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

This week, we are sharing the following provider updates — see below to learn more.

  • Authorization Updates Effective October 1
  • Reminder: Use of Individual Business Email Address for Provider Portal Registration
  • Implementation of Electronic Prior Authorization via Surescripts
  • Sentara Health Plans Follows CMS Guidance for Anatomical Modifiers
  • Incorrect Discharge Status Reported for Acute Transfer – Payment Policy Update
  • MS DRG 870 Payment Policy Edit
  • Sexually Transmitted Infections Payment Policy Edit
  • Doula Program Updates
  • New Medicaid Benefit: Foster Care Case Management
  • GLP-1 Formulary Update
  • Upcoming Educational Opportunities

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

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