Neighborhood News
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Action Required
Announcements
- Change Healthcare Cyber Issue Impacting Claims
- Medicaid Redeterminations “Unwinding” Process Ends: Next Steps for Your Patients
- New Vitamin D Testing Policy for Medicaid and Commercial Members
- Update: Delegation of Services to Evolent Health Delayed to June
- Update to Provider Appeals Submission Process
Claims
Payment Policies
Pharmacy
- Cost Saver Program for Commercial Members
- Electronic Prior Authorization for the Pharmacy Benefit
- How to Bill 340B Appropriately
- Medicaid and Commercial Limited Specialty Pharmacy Network
- Medical Benefit Prior Authorization Submission
- Opioid Prescribing and Alternative Therapies for Neighborhood INTEGRITY Members
- Pharmacy Benefit Medicaid Drug Rebate Program (MDRP)
- Prescription Drug Coverage in Assisted Living and Long-Term Care Facilities
- Reminder: Specialty Medication Prior Authorization Criteria
- Upcoming Medicaid Pharmacy Benefit Changes
Monthly Pharmacy Benefit Changes: On a monthly basis, Neighborhood places a list of formulary changes on its website for each line of business. For more information, please visit the Pharmacy Provider Resources webpage.
Quality Improvement
- Diagnosing Cannabis Use Disorder
- Metabolic Monitoring for Children and Adolescents on Antipsychotics
- Use of Imaging Studies for Low Back Pain
Reminders
Risk Adjustment
The News and Updates section of the Neighborhood website is used to share important news and information including notifications on payment policies, operational issues, and more.