News about our plans, authorizations, coding, billing, formularies and more.
Recent news
December 17: New process to submit part D immunizations for PriorityMedicare members
December 17: December 2025 billing policy updates
December 17: Code 0523T not separately payable
December 15: Commercial coverage changes for Tysabri and Revlimid
December 15: Medicaid GLP-1 coverage changes effective Jan. 1, 2026
December 15: Updates to Medicare and Medicaid inpatient acute authorization processes, effective Jan. 1, 2026
December 15: Final reminder: You must complete our D-SNP Model of Care training by Dec. 31
December 15: Reminder: Physician signatures required on Medicaid Children’s Special Health Care Services documentation
December 1: Steqeyma®, Starjemza™ added to coverage to ensure accessibility of Stelara® biosimilars
December 1: OxyContin® to be removed from formulary Jan. 1, 2026