A newsletter for Highmark Blue Shield providers in northeastern New York
Issue 4, April 2024
IN THIS ISSUE:
General News
Faxes Being Phased Out: Use the Availity Portal for All Authorization Requests
Updated: PT, OT, and Home Health: Prior Auth Changes Occurring on May 1, 2024; Does Not Apply to Outpatient Chiro
MSK Procedures to Require Prior Authorization Starting
Aug. 1
Short Takes: Fee Schedules and Quick Claims Functionality in Availity
Are You Using Availity for Your Highmark Transactions? Legacy Portals Now Deactivated
Latest Edition of MCG Care Guidelines
Medicare Part D: 100-Day Supply Available for Most Generics
Professional Providers Moving to Group Contracts
Mental Health Awareness Month: Addressing Barriers to Care
Quality Program Information for 2024
When Providers Opt Out of Medicare
Reimbursement, Claims & Billing
New and Updated Reimbursement Policies
Authorization Updates
Administrative News
Quarterly Formulary Updates
Directory Information – Here’s How to Attest
Staying Up to Date with the Highmark Provider Manual
TOP STORIES: