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Clarification – Medical Utilization Management Program Updates for Safety Net Members Effective January 17

Our bulletin issued December 10, 2019, notified you that preauthorization requirements for some services for Safety Net members would be lifted effective January 17, 2020. In addition, be advised that preauthorization is NOT required for the following codes shaded in gray as of January 17. Safety Net includes: Univera Healthcare MyHealthSM, Univera Healthcare MyHealth PlusSM, and Child Health Plus.

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Important Details Regarding CareAdvance Provider® Tool Launching February 3

Our new electronic preauthorization system — CareAdvance Provider, is scheduled to be ready for use February 3, 2020, for requesting preauthorizations for the Safety Net line of business. This includes:  Medicaid Managed Care (Medicaid Managed Care (Univera Healthcare MyHealthSM), Child Health Plus, HARP (Univera Healthcare MyHealth PlusSM and Essential Plan members.

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Essential Plan Administrative Changes

Univera Healthcare advises you of an important upcoming administrative change that pertains to our Essential Plan product.

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