11/30/22 – Provider Relations Department Update
11/25/2022: 2023 Formulary Updates
11/16/22: EDI Gateway Update: Availity
9/20/22 – PCP Roster Updates for OB/GYNs and Pediatrics
9/6/2022 – Updated Notice: Change in Payment for Elective Deliveries, Effective October 3, 2022
8/3/2022 – Change in Payment for Elective Deliveries, Effective Oct. 3, 2022
7/22/2022 — UPDATED: Observation vs. Inpatient Level of Care
7/16/2022 – FQHC Covid-19 Fee Schedule EDI Updates
7/16/2022 – Same Calendar Day Admit and Discharge Inpatient Claims EDI Updates
7/7/2022 – COVID-19 Prior Authorization Temporary Changes for Skilled Nursing Facilities
6/23/2022 – Amendment to Behavioral Health Appointment Time Frames
5/20/2022 – Observation vs. Inpatient Level of Care
5/18/2022 – Certificate of Transportation Services Form New Requirements
5/5/2022 – General Notice: POS 21/22 vs. 23 on ER Claims
5/5/2022 – Telehealth Billing Guidance for SUPR Providers
4/22/2022 – Urgent UM Request Process Change
4/15/2022 – Illinois Preferred Drug List: Formulary Update
4/13/2022 – HEDIS Measurement Reference Guide Available on the Website
4/5/2022 – Provider Dispute System and Process for 30-Day Readmissions Disputes
3/15/2022 – 60-Day Notification of Prior Authorization Changes
3/11/2022 – UPDATE: Preferred Drug List Changes
3/10/2022 – Hospital Administrative Policy
2/15/2022 – CountyCare Peer-to-Peer Review – Update
1/28/22 – Taxonomy Codes Required on Claims Submission or Claim Could be Rejected
1/14/22 – COVID-19 Prior Authorization Temporary Changes for Skilled Nursing Facilities
1/21/22 – Enhancements to Utilization Management Provider Portal (See Quick Reference Guide)