Neighborhood News
Announcements
Reminders
- Claim Submission Reminders for Providers and Billers
- Annual Provider Training Requirement
- Specialty Medication Prior Authorization Criteria
- Standard Coding Requirements Regarding Bundled Billing
Behavioral Health
- Annual Testing and Monitoring for Patients with Schizophrenia
- Behavioral Health Identification, Treatment and Referral in Primary Care: 3-Part On-demand Series
- Behavioral Health News and Updates
Quality Improvement
- Updated Sexually Transmitted Infections Treatment Guidelines 2021
- Tobacco Cessation: Helping Members Quit
- National Lead Poisoning Prevention Week, October 25-31, 2021
Claims
- Claims Corner: Coordination of Benefits, Claim Reconsiderations, and Forms
- ABILITY – Electronic Claims Clearinghouse
Pharmacy
- Dispensing Pharmacy Notification for State-Supplied Vaccines
- Prescription Drug Coverage in Assisted Living and Long-term Care Facilities
- Opioid Prescribing and Alternative Therapies for Neighborhood INTEGRITY (Medicare-Medicaid Plan) Members
- Medical Benefit and Medicaid Pharmacy Benefit Formulary Updates
- Medical Benefit Prior Authorization Submissions
- Medically Administered Infusions Available for Administration in the Home
- How to Bill 340B Appropriately
- Electronic Prior Authorization (ePA) for the Pharmacy Benefit
- Searchable Formulary for Pharmacy Benefit and Medical Pharmacy Medications