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Provider notifications

March 5, 2019
Connections Provider Newsletter Survey (PDF)
We are reaching out to you to gather your thoughts and opinions about our triannual provider newsletter, Connections.
March 4, 2019
Short-Procedure Unit (SPU) Payment Policy (PDF)
Information for ambulatory surgery centers and hospitals about our SPU payment policy.
March 4, 2019
Lead Exposure in Lancaster County, Pennsylvania (PDF)
The Pennsylvania Department of Human Services (DHS) has brought to our attention that high levels of lead were found in the drinking water of schools in five school districts in Lancaster County.
February 28, 2019
Pharmaceuticals Requiring Prior Authorization (PDF)
Effective April 1, 2019, injectable medications requiring prior authorization through the Utilization Management department will transition to requiring prior authorization through the Plan’s Pharmacy Services department.
February 26, 2019
February 2019 Provider Post (PDF)
Billing reminders for home health providers; important facts about the Keys to Your Care® Healthy Baby Program; dental coding updates.
February 15, 2019
Specialty Pharmacy Network reminder (PDF)
As a reminder, providers may specify a dispensing pharmacy on a prior authorization form when requesting coverage of specialty medications.
January 8, 2019
January 2019 Provider Post (PDF)
Reminder: Requesting your assistance with HEDIS medical record retrieval activities; Changes to the Quality Enhancement Program (QEP) and the Maternity Quality Enhancement Program (MQEP).