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MEDICARE PART D STRATEGIES TO COMBAT OPIOID OVERUSE

Effective January 1, 2019, CMS announced new strategies to further help Medicare Part D plans prevent and combat opioid overuse, including additional safety alerts at the time of dispensing as a proactive step to engage both patients and prescribers about overdose risk and prevention. Read more at CMS.gov.

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RE: TELEHEALTH – CHANGES TO AUDIO-ONLY BILLING

TO: ALL PROVIDERS As of January 1, 2025, per New York State Medicaid updated guidance, the American Medical Association (AMA)…

Availity Eligibility and Claim Inquiry Update

Effective on April 28, 2025, MetroPlusHealth starts a strategic partnership with Availity® to serve as our 270/271 (Member Eligibility Inquiry/Response)…

RE: eConsults Expansion

TO: All MetroPlusHealth Providers Effective as of March 1, 2025, MetroPlusHealth will reimburse eConsult services for Hospital Outpatient Departments (OPDs),…

RE: SBHC COVERED SERVICES

IMPACTED PLANS: MEDICAID & HIV SNP (also known as Partnership in Care) Dear MetroPlusHealth Provider, Effective May 1, 2025, onwards,…
last updated: January 1, 2019

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