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Updated payment policies now available
January 1, 2021

This article is for all providers caring for our members

The following payment policies, updated in Q4 2020, are now available on Provider Central:

  • Acupuncture
  • Ambulance Transportation
  • Audiology
  • Behavioral Health and Substance Use
  • COVID-19 Public Health Emergency
  • Community Mental Health Centers 
  • CPT and HCPCS Modifiers
  • Drug Wastage
  • Early Intervention
  • Evaluation and Management
  • Family Planning
  • Frequency
  • General Coding and Billing
  • Immunizations
  • Non-Reimbursable Services
  • Obstetrical and Maternity Care
  • Outpatient Clinic Services – Facility
  • Radiation Oncology
  • Radiology- Multiple Imaging
  • Telehealth (Telemedicine) – Behavioral Health
  • Telehealth (Telemedicine) – Medical Services
  • Urgent Care Center
  • Vision Services

To download our payment policies, log in and click Find a Payment Policy on the right side of your home page. Or, go to Office Resources>Policies & Guidelines>Payment Policies.