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Resources and tools for providers and health care professionals

We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.

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News

North Carolina Medicaid: Schedule well-child visits early

Well-child and well-care visits can be completed when due without waiting for a birthday or 365-day interval.

Medicare: Reminder to send us your annual interim rate letter

CMS updates rates annually for providers in certain types of hospitals and facilities. See what you need to do.

New Jersey Medicaid: Prepare for random medical record audits

Selected providers may be asked to submit records for annual quality audits.

Ensure uninterrupted patient care: Help Medicaid patients avoid a lapse in coverage

Remind your Medicaid patients to complete their redetermination packets so they don’t lose coverage.

FL Medicaid: Consider OB Homecare for hypertensive pregnancy disorders

OB Homecare supports members experiencing hypertensive pregnancy disorders and those at risk for developing preeclampsia.

Medicare GLP-1 Bridge program: What you need to know

Learn how the Medicare GLP-1 Bridge program works and what you need to do when prescribing.

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