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