2024 Notifications
GENERAL NOTIFICATIONS
- New Process: Internal Review of Inpatient Claims for DRG Validation 6.27.24 (PDF)
- Upcoming Forum: The SilverSummit Learning Lab (PDF)
- Project Echo Nevada presents SBIRT for Health Professionals 6.17.24 (PDF)
- Prior Authorization updates effective 7.1.24 for New American Medical Association Current Procedural Terminology (CPT) codes 5.29.24 (PDF)
- SilverSummit Healthplan transitions to Availity Essentials 5.23.24 (PDF)
- Project Echo Nevada presents SBIRT for Health Professionals 5.20.24 (PDF)
- Infectious Disease Lab Screening and Testing 4.24.24 (PDF)
- On Demand Clinical Documentation Improvement (CDI) Webinar now available 4.21.24 (PDF)
- Project Echo Nevada presents Gender Affirming Care Echo 4.1.24 (PDF)
- Project Guardian Patient Remote Monitoring 3.28.24 (PDF)
- Provider Alert: HHS CMS Provider Briefing on Response to Cyberattack on Change Healthcare 3.18.24 (PDF)
- Availity to host Live Training Webinars for Providers 3.8.24 (PDF)
- Payment Policy: Genetic and Molecular Testing Services 3.5.24 (PDF)
- Provider Alert: Change Healthcare Cybersecurity Incident and Its Impact to SilverSummit Healthplan
- SilverSummit Partnership with Turning Point on Cardiac Surgical Quality and Safety Management Program 2.21.24 (PDF)
- Payment Integrity Solutions Update: Critical Care Coding, Tongue-Tie, and Frenulum Procedures, Adjacent Tissue Transfer 2.21.24 (PDF)
- Payment Integrity Solutions Update: NCCI Modifier Override 2.21.24 (PDF)
- Maternal and Infant Health Webinar Series: Help Fight the Syphilis Epidemic 2.14.24 (PDF)
- Maternal and Infant RSV Vaccination 1.31.24 (PDF)
- Payment Integrity Solutions Update: Professional Claims for Select Surgical Procedures and Facility NCCI Modifier Override 1.11.24 (PDF)
- 2024 Webinars: Clinical Documentation Improvement (PDF)
- Important Pharmacy Changes for 2024 11.26.23 (PDF)
- Transition to Express Scripts FAQs 11.26.23 (PDF)
MEDICAID NOTIFICATIONS
- New Provider Type (PT) 93 (Substance Use Treatment (SUT)) Established to Replace PT 17 (Special Clinics) Specialties 171 (Methadone) and 215 (Substance Use Agency Model (SUAM)) and Create New Specialties under PT 93 6.12.24 (PDF)
- DHCFP March 2024 Schedule of Trainings 1.24.24 (PDF)
- Notification of Pregnancy (NOP) Reports now available 1.10.24 (PDF)
AMBETTER NOTIFICATIONS
WELLCARE BY ALLWELL NOTIFICATIONS
- Required Training: Model of Care 6.17.24 (PDF)
- 2024 CMS Two-Midnight Rule Provider FAQ 5.20.24 (PDF)
- Termination for Medicare only Comprehensive Cancer Centers of Nevada 3.28.24 (PDF)
- Find-a-Provider Directory Communications: Phase 1 (PDF)
- Medicare Part B StepTherapy (effective 1.1.24) Notification (PDF)