As usual, we gathered the most interesting questions we have received from our clients throughout the month. This time the IT and Credentialing […]

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NYS Medicaid Fee-for-Service Policy Guidance for SPRAVATO® (Esketamine) Nasal Spray  The New York State (NYS) Medicaid Drug Utilization Review (DUR) Board recommended some […]

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Waiver for Qualified EmblemHealth Practitioners  Buprenorphine is an effective medication for the treatment of opioid use disorders which is approved by the FDA. The good […]

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Service Area Changes for UnitedHealthcare Medicare Advantage 2023  You need to be logged in to view the rest of the content. Please Log […]

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Payment Allowance for Flu season 2022-2023 has been declared  Payment Allowance for the 2022-2023 Flu Season has been declared. The effective date range […]

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A Partnership Between TurningPoint and Wellcare Cardiac Surgical Quality and Safety Management Program   Wellcare has launched an innovative Cardiac Surgical Quality and Safety Management Program that is designed […]

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Medical Policy for Foot Care Services Is About to Change  Based on the revised medical policy for Foot Care Services, Horizon is about […]

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Fidelis Care Utilization Management Update: Addressing Healthcare Staffing Shortages  Following Executive Order No. 4 dated September 27, 2021, issued by Governor Kathy Hochul to address […]

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