23-002 |
Outpatient Imaging – update (PDF)
|
7/1/23 |
7/1/23 |
23-001 |
Outpatient Imaging (PDF)
|
2/8/23 |
1/12/23 |
20-007 |
Telemedicine Services (PDF)
|
10/9/20 |
10/9/20 |
20-006 |
Specialty Care Authorization Requirements (PDF)
|
10/9/20 |
10/9/20 |
20-005 |
Community Care Plan Provider Information (PDF)
|
8/5/20 |
9/1/20 |
20-004 |
COVID-19 Prior Authorization Waiver Extension (PDF) |
6/17/20 |
6/15/20 |
20-003 |
Telemedicine Services (PDF)
|
5/15/20 |
6/1/20 |
20-002 |
COVID-19 Prior Authorization Waiver Extension (PDF)
|
5/1/20 |
5/1/20 |
20-001 |
COVID-19 (PDF)
|
3/23/20 |
3/23/20 |
19-011 |
Specialty Care Authorization Requirements (PDF) |
10/9/19 |
10/9/19 |
19-010 |
Specialty Care Authorization Requirements (PDF) |
6/21/19 |
5/14/19 |
19-009 |
Specialty Care Authorization Requirements (PDF)
|
6/7/19 |
5/14/19 |
19-008 |
Authorization Requirements (PDF)
|
5/14/19 |
5/14/19 |
19-007 |
Provider Workshop (PDF) |
5/6/19 |
N/A |
19-006 |
Provider Workshop (PDF)
|
5/1/19 |
N/A |
19-005 |
CCP Electronic Funds Transfer (EFT) Request Form (PDF)
|
4/26/19 |
4/26/19 |
19-004 |
Benefit Changes (PDF)
|
4/18/19 |
5/1/19 |
19-003 |
CCP Prior Authorization Request Form (PDF)
|
3/29/19 |
4/1/19 |
19-002 |
Authorization Changes (PDF) |
3/15/19 |
4/1/19 |
19-001 |
Administrative Program Changes (PDF)
|
3/6/19 |
4/1/19 |
18-001 |
Balloon Sinuplasty Procedures (PDF)
|
4/13/18 |
5/1/18 |
17-002 |
Pharmacy Changes (PDF)
|
3/30/17 |
5/1/17 |
17-001 |
Carpal Tunnel Surgical Procedures (PDF)
|
2/8/17 |
3/1/17 |
16-007 |
Observation Services (PDF)
|
12/7/16 |
12/15/16 |
16-006 |
Observation Room Services (PDF)
|
9/15/16 |
10/1/16 |
16-005 |
Hardware Removal (PDF)
|
9/8/16 |
10/1/16 |
16-004 |
PCP Member Transition (PDF)
|
9/6/16 |
10/1/16 |
16-003 |
Electronic Claims Billing (PDF)
|
5/11/16 |
Immediately |
16-002 |
Status Requests (PDF)
|
3/29/16 |
4/1/16 |
16-001 |
Diagnostic Tomosynthesis (PDF)
|
3/9/16 |
Immediately
|
15-014 |
Request for Claims Review (PDF)
|
12/31/15 |
Immediately |
15-013 |
Professional Services: Authorization not required (PDF)
|
12/30/15 |
Immediately |
15-012 |
Acceptance of Institutional Claims Electronically (PDF)
|
12/9/15 |
Immediately |
15-011 |
Authorization Changes (PDF)
|
11/30/15 |
12/1/15 |
15-010 |
Option 1 Eligibility Changes (PDF)
|
10/20/15 |
11/1/15 |
15-009 |
Provider Billing for services Rendered by Resident Physician (PDF)
|
9/14/15 |
Immediately |
15-008 |
ICD-10 (PDF)
|
8/26/15 |
10/1/15 |
15-006 |
Avastin (PDF)
|
7/23/15 |
Immediately |
15-005
|
Medical Record Requirements (PDF)
|
6/22/15 |
7/1/15 |
15-005A |
Medical Record Requirements (PDF)
|
6/22/15 |
7/1/15 |
15-005B
|
MMR Tool (PDF)
|
6/22/15 |
7/1/15 |
15-004 |
Transitioning Members (PDF)
|
6/3/15 |
11/1/14 |
15-003 |
MRI, CT Scans and PET Scans (PDF)
|
4/20/15 |
6/1/15 |
15-002 |
Copayments Removed (PDF)
|
3/19/15 |
4/1/15 |
15-001 |
Authorization Request Form (PDF)
|
3/11/15 |
3/11/15 |
14-016 |
Authorization Request for Inpatient Services (PDF)
|
1/9/15 |
1/15/15 |
14-015 |
Modifier 51 and 59 (PDF)
|
12/31/14 |
1/15/15 |
14-014 |
Hyalgan (PDF)
|
12/9/14 |
1/1/15 |
14-013 |
Collection of Copayments (PDF)
|
12/5/14 |
11/1/14 |
14-012 |
Pharmacy Update (PDF)
|
11/24/14 |
11/21/14 |
14-011 |
Option 1 Copayment Deduction (PDF)
|
10/31/14 |
11/1/14 |
14-010 |
Spinal Surgery Coverage Guidelines (PDF)
|
10/28/14 |
11/1/14 |
14-009 |
Coordinated Care Option 1 (PDF)
|
10/28/14 |
11/1/14 |
14-008 |
Transition (PDF)
|
10/3/14 |
11/1/14 |
14-007 |
Benefit Changes (PDF)
|
9/26/14 |
11/1/14 |
14-006 |
Authorization Request (PDF)
|
8/22/14 |
n/a |
14-005 |
Afibercept Injection HCPCS J0178 (PDF)
|
8/11/14 |
8/15/14 |
14-004 |
Changes to Pharmacy Formulary (PDF)
|
4/21/14 |
5/1/14 |
14-003 |
Ultraviolet Rx Code Update (PDF)
|
2/21/14 |
4/1/14 |
14-002 |
Urgent Notice: HIPAA Violation (PDF)
|
2/5/14 |
Immediately |
14-001 |
Health Care District Coverage Programs, Statewide Medicaid Reform, and the Affordable Care Act (PDF)
|
1/13/14 |
n/a |
13-10 |
Sleep Studies Coding Revision (PDF)
|
12/9/13 |
1/1/14 |
13-08 |
Provider Information Update Form (PDF)
|
12/12/13 |
12/12/13 |
13-07 |
Evaluation and Management Service Guidelines (PDF)
|
11/14/13 |
n/a |
13-06 |
Changes to Formulary (PDF)
|
10/25/13 |
11/1/13 |
13-05 |
90 Day Supply for Select Medications (PDF)
|
9/17/13 |
10/1/13 |
13-04 |
Modifier 59 Distinct Procedure Services (PDF)
|
8/31/13 |
10/1/13 |
13-03 |
Automated Phone System (PDF)
|
7/30/13 |
7/30/13 |
13-02 |
Claims Billing Education (PDF)
|
7/25/13 |
7/25/13 |
13-01 |
Benefits Changes (PDF)
|
6/5/13 |
7/1/13 |
12-009 |
New Podiatry Benefits (PDF)
|
12/19/12 |
12/1/12 |
12-08 |
Benefits Changes (PDF)
|
10/18/12 |
12/1/12 |
12-07 |
Pharmacy Benefits Changes (PDF)
|
10/18/12 |
12/1/12 |
12-006 |
Nutritional Authorization Requirements (PDF)
|
6/7/12 |
7/1/12 |
12-005 |
Vestibular Testing Authorization Requirements (PDF)
|
6/7/12 |
7/1/12 |
12-004 |
Prior Authorization Requirements (PDF)
|
6/7/12 |
7/1/12 |
01-12 |
CT, MRI and Pet Studies (PDF)
|
6/1/12 |
7/1/12 |
02-12 |
J-Codes (PDF)
|
4/1/12 |
5/1/12 |
02-12 |
Breast Surgery (PDF)
|
4/1/12 |
5/1/12 |
|
Claims Status Results Line (PDF)
|
3/15/12 |
3/15/12 |
11-007 |
National Provider Identifier-Final Notice (PDF)
|
11/2/11 |
12/1/11 |
11-006 |
2011 - Flu Season (PDF)
|
10/6/11 |
10/6/11 |
11-003 |
National Provider Identifier (PDF)
|
8/2/11 |
8/2/11 |
11-002 |
Updated Forms (PDF)
|
4/7/11 |
4/7/11 |
11-001 |
Optometry (PDF)
|
1/20/11 |
1/1/11 |
10-004 |
EDI Submitter Alert (PDF)
|
9/21/10 |
10/15/10 |
10-003 |
Changes to Health Care District Authorization Requirements (PDF)
|
9/21/10 |
10/1/10 |
10-002 |
Changes to Health Care District Pharmacy Network (PDF)
|
9/20/10 |
10/16/10 |
10-001 |
HCD Formulary Update (PDF)
|
4/26/10 |
5/1/10 |
05-002 |
Retro Coverage (PDF)
|
5/22/09 |
6/1/09 |
09-016 |
2009-2010 Flu Season (PDF)
|
10/5/09 |
10/5/09 |
09-015 |
Benefit Update (PDF)
|
9/23/09 |
10/1/09 |
09-012 |
Anesthesia Billing (PDF)
|
7/31/09 |
7/31/09 |
09-010 |
Vestibular Testing (PDF)
|
5/6/09 |
5/11/09 |