Neighborhood News
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Action Required
Announcements
- Changes to Acupuncture Coverage for Commercial Members
- Changes to Authorization Requirements for Medicaid and Commercial Lines of Business
- Important Update on Billing Codes for Home Health PT/OT/ST Services
- Important Update on Rhode Island Data Breach
- INTEGRITY (MMP) Line of Business Added to Vitamin D Testing Policy
- Neighborhood to Expand Evolent Physical Medicine Program Notification
- Prior Authorization Requirements Removed for Select Commercial Home Health Care Services
- Process Update: Coordination of Benefit Adjustments
- Reminder: INTEGRITY (MMP) Medicare Requirements
- Reminder: Sterilization Consent Form for Medicaid Members
- Update on Appeals for Post-Service Authorizations
- Update to Low-Dose CT Scan Authorization Requirement
- Update to Maternal Meal Delivery Program
Claims
Payment Policies
Pharmacy
- How to Bill 340B Appropriately
- Important Authorization Steps for High-End Radiology Providers
- INTEGRITY (MMP) PrEP Coverage Update
- Medicaid and Commercial Limited Specialty Pharmacy Network Coverage Update
- Medicaid Diabetic Test Strip Quantity Limit for Gestational Diabetes
- Opioid Prescribing and Alternative Therapies for Neighborhood INTEGRITY Members
- Oral-Only End State Renal Disease Drugs Added to Bundled Payment
- Pharmacy Benefit Medicaid Drug Rebate Program Reminder
- Prescription Drug Coverage in Assisted Living and Long-Term Care Facilities
- Reminder: Specialty Medication Prior Authorization Criteria
- Upcoming Commercial Pharmacy Benefit Change
- 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
- Colorectal Cancer Awareness
- Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
- Measuring Blood Pressure
Reminders
- Establishing and Managing your EOP/RA Delivery and Direct Deposit
- Mandatory Provider Training
- Provider Questions? We Have Answers
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.