Here you will find the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.
Summit Community Care identified an issue impacting claims payments with billing codes H0019 (therapeutic communities), H2016 (community support services), and H2017 (psychological rehabilitation services and life skills).
On June 14, 2021, Philips Respironics* issued a voluntary recall on specific brands of their continuous positive airway pressure (CPAP) machines, bilevel positive airway pressure (BiPAP) machines, and ventilators.
Please join us on June 9th to hear from a diverse panel of experienced professionals about racial equity and implicit bias.
Notification that effective May 1, 2021 specific codes would be included in our prior authorization review process.
Notification that effective May 1, 2021 specific codes would be included in our step therapy review process.
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Search for up-to-date drug information, including hundreds of brand-name and generic medications.
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.
We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with behavioral health and substance use needs, as well as those with intellectual and developmental disabilities.