Alerts

This week, we are sharing the following provider updates — Home Infusion Services Authorizations Transitioning to Sentara Health Plans, Member ID Cards Accessible in Availity, Quest Diagnostics Location Search Tool.

This week, we are sharing the following provider updates: OncoHealth Oncology Benefits Management Program is Now Live, Attention LTSS Providers—We Are Retiring the PCH Portal, Member Rights and Responsibilities, Dual Eligible Special Needs Plan, Model of Care Provider Guide

This week, we are sharing the following provider updates — Urgent: Sentara Medicare Engage Members May Lose Coverage on February 28—Please Act Today, Personal Care and Behavioral Health Services—Billing Reminder, Evolent—Ambulatory Service Centers (Commercial Member Authorizations Only), Incorrect Date of Birth and Member ID Number, Authorization Updates Effective May 1

This week, we are sharing the following provider updates: Urgent: Sentara Medicare Engage Members May Lose Coverage Soon—Please Act Today, OncoHealth to Administer Oncology, Benefits Management Program, Zelis Payments Network—Reminder, Virginia Medicaid Billing—Personal Care Services and Respite Care Services, Centers for Disease Control and Prevention's STEADI Fall Prevention Training, Look for Our Upcoming 2025 Webinars

This week, we are sharing the following provider updates — NPI and TIN Required to Authorize Vendor Imaging and Cardiac Services, OncoHealth to Administer Oncology Benefits Management Program, Sentara Health Plans to Resume Management of Post-acute Care, Home Infusion Therapy and Sleep Service Authorizations, and Authorization Updates Effective April 1.

This week, we are sharing the following provider updates - Educational Opportunities and Important Updates

This week, we are sharing the following provider updates — Authorization Updates Effective March 1

This week, we are sharing the following provider updates - Early Alert: Infusion Pump Issue from Fresenius Kabi USA

This week, we are sharing the following provider updates: HCA Healthcare Announces Behavioral Health Child and Adolescent Services Changes, Medicare Telehealth Coverage in 2025, DME Recall—Infusion Pump Issue from Fresenius Kabi USA, and Behavioral Health Providers: ACT/MST/FFT Authorization Reinstatement, and OncoHealth Provider Training Sessions Resume on February 4.

This week, we are sharing the following provider updates — OncoHealth Implementation Rescheduled to March 4, 2025, Zelis Is Transitioning to Zelis Payments Network—Provider Action Required, and Avalon GTM Implementation Rescheduled to December 15, 2024.

This week, we are sharing the following provider updates — Quest Diagnostics Transition Reminder—Action Required, Attention Discharge Planners—Webinar on December 16, Medicaid Provider Manual Updated Online, Attention Behavioral Health Providers: ACT/MST/FFT Authorization Reinstatement, Enhancements to the Authorization Workflow in Jiva, Converting HealthTrio Accounts To Direct Log In—Action Required, and Authorization Updates Effective February 1.

This week, we are sharing the following provider updates — Quest Diagnostics Patient Service Centers List, Durable Medical Equipment (DME) Recall Safety Alerts, Behavioral Health Roundtable-Registration Open

This week, we are sharing the following provider updates — Quest Diagnostics Roundtable Session

This week, we are sharing the following provider updates — Former Virginia Premier Portal Will Retire on December 31, 2024, View Claims Status in Availity Essentials, Reminder—Inappropriate Use of Modifier 57.

This week, we are sharing the following provider updates - OncoHealth To Administer the Oncology Benefits Management Program, Quest Diagnostics To Become the Lab Provider for Sentara Health Plans, Avalon Genetic Testing Management Program Partnership Training and Implementation, Medicaid Provider Manual Update Available in December, Important Reminder About the National Provider Identifier for Groups, 23-Hour Crisis Stabilization Services–Deadline Extended, Where To Go for Care, Appropriate Documentation of Injection Administration of Medroxyprogesterone Acetate (Depo Provera), Authorization Updates Effective January 1

Provider Alert: Important Reminders, Enrollment Policy Update, and More

This week, we are sharing the following provider updates — Reminder: Eligibility and Benefits Are Now Live in Availity Essentials, Register for the Provider Quality Learning Collaborative, OncoHealth - New Oncology Vendor Partnership, Avalon Services Expand to Genetic Testing Management, Healthcare Financial Inc. Begins, Outreach to Medicare Members, Authorization Updates Effective December 1, Accessing the Prior Authorization Look-up Tool

This week, we are sharing the following provider updates — see below to learn more. • Clinical Practice Guidelines • 23-Hour Crisis Stabilization Services • Availity Essentials

This week, we are sharing the following provider updates — see below to learn more. • Provider Manual Annual Review • Finding Plan Information • Reminder - Behavioral Health Prior Authorization Requirement Removed