News and Updates
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Provider alerts
Stay up-to-date on the latest news and updates for all things Medicaid.
Provider alerts
- Doula providers required to report HD modifier (PDF)
- Clarification: Transcranial Magnetic Stimulation coverage (PDF)
- Blue Cross Complete resolves system issue causing some ZN4 claim denials (PDF)
- Important addresses for submitting claims and appeals (PDF)
- Prior Authorization Updates new code release (PDF)
- Recuperative Care benefits available to eligible members (PDF)
- HEDIS advance notice (PDF)
- 275 claim attachment transactions update (PDF)
- Clarification: Claims submission and processing guidelines for referring providers (PDF)
- Restoration of Optum/Change Healthcare Connectivity (PDF)
- MDHHS proposes changes to durable medical equipment policy (PDF)
- Claims submission and processing guidelines for referring providers (PDF)
- 275 Claim Attachment Transaction is now available via Availity (PDF)
- MDHHS provides clarification on responsibility for neuropsychiatric testing processes (PDF)
- Blue Cross Complete release proton pump inhibitors de-prescribing guidelines outlined by the American Gastroenterological Association (PDF)
- MDHHS updates access standards (PDF)
- Non-emergency medical transportation services available to members (PDF)
- Qualified provider organizations encouraged to apply for 2025 Patient Centered Medical Home Care Management/Care Coordination program (PDF)
- MDHHS ends Medicaid coverage for certain Covid-19 services (PDF)
- Podiatrists included as acceptable provider types for home health care services (PDF)
- Blue Cross Complete approves temporary neuropsychological testing (PDF)
- Blue Cross Complete expands health care coverage to your area (PDF)
- Blue Cross Complete announces changes to health care coverage areas (PDF)
- Blue Cross Complete to accept electronic prior authorization requests through PerformRx (PDF)
- Updates to the MDHHS Medicaid Provider Manual available in July (PDF)
- Optum releases new edit on claims for facility providers (PDF)
- MDHHS releases CPT and HCPCS code updates (PDF)
- MDHHS will implement an Electronic Visit Verification system (PDF)
- Remittance Advice Payment Recovery Details Now Available (PDF)
- MDHHS updates policy on drugs and therapeutics carved out of hospital Diagnosis Related Group payment (PDF)
- Blue Cross Complete 2024 quarter 2 pharmacy updates (PDF)
- Medicaid Health Plans will not provide coverage for inpatient stays in non-psychiatric hospitals (PDF)
- National Imaging Associates is becoming Evolent (PDF)
- MDHHS releases CPT and HCPCS code updates (PDF)
- Providers can learn more about Medicaid processing system at webinar (PDF)
- Blue Cross Complete will no longer process Health Risk Assessments (PDF)
- Blue Cross Complete Neuropsychological Testing Guideline summary (PDF)
- Blue Cross Complete contracts with OptumInsight Inc. for payment integrity services (PDF)
- Blue Cross Complete 2024 quarter 1 pharmacy updates (PDF)
Contact providercomm@mibluecrosscomplete.com to receive archived alerts.
Provider news
Our bi-monthly Connections and Complete Update publications provide valuable information to providers, including health plan news, state of Michigan Medicaid updates, guidelines to good health and more.
Connections
Current edition: March 2025 (PDF)
See past Connections editions in the Connections Archive.
Complete Update
Current edition: February 2025 (PDF)
See past Complete Update editions in the Complete Update Archive
Doula Update
Current edition: March 2025 (PDF)
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