Provider Remittance Advices
We are aware of provider remittance advices not populating into your portal. We are actively working on getting this resolved.
Jan 1, 2022

Policies recently reviewed for annual update

The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of

  • Adult Child and Family Intensive Services (AIS CFIT) 
  • Behavioral Health Inpatient and Intermediate Levels of Care
  • Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
  • Laparoscopic and Percutaneous Techniques for the Myolysis of Uterine Fibroids
  • Lyme Disease Diagnosis and Treatment Mandate
  • Mammograms and Pap Smears Mandate
  • Mastectomy Treatment, Breast Reconstruction and Hospital Stays Mandate
  • Medical Supply Wastage
  • Mental Illness and Substance Use Disorders Mandate
  • Modifier 22 Guidelines
  • Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
  • Noninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease
  • Oral Nutrition Mandate
  • Orally Administered Anticancer Medication Mandate
  • Peripheral Artery Disease Rehabilitation
  • Saturation Biopsy for the Diagnosis, Staging and Management of Prostate Cancer
  • Scintimammography and Gamma Imaging of the Breast and Axilla
  • Smoking Cessation Mandate

We also post monthly drafts of medical policies being created or reassessed for your review. As a reminder, you can provide comments on draft policies for up to 30 days. Draft policies are located on the Provider homepage, under the Medical Policies section, under the drop-down “Draft Medical Policies.”