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Monthly overview

View recent updates on policy and protocol announcements, drug and pharmacy, prior authorization, code changes, provider reimbursement, medical policy alerts and more.

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Washington: HCPCS codes for prenatal visits

Help initiate early access to care. Use the correct HCPCS and ICD codes when billing for initial prenatal visits.

Taxonomy code and requirements for Florida Medicaid claims

As of March 1, 2022, the Agency for Health Care Administration requires billing and rendering providers to include certain identifying information on your claims. Ensure your information matches the current provider enrollment information on file with AHCA or your claims will deny beginning Oct. 1, 2022.

North Carolina Medicaid: Get training on EVV

You’re required to use electronic visit verification for home health visits starting in April. Here’s how to get trained.

December monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

Florida Medicaid: Claim and AHCA data must match

Your claims must have the correct identifiers per AHCA requirements, or they will be denied. See what you need to do.

Medical Policy Updates: December 2022

Medical policy updates for December 2022 for the following plans: Medicare, Medicaid, Exchanges, and Commercial.

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