Welcome to Network News

Important news updates for health care professionals

Welcome to Network News

Important news updates for health care professionals

Latest news

Policy and protocol

See policy and protocol updates (formerly Network Bulletin) for Medicare, Medicaid, commercial and individual Exchange plans

Reimbursement policy

Review the monthly update bulletins for Medicare, Medicaid, commercial and individual Exchange plans

Medical policy

Check the monthly updates bulletins for the latest changes for Medicaid, Medicare, commercial and individual Exchange plans

Prior authorization

View prior authorization updates and use the filters to focus on the plans, states, and some specialties that interest you

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Recent news

Medicare Advantage and Commercial: Updated review process timing for sepsis-related treatment

As of July 1, 2022, Medicare Advantage and commercial claims for sepsis-related treatment may be reviewed on a pre-payment or post-payment basis.

Louisiana: Telehealth changes to COVID-19 temporary measures

The Louisiana Department of Health (LDH) revised the COVID-19 Informational Bulletin 20-5 on May 6, 2022 making billing changes to COVID-19 temporary measures.

Louisiana: Changes to Medicaid provider enrollment tool

The Louisiana Department of Health revised the Informational Bulletin 22-4 regarding the Medicaid Provider Enrollment Portal lookup tool on June 10, 2022. The Medicaid Provider Enrollment Portal is now available at LAmedicaid.com. When using the lookup tool, you may search by NPI, provider name, provider type, specialty, address, city and state, or zip code.

Overpayment letters won’t be mailed after Sept. 23

Starting Sept. 23, 2022, most E&I and M&R overpayment notification letters sent by UnitedHealthcare are going paperless. View via portal, API or Direct Connect.

Texas Medicaid: Changes to CHIP copayments for mental health and substance use disorder services

Effective July 1, 2022, Texas HHSC is prohibiting copayments for CHIP Mental Health and Substance Use Disorder outpatient office visits, inpatient services and residential treatment services.