Heritage Health Plan Advisories

 
2
Medicaid Related Assistance
Medicaid & Long-Term Care
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What you need to know

Below are Health Plan Advisories that apply to the Heritage Health Managed Care Organizations.

Last Updated: June 21, 2019

  
  
  
Description
Health Plan Advisory 19-05.pdfHealth Plan Advisory 19-057/3/2019 1:14 PM
Maternity Related Services for Refugee Medical Assistance Participants
Health Plan Advisory 19-04.pdfHealth Plan Advisory 19-047/16/2019 11:03 AM
Indian Health Service (IHS) Dual Eligible Crossover Claims
Health Plan Advisory 19-03.pdfHealth Plan Advisory 19-034/10/2019 11:23 AM
Provider Ownership Disclosure Requirements
Health Plan Advisory 19-02.pdfHealth Plan Advisory 19-024/10/2019 11:14 AM
Hearing Aid Code Changes
Health Plan Advisory 19-01.pdfHealth Plan Advisory 19-011/25/2019 4:17 PM
Coverage Criteria for Treatment of Chronic Hepatitis C (CHC)
Health Plan Advisory 18-05.pdfHealth Plan Advisory 18-051/25/2019 4:17 PM
Durable Medical Equipment (DME) for Medicaid Clients Residing in Nursing Facilities (NF) and Intermediate Care Facilities for Individuals with Developmental Disabilities (ICF/DD)
Health Plan Advisory 18-04.pdfHealth Plan Advisory 18-041/25/2019 4:17 PM
Billing for Supplemental Delivery Payment
Health Plan Advisory 18-03.pdfHealth Plan Advisory 18-031/25/2019 4:17 PM
Medical and Therapeutic Leave Days
Health Plan Advisory 18-02.pdfHealth Plan Advisory 18-021/25/2019 4:17 PM
Authorization Requirements for Extended Brain and Spinal Cord Rehabilitation in Specialized Nursing Facilities
Health Plan Advisory 18-01.pdfHealth Plan Advisory 18-011/25/2019 4:17 PM
DME Prior Authorization Requirements
Health Plan Advisory 17-14.pdfHealth Plan Advisory 17-141/25/2019 4:17 PM
Durable Medical Equipment (DME) for Medicaid Clients Residing in Nursing Facilities (NF) and Intermediate Care Facilities for Individuals with Developmental Disabilities (ICF/IDD)
Health Plan Advisory 17-13.pdfHealth Plan Advisory 17-131/25/2019 4:17 PM
Managed Care Clean Claims and Interest Payments
Health Plan Advisory 17-12.pdfHealth Plan Advisory 17-121/25/2019 4:17 PM
Update to Outpatient Prior Authorizations and Reviews
Health Plan Advisory 17-10.pdfHealth Plan Advisory 17-101/25/2019 4:17 PM
DME Administrative Simplification
Health Plan Advisory 17-09.pdfHealth Plan Advisory 17-091/25/2019 4:17 PM
Authorization Requirements for Extended Brain and Spinal Cord Rehabilitation in Specialized Nursing Facilities
Health Plan Advisory 17-08.pdfHealth Plan Advisory 17-081/25/2019 4:17 PM
Authorization for Behavioral Health outpatient services
Health Plan Advisory 17-07.pdfHealth Plan Advisory 17-071/25/2019 4:17 PM
VFC for Commercial Primary
Health Plan Advisory 17-06.pdfHealth Plan Advisory 17-061/25/2019 4:17 PM
Home Health for Medicare Duals
Health Plan Advisory 17-05.pdfHealth Plan Advisory 17-051/25/2019 4:17 PM
Behavioral Health Prior Authorizations
Health Plan Advisory 17-03.pdfHealth Plan Advisory 17-031/25/2019 4:17 PM
Telehealth & Telemonitoring Codes & Application to Services
Health Plan Advisory 17-02.pdfHealth Plan Advisory 17-021/25/2019 4:17 PM
Face-to-Face Requirements
Health Plan Advisory 17-01.pdfHealth Plan Advisory 17-011/25/2019 4:17 PM
Coverage of Sterilization Services
Health Plan Advisory 16-04.pdfHealth Plan Advisory 16-041/25/2019 4:17 PM
Notification of Nursing Home Admission of Heritage Health Members
Health Plan Advisory 16-03.pdfHealth Plan Advisory 16-031/25/2019 4:17 PM
Retroactive Enrollment
Health Plan Advisory 16-02.pdfHealth Plan Advisory 16-021/25/2019 4:17 PM
Continuity of Care for Medical and Behavioral Health Services
Health Plan Advisory 16-01.pdfHealth Plan Advisory 16-011/25/2019 4:17 PM
FQHC Multiple Encounter Billing