News and Updates
- 4/30/25 Medicaid Update: Drug List Changes, Effective March 13, 2025
- 4/28/25 Clinical Payment and Coding Policy Updates
- 4/28/25 Update: Verify Provider Information by Roster Every 90 Days to Fulfill Auditing Requirements
- 4/18/25 Pharmacy Program Updates: Prior Authorization Changes Effective June 15, 2025
- 4/09/25 Reinforce Prenatal and Postpartum Care to Support Whole Health
- 4/07/25 Behavioral Health Documentation to be Reviewed for Medicaid Members
- 4/03/25 Pharmacy Program Quarterly Update Changes Effective April 1, 2025 – Part 2
- 4/02/25 Prior Authorization Changes for Some Commercial Members, Effective July 1, 2025
- 4/02/25 Prior Authorization Changes for Government Programs, Effective July 1, 2025
- 4/01/25 Medicaid Update: Utilization Management Program Changes for BCCHPSM to Align with Illinois Senate Bill 3268
- 3/27/25 Clinical Payment and Coding Policy Updates
- 3/27/25 Encourage Interested Members to Attend BDNCSM Events Celebrating Black Maternal Health Week
- 3/26/25 Clinical Series Program Offers Education on Pediatric Care
- 3/25/25 Pharmacy Program Updates: Prior Authorization Changes Effective June 2025
- 3/25/25 New Coding Policy for Lactation Support Services Effective June 26, 2025
- 3/19/25 Cigna Healthcare Medicare Advantage Transaction Complete
- 3/17/25 Pharmacists Can Enroll to Bill Under the Medical Benefit for Contraceptive and HIV Assessment and Consulting Services for Illinois Medicaid Members
- 3/17/25 Watch for Our Annual Satisfaction Survey
- 3/14/25 Update Your Records with New Member ID Numbers
- 3/13/25 Quality Measures Track Treatment and Follow-Up Visits for Substance Use Disorders
- 3/12/25 Culture of Caring Webinars: No-Cost Continuing Education Credit
- 3/12/25 Policy for Billing Telemedicine and Telehealth Services Updated, Effective Jan. 1, 2025
- 3/05/25 Earn Continuing Education Credit in Webinar on Behavioral Health in Older Adults
- 2/26/25 Pharmacy Program Updates: Prior Authorization Changes Effective May 1, 2025
- 2/25/25 Clinical Payment and Coding Policy Updates
- 2/21/25 Claims Review to Be Enhanced for Oncology Drugs and Services for Government Programs, Effective June 1, 2025
- 2/14/25 Education and Residency Information Required for Directory
- 2/14/25 Encourage Follow-up Care after Hospital Visits for Mental Health
- 2/12/25 CDC Recommends Prescribing Doxy PEP to Prevent STIs
- 2/12/25 Has Your Information Changed? Update Us and the NPI Registry
- 2/11/25 Procedure Code and Fee Schedule Updates
- 2/05/25 Discuss Colon Health and Preventive Screening with Our Members
- 2/03/25 Pharmacy Program Quarterly Update Changes Effective April 1, 2025 – Part 1
- 1/27/25 Pharmacy Program Updates: Prior Authorization Changes Effective April 1, 2025
- 1/27/25 Annual Survey Monitors Medicaid Members’ Health Care Experiences
- 1/24/25 Encourage Medicare Advantage Members to Respond to Survey on Health Care Experiences
- 1/24/25 Update: Medical Policy Updates for Self-Administered Drugs Effective April 15, 2025
- 1/24/25 Utilization Management Review Paused for Advanced Imaging Site of Care
- 1/23/25 March of Dimes® Courses on Maternal Mental Health Offer Continuing Education Credit at No Cost
- 1/23/25 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
- 1/22/25 Hospitals Must Provide Notice to Members Under Outpatient Observation for More Than 24 Hours
- 1/15/25 Avoid the Inappropriate Use of Antipsychotic Medication in Anxiety Disorders
- 1/14/25 Policy Revised on Revenue and Procedure Codes for Outpatient Facility Claims, Effective April 14, 2025
- 1/13/25 Prepare for Directory Audits Required by the Illinois Health Care Access and Protection Act
- 1/10/25 Quality Measures Help Track Our Members’ Heart Health
- 1/07/25 Pharmacy Program Quarterly Update Changes Effective Jan. 1, 2025 – Part 2
