Updates and Bulletins

Provider Notices

CDC Guidelines*
Molina itemized billing effective 7/15*
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


Provider Resources

Provider Quick Reference Guide
Coding Tip Sheet