News about our plans, authorizations, coding, billing, formularies and more.
Recent news
September 17: Updated 2025 PCP Incentive Program (PIP) Manual now available
September 17: Medicaid members now receive inpatient denial letters
September 17: Provider resources for Falls Prevention Awareness Month
September 17: We’re combining our November webinars on 2026 pharmacy and product updates
September 15: September 2025 billing policy updates
September 15: Preliminary 2026 PCP Incentive Program (PIP) manual now available
September 10: Withdrawing pended authorizations through GuidingCare is temporarily unavailable
September 4: Reprocessing claims incorrectly rejected for "Missing/Invalid NDC" (Medicaid edit 1462)
September 3: Annual risk adjustment audits are underway
September 3: We've improved our Medical Benefit Drug List