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Latest News

Billing Update for Urinalysis Drug Testing

We would like to provide you with advance notice of a coverage update related to HCPCS code G0480 (urinalysis - drug testing). This update is in line with billing guidance from the Centers for Medicare & Medicaid Services and pertains to New York state government...

Additional Details Regarding Network Management and Administrative Services Transition Effective January 1, 2020

Our bulletin issued October 7, 2019, shared the news that effective January 1, 2020, all chiropractic management and administrative services for our members will be handled by the Health Plan directly. Our business relationship with MEDSOLUTIONS, dba eviCore healthcare...

Reminder - NYS Legislation for Maternal Depression Screening Effective August 11, 2019

We would like to remind you of a New York state mandate effective August 11, 2019 that expands coverage for maternal depression screening services for some members enrolled in commercial and exchange lines of business. Screening for maternal depression is a covered...

NYS Legislation for Coverage of In-Vitro Fertilization & Fertility Preservation Services

We would like you to be aware of a New York state mandate effective January 1, 2020, upon group renewal that expands coverage for in-vitro fertilization (IVF) and fertility preservation services. The mandate applies to commercial and exchange lines of business. The...

Ranitidine Recall for Dr. Reddy’s Laboratories`

Dr. Reddy’s Laboratories Ltd.  confirms it had initiated a voluntary nationwide recall on October 1, 2019 (at the retail level for over-the-counter products and at the consumer level for prescription products) of all its ranitidine medications sold in US due to...

Reminder – Erectile Dysfunction Procedure Preauthorization Requirement

We remind you that a 2007 New York state mandate excludes coverage of erectile dysfunction treatment for members enrolled in Medicaid Managed Care (Univera MyHealthSM) and Health and Recovery Plan products (Univera MyHealth PlusSM) who are required to register as a sex...

New Electronic Preauthorization Tool Update

You were notified in September of our intention to provide you with a new electronic preauthorization system – CareAdvance Provider®, which will replace our current tool, Clear CoverageTM. We would now like to provide an update regarding the implementation time frame and...

Vatica Incentive Program Expanding

Dear Participating Physician or Physician Group, Univera Healthcare is pleased to announce that the Well365Plus Solution through an independent company called Vatica Health, Inc. (“Vatica Health”) will be expanded to include Affordable Care Act preventive visits for...

Hospice Benefit Clarification

Once a member begins receiving hospice services, all care for their terminal illness will be coordinated by the hospice organization.  A review of our records indicates that hospice services for our members who have commercial or Medicaid Managed Care coverage may...

Medicaid Managed Care Claims Testing Opportunity for Children's Behavioral Health Services

We are conducting validation testing to help ensure successful submission of behavioral health claims in preparation for the Medicaid managed care children’s home and community-based services implementation on October 1, 2019. Our goal is to validate that business...

Labor Day Pay Cycle Information

We are providing you with advance notice of a change to our pay cycle schedule due to the Labor Day holiday. These schedule changes will not affect your payment amount. Paper checks will mail on Tuesday, September 3. Please allow for delivery time via the U.S. Postal...

Showing 106– 116 of 116 Results