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Updates and Bulletins

Provider Notices

New Prepayment Claims Review beginning 6/30/20*
Patient Cost-Sharing for Laboratory Tests to Diagnose COVID-19*
Coronavirus: Utilization Review and Emergency Admission Notification*
New Prepayment Claims Review*
COVID-19 Telehealth Billing*
Coronavirus Provider FAQ*
eviCore New Prior Authorization Requirements Effective 4/1/20*
Corona Virus Talking Points for Providers*
Pre Pay Audit Provider Notification Letter
Pharmacy Network Changes Effective 1/1/20
eviCore Update ​
eviCore HOLD Notification
New Prior Authorization Requirements through eviCore
Mobile Health Spot
Member Incentive Program
New Prior Authorization Requirements through eviCore
Changes to Prior Authorization Requirements effective 10/01/2019
Prior Authorization Update_SPA Services
Provider Update: Review of Sepsis and Septic Shock
Prior Authorization Changes Effective 01/01/2019

Provider Bulletins

Provider Bulletin - NICU Payment Review Policy *
Provider Bulletin – MHNY Provider Letter Fertility Benefits
Provider Bulletin - MHNY Provider letter Children's Carve In
Provider Bulletin - June 2019: New Appeal Request Form​
Provider Bulletin - December 2018: MML Claim Returns​
Provider Bulletin - June 2018: HARP Training Invitation
Provider Bulletin - May 2018: Readmissions
Provider Bulletin - April 2018: Corrected Claims
Provider Bulletin - February 2018: OB Reduction
Provider Bulletin - February 2018: Personal Care Services



 

Provider Newsletters


2020 Q1 Provider Newsletter ​
2019 Q4 Provider Newsletter ​
NCQA Provider Newsletter 2019​
2019 Q1 Provider Newsletter​
2018 Fall Provider Newsletter​
2018 Summer Provider Newsletter
2018 Spring Provider Newsletter


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Provider Resources

Provider Quick Reference Guide
Coding Tip Sheet
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