Archive of Provider Alerts
- ASC Billing Requirement (May 2020)
- 2020 Summer Incentive Program (May 2020)
- COVID-19 Updates from Baltimore City Health Department (May 2020)
- Well-Child and Preventive Care Visits (May 2020)
- COVID-19 Antibody Testing (May 2020)
- Laboratory Services Reminder (May 2020)
- Baltimore City COVID-19 Testing (April 2020)
- MFC Claims Portal Authentication Update (April 2020)
- PT, OT, and ST Services COVID-19 Update (April 2020)
- Updated Lab Testing for COVID-19 (April 2020)
- COVID-19 Utilization Management Updates (April 2020)
- Quarterly Validations - Provider Portal (April 2020)
- Updated Lab Testing for COVID-19 (April 2020)
- COVID-19 Medication Limitations (April 2020)
- Appeals Provider Alert Update (April 2020)
- Provider Web Portal (March 2020)
- New Electronic Process for Appeal Requests (March 2020)
- Lab Testing for COVID-19 (March 2020)
- COVID-19 Communications (March 2020)
- Compliance with Timeliness Standards (March 2020)
- Emergency Room Auto-Pay List (February 2020)
- New Overpayment/Refund Form Now Online (February 2020)
- NCCI and MUE Update (January 2020)
- Carve Out and Preauthorization of Zolgensma (January 2020)
- Credentialing and Claims Reminder (January 2020)
- Modifier 62: Co-Surgeon (Effective February 1, 2020) (January 2020)
- Corrected or Voided Claims Billing Reminder (December 2019)
- Adult Vaccines Now Available at Drug Stores (December 2019)
- Revised Prior Authorization (Non-Pharmacy) Request Form (December 2019)
- ePrep Claims Notice (November 2019)
- National Drug Code Reporting Requirements (October 2019)
- Institutional Billing Alert for December 1, 2019 (October 2019)
- Revatio (Sildenafil) Prior Authorization (October 2019)
- 90-Day Supply Medication Formulary (October 2019)
- Fraud, Waste, and Abuse Alert (October 2019)
- MDH Cyclosporiasis Alert (July 2019)
- ePREP Reminder (July 2019)
- Corrective Managed Care Program (June 2019)
- MedStar Family Choice Avesis Vision Plan Sheet (June 2019)
- Screening Mammograms (June 2019)
- Appeals Forms Now Fillable Online/Claims Webpage Updates (May 2019)
- Institutional Billing Alert (May 2019)
- DME, Oxygen, BIPAP, CPAP, PEN-OP Updates (May 2019)
- 2019 Summer Wellness Incentive Program (May 2019)
- Summary of changes to MedStar Family Choice Maryland Healthchoice Quick Authorization Guide effective June 1, 2019 (April 2019)
- Member Incentives (February 2019)
- Credentialing and Claims Reminder (February 2019)
- Fee-For-Service Requirement (February 2019)
- Hearing Aids Coverage (October 2018)
- Hepatitis C Therapy - Important Guideline Updates (October 2018)
- Acute Flaccid Myelitis (October 2018)
- Fraud, Waste and Abuse (October 2018)
- Childhood Summer Wellness Visit Incentive Program (June 2018)
- Authorization Guide Updates, effective 07-01-18 (May 2018)
- DEA Scam Notice (May 2018)
- PDMP Mandatory Training - CRISP (May 2018)
- Provider Education Lunch and Learn 2018 (May 2018)
- Notice of EMTALA Retractions/Administrative Days (May 2018)
- Obstetric Billing Alert (May 2018)
- Authorization Guide Updates (April 2018)
- EPSDT Transmittal from MDH (April 2018)
- Pain Management Provider Alert (March 2018)
- Vision Provider Alert (January 2018)
- 2018 Vision Coverage (December 2017)
- Quick Authorization Guide for 2018 (November 2017)
- Year End Reminders (November 2017)
- Vendor Alert Fraud, Waste & Abuse (October 2017)
- Insulin Changes Final Notice (September 2017)
- Points for Provider Claims Education (August 2017)
- Childhood Summer Wellness Visit Incentive Program (July 2017)
- EPSDT Certified to see Members under 21 - Topic of the Month (July 2017)
- Beacon Health Options MCO/Provider Handout (June 2017)
- Medicaid Opioid Prescribing (June 2017)
- Insulin Changes - Effective July 1, 2017 (May 2017)
- Live Well Chronic Disease Program - Topic of the Month (May 2017)
- Fraud, Waste and Abuse
Requirements Pertaining to False Claims
Compliance with Federal and State False Claims Acts (October 2016) - Nondiscrimination Health Programs and Activities Final Rule (October 2016)
- Coordination of Benefits (COB) Guidelines - Topic of the Month (October 2016)
- New Claims and Appeals Submission Addresses (September 2016)
- New Hospital System - Topic of the Month (September 2016)
- New Pre-Certification System - Topic of the Month (September 2016)
- Process for Submitting New Claims Forms (August 2016)
- Updated Clinical Practice Guidelines for the Management of Acute Low Back Pain in Adults - Topic of the Month (July 2016
- Quick Reference Guides (June 2016)
- Provider Lab Communication - Topic of the Month (June 2016)
- Physician Assistant Claims - Topic of the Month (March 2016)
- Updated Authorization Rules - Topic of the Month (January 2016)
- Additions to Healthy Kids Preventative Health Schedule (December 2015)
- Appointment Access Questionnaire - Topic of the Month (December 2015)
- ValueOptions Rebranding (November 2015)
- New Clinical Practice Guidelines for Community Acquired Pneumonia - Topic of the Month (November 2015)
- ICD-10 Update (October 2015)
- Fraud, Waste and Abuse - Topic of the Month (October 2015)
- Redetermination and Peer to Peer Policies on Concurrent Review Denials (September 2015)
- Auto Pay List - Topic of the Month (September 2015)
- Claims Address Change (August 2015)
- Bright Futures Webinar (August 2015)
- Behavioral Screening Codes - Topic of the Month (August 2015)
- Maryland Medicaid Renewals Redetermination Process (July 2015)
- Provider Appreciation Day Invitation - Topic of the Month (July 2015)
- MedStar Family Choice Moving to New Location on King Avenue - Topic of the Month (July 2015)
- National Correct Coding Initiative and Outpatient Coding Edits (June 2015)
- Adopting Value Based Care Prince Georges County Provider Invitation (June 2015)
- Provider Education Session Invite - Topic of the Month (May 2015)
- Baltimore City's Response to Tragic Events - Topic of the Month (April 2015)
- Online Claims Look-Up Registration - Topic of the Month (March 2015)
- Screening for Hypertension - Topic of the Month (February 2015)
- Measles Update (January 2015)
- POP Notification (January 2015)
- Verifying Member Eligibility for Medicaid Products - Topic of the Month (January 2015)