advantage
Highlight your trauma expertise in the Optum provider directory so members can find you at a glance
Southeast
Florida: New Areas of Attested Expertise Available to you in 2025
Louisiana: Learn what you need to do so you can assist those in crisis
Louisiana: Submitting Commercial prior authorization requests is easier with a new online process
Mississippi: Submit your prior authorization requests online any time
October 2024
National
Medicare prior authorization list is now online
National Gold card waivers effective Oct. 1
Free, live, accredited webcast Nov 6: Lethal Means Saftey: Critical focus in suicide prevention
2023 claim audits coming for Oscar Health Plan members
Feel the need for speed? The Provider Express secure portal delivers!
Central
Northeast
New York: Foster care provider education updated
West
Arizona: New appointment availability training required for Medicare providers
California: You'll start seeing the standard Optum logo on provider and member communications
September 2024
National
Go for the Gold Card - check your waiver status today
Central
Texas: Texas moms need you. Help them find you by identifying as a maternal mental health provider.
Northeast
Connecticut: Numbers don’t lie. Except on outdated ID cards
New York: Notification required for SUD complex care
Rhode Island: Enroll with Medicaid to prevent claim denials
August 2024
July 2024
National
Want to Provide Intensive Outpatient Services to Medicare Members?
New areas of expertise show providers’ military affiliations
Merchant ID needed to process Care Cash debit cards
Updated National Network Manual now available
Transition to ASAM 4th Edition criteria underway
Central
NE: Claims being denied for one of these common reasons?
Training
Diversify Your Business With EAP Referrals
Announcements
It’s Now Easier to Find Prior Authorization Information on Provider Express
Update your communication preferences in My Practice Profile