Provider news & education
News about our plans, authorizations, coding, billing, formularies and more.
Recent news
April 22: Reminder: Keep your practice information updated in our Find a Doctor tool
April 17: Our processes for submitting drug coverage authorization requests and appeals
April 17: We're collecting medical records for our Medicare retrospective review
April 17: National Prescription Drug Take Back Day April 26
April 17: Reminder: You must complete our 15-minute, CMS-required D-SNP Model of Care training by Dec. 31
April 16: New and updated billing policies are now available
April 14: Update: Reinstating standard IV fluid billing and payment rules on June 1, 2025
April 2: Update to corrected claims goes into effect June 2
April 2: Authorization appeal update goes into effect June 2
Training and education
Provider education is now in prism. Navigate to prism's Resources dropdown menu and select Training & education. This will take you to the new provider training & education landing page, where you’ll find links to provider webinars, newsletter digests and more.