Transition to New Utilization Management Tool Happening April 24

Highmark Blue Shield of Northeastern New York (BSNENY) will transition to our new Auth Automation Hub/electronic utilization management (UM) tool on April 24, 2023. Once the transition takes place, NaviNet^® will automatically route electronic authorization requests submitted by Highmark BSNENY providers to the new tool.

The Auth Automation Hub enables offices to submit, update, and query medical authorization requests. It features an easy-to-use interface that allows for faster reviews and greater transparency around the status of authorization requests. To learn more, read the Special Bulletin .

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Medicare Advantage: Compression Stockings Covered for All Diagnosis Codes

Highmark BSNENY 2023 Medicare Advantage (MA) plans include supplemental benefits that extend beyond Centers for Medicare and Medicaid Services policies. All Highmark BSNENY MA members have supplemental benefit coverage for compression stockings, regardless of diagnosis code. There are no quantity limits for MA members. For more information, go here .

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BH Toolkit Now on the PRC

The Behavioral Health (BH) Toolkit for Primary Care Physicians is now available on the Provider Resource Center (PRC). To help providers response to the growing mental health crisis, the toolkit has information — along with helpful tools and resources — on a wide range of diagnoses, including antipsychotic medication indications, anxiety disorders, autism, bipolar disorder, eating disorders, insomnia and sleep, post-traumatic stress disorder (PTSD), and substance use disorder.

Click here to access the toolkit.