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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

New York Medicaid: Change to Direct Home Care Worker claims

Effective Oct. 1, 2026, changes will be made to how claims are submitted for all Direct Home Care Worker claims.

New York Medicaid: PT/OT Codes added to Non-Covered Code List

Starting Dec. 1, 2026, physical and occupational therapy evaluation codes 97161-97168 will no longer be covered.

NC Medicaid: Appropriate use of CR modifier

The CR modifier isn’t billable outside of federal or state-declared emergencies. Ensure you’re using it correctly.

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.

FL Medicaid: Consider OB Homecare for hypertensive pregnancy disorders

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

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.

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