Heritage Health Plan Advisories

 
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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: November 24​​​​, 2021​

  
  
  
Description
Health Plan Advisory 21-07.pdfHealth Plan Advisory 21-0711/24/2021 12:50 PM
November 2021 COVID-19 Vaccine Updates
Health Plan Advisory 21-06.pdfHealth Plan Advisory 21-069/24/2021 9:37 AM
COVID-19 Vaccines, Various Updates
Health Plan Advisory 21-05.pdfHealth Plan Advisory 21-058/25/2021 1:27 PM
Add-on Reimbursement for In-Home COVID-19 Vaccine Administration
Health Plan Advisory 21-04.pdfHealth Plan Advisory 21-045/19/2021 3:03 PM
Corneal Transplant Guidance-ASC
Health Plan Advisory 21-03.pdfHealth Plan Advisory 21-034/19/2021 1:20 PM
Provider Capacity Assessment for Substance Use Disorder (SUD) Treatment Services
Health Plan Advisory 21-02.pdfHealth Plan Advisory 21-024/19/2021 1:20 PM
Medically Monitored Inpatient Withdrawal Management (ASAM Level 3.7-WM)
Health Plan Advisory 21-01.pdfHealth Plan Advisory 21-014/19/2021 1:20 PM
Opioid Treatment Program (OTP) Services
Health Plan Advisory 20-06.pdfHealth Plan Advisory 20-069/21/2020 1:55 PM
APR-DRG Update
Health Plan Advisory 20-05.pdfHealth Plan Advisory 20-056/30/2020 9:58 AM
EAPG Base Rate Adjustment for Revenue Code 510
Health Plan Advisory 20-04.pdfHealth Plan Advisory 20-045/15/2020 10:34 AM
Managed Care Organization Temporary Suspension of Medicaid Copayments
Health Plan Advisory 20-03.pdfHealth Plan Advisory 20-035/15/2020 10:34 AM
Indian Health Services (IHS) Telehealth Services
Health Plan Advisory 20-02.pdfHealth Plan Advisory 20-025/15/2020 10:34 AM
MLTC Waiver of Value Add Requirement amid COVID-19 Emergency
Health Plan Advisory 20-01.pdfHealth Plan Advisory 20-015/15/2020 10:34 AM
MLTC Waiver of NEMT Requirement amid COVID-19 Emergency
Health Plan Advisory 19-06.pdfHealth Plan Advisory 19-0610/31/2019 10:57 AM
New Outpatient Reimbursement Methodology
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 19-0110/20/2021 2:34 PM
Coverage Criteria for Treatment of Chronic Hepatitis C (CHC)
Health Plan Advisory 18-05.pdfHealth Plan Advisory 18-0510/20/2021 2:34 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 18-0110/20/2021 2:34 PM
DME Prior Authorization Requirements
Health Plan Advisory 17-14.pdfHealth Plan Advisory 17-1410/20/2021 2:34 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 17-1310/20/2021 2:34 PM
Managed Care Clean Claims and Interest Payments
Health Plan Advisory 17-12.pdfHealth Plan Advisory 17-1210/20/2021 2:34 PM
Update to Outpatient Prior Authorizations and Reviews
Health Plan Advisory 17-10.pdfHealth Plan Advisory 17-1010/20/2021 2:34 PM
DME Administrative Simplification
Health Plan Advisory 17-09.pdfHealth Plan Advisory 17-0910/20/2021 2:34 PM
Authorization Requirements for Extended Brain and Spinal Cord Rehabilitation in Specialized Nursing Facilities
Health Plan Advisory 17-08.pdfHealth Plan Advisory 17-0810/20/2021 2:34 PM
Authorization for Behavioral Health outpatient services
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