Provider Remittance Advices
We are aware of provider remittance advices not populating into your portal. We are actively working on getting this resolved.
1 ene, 2022

Policies recently reviewed for annual update

The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of

  • Adult Child and Family Intensive Services (AIS CFIT) 
  • Behavioral Health Inpatient and Intermediate Levels of Care
  • Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
  • Laparoscopic and Percutaneous Techniques for the Myolysis of Uterine Fibroids
  • Lyme Disease Diagnosis and Treatment Mandate
  • Mammograms and Pap Smears Mandate
  • Mastectomy Treatment, Breast Reconstruction and Hospital Stays Mandate
  • Medical Supply Wastage
  • Mental Illness and Substance Use Disorders Mandate
  • Modifier 22 Guidelines
  • Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
  • Noninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease
  • Oral Nutrition Mandate
  • Orally Administered Anticancer Medication Mandate
  • Peripheral Artery Disease Rehabilitation
  • Saturation Biopsy for the Diagnosis, Staging and Management of Prostate Cancer
  • Scintimammography and Gamma Imaging of the Breast and Axilla
  • Smoking Cessation Mandate

We also post monthly drafts of medical policies being created or reassessed for your review. As a reminder, you can provide comments on draft policies for up to 30 days. Draft policies are located on the Provider homepage, under the Medical Policies section, under the drop-down “Draft Medical Policies."

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