• New President of Sentara Health Plans, Provider Satisfaction Survey, and More

    This week, we are sharing the following provider updates — Announcing the New President of Sentara Health Plans, Upcoming Provider Satisfaction Survey, Sentara Health Plans Website Redesign, CPT Webinar: 2027 Maternity Care Code Changes and Reporting Guidance, Payment Policy Updates, Authorization and Medical Policy Updates, and Upcoming Educational Opportunities.

  • Provider Updates: Reconsideration Portal Restored, Website Redesign, and More

    This week, we are sharing the following provider updates — Reconsideration Portal Restored, Sentara Health Plans Website Redesign, Correction Notice Regarding Provider Network Status, Authorization Clarification: Service Facilitation of Consumer Directed Services, Prior Authorization Requirement for Hemlibra, Tobacco Cessation Referrals, Authorization and Medical Policy Updates, and Upcoming Educational Opportunities.

  • Provider Updates: ABA Qualifications Reminder, LTSS Notification, and More

    This week, we are sharing the following provider updates — Applied Behavior Analysis Qualifications, LTSS Provider Community – Notice of Change, Authorization and Medical Policy Updates, and Upcoming Educational Opportunities.

  • Provider Updates: LTSS Update, Tobacco Cessation Referrals, and More

    This week, we are sharing the following provider updates — LTSS Provider Community – Notice of Change, Tobacco Cessation Referrals, Telehealth Audio Only – Modifier 93, Update to Vitamin D Testing Requirements, Authorization and Medical Policy Updates, and Upcoming Educational Opportunities.

  • Provider Updates: Multi-factor Authentication Tool Change, LTSS Update, and More

    This week, we are sharing the following provider updates: Multi-factor Authentication Tool Change, LTSS Provider Community – Notice of Change, Upcoming Appointment Availability and After-Hours Survey, Telehealth Audio Only – Modifier 93, Update to Vitamin D Testing Requirements, Denosumab Drug Class Announcement, Authorization and Medical Policy Updates, and Upcoming Educational Opportunities.

  • Provider Updates: Multi-factor Authentication Tool Change, Glucose Monitor Sensor Recall, and More

    This week, we are sharing the following provider updates — Multi-factor Authentication Tool Change, Glucose Monitor Sensor Recall, Tobacco Cessation Referrals, Authorization and Medical Policy Updates, and Upcoming Educational Opportunities.

  • Provider Updates: Erroneous Rejections, Revised Provider Reconsideration Form, and More

    This week, we are sharing the following provider updates — Erroneous Rejections, Revised Provider Reconsideration Form Now Available – Avoid Rejections, Billing 837 Files for Medicare D-SNP Members, Balance Billing Inquires, Refining the Review Process for ARTS Authorization Requests, Multi-factor Authentication Tool Change, Authorization Updates, and Upcoming Educational Opportunities

  • Provider Updates: Provider Directory Information Verification, Timely Submission of Service Authorization Requests, and More

    This week, we are sharing the following provider updates — Provider Directory Information Verification, Upcoming Provider Directory Verification Survey, Reminder: Timely Submission of Service Authorization Requests, Tobacco Cessation Referrals, Prior Authorization Forms Update, Multi-factor Authentication Tool Change, and Upcoming Educational Opportunities.

  • Provider Updates: CCC Plus HCBS Waiver, Authorization Updates, and More

    This week, we are sharing the following provider updates — Authorization Updates Effective April 1, CCC Plus HCBS Waiver Services Scope of Coverage Reminder, Reminder: Multi-factor Authentication Tool Change, and Upcoming Educational Opportunities.

  • Provider Updates: Revised Provider Manuals, Multi-factor Authentication Tool Change, and More

    This week, we are sharing the following provider updates — Authorization Updates Effective January 1, Revised Commercial and D-SNP Provider Manuals Now Available Online, Update for Early Intervention Providers, Enroll Today: Multi-factor Authentication Tool Change, and Upcoming Educational Opportunities.

  • Provider Updates: Fair Business Practices Act, Early Intervention Update, and More

    This week, we are sharing the following provider updates: Fair Business Practices Act – Electronic Communications Requirement, Proper Corrected Claims Submission Reminder, Revised Medicaid Provider Manual Now Available, Legally Responsible Individuals (LRI) Nursing Delegation Frequently Asked Questions, Update for Early Intervention Providers, Important Reminder: Required Forms for Sterilization and Hysterectomy Procedures, Medicaid Member Biologic Update, Authorization Requirement for Yeztugo (lenacapavir), and Upcoming Educational Opportunities.

  • Provider Updates: Availity Updates, Fair Business Practices Act Requirement, and More

    This week, we are sharing the following provider updates: Availity Portal Features Update, Sentara Health Plans Provider Portal (Provider Connection) Features Retiring, Availity Edits Effective January 2026, Fair Business Practices Act – Electronic Communications Requirement, Long-Term Services and Supports Fax Numbers Reminder, Guidance for Peer-to-Peer Discussions with Behavioral Health Utilization Management Physicians, Reminder: Your Feedback Matters – Please Complete Our Survey, and Upcoming Educational Opportunities.

  • Provider Updates: Authorization Updates, Provider Surveys, and More

    This week, we are sharing the following provider updates: authorization updates effective February 1, provider survey, ongoing efforts to reduce administrative burdens, Fair Business Practices Act – electronic communications requirement, and upcoming educational opportunities.

  • Provider Updates: Medicare Advantage Non-renewal, LTSS UM Updates, and More

    This week, we are sharing the following provider updates: Behavioral Health Authorization Fax Numbers and Forms, Sentara Health Plans Medicare Advantage Non-renewal, LTSS UM Email Mailboxes Discontinued – Effective January 1, Pharmacy Recall: Immune Globulin Products Linked to Allergic Reactions, and Upcoming Educational Opportunities.

  • Provider Updates: Provider Manuals, Pharmacy Recalls, and Important Updates

    This week, we are sharing the following provider updates: Upcoming Changes for Youth in Psychiatric Residential Treatment Facilities, Revised Provider Reconsideration Form Now Available, Provider Manuals, Pharmacy Recalls, and Upcoming Educational Opportunities.

  • Provider Updates: Medicaid Member Benefit Change, DMAS Memo, and More

    This week, we are sharing the following provider updates: Medicaid member benefit change—continuous glucose monitors, DMAS memo: change from RUG-IV to PDPM grouper for nursing facility claim payments. upcoming educational opportunities, and more.

  • Provider Updates: Authorization Updates, Quest Diagnostics, and More

    This week, we are sharing the following provider updates: Authorization Updates Effective December 1, Prior Authorization Updates for Medicaid Effective October 1, Quest Diagnostics Reminder, and Upcoming Educational Opportunities.

  • Provider Updates: Prior Authorization Process Improvements, Anatomical Modifiers Update, and More

    This week, we are sharing the following provider updates: Prior Authorization Process Improvements, Anatomical Modifiers Update, and more.

  • Provider Updates: Recalls, Quest Rapid Respond Laboratory, and More

    This week, we are sharing the following provider updates: Authorization Updates Effective November 1, Provider Satisfaction Survey, New Quest Rapid Respond Laboratory in Richmond, and more.

  • Provider Updates: Electronic Prior Authorization, GLP-1 Formulary, and Important Updates

    This week, we are sharing the following provider updates: Authorization Updates Effective October 1, Reminder: Use of Individual Business Email Address for Provider Portal Registration, and more.