Notices, News, and Updates
All News and Updates
April 2025
Medicare Advantage Health Plans Available for Erie and Monroe County Residents
Home and community-based nonprofit VNS Health has received approval from the New York State Department of Health (the Department) to expand its Medicare health plan offerings into Erie and Monroe Counties.
April 2025
Transform Patient Experience: Unlock the Power of CAHPS Surveys
Missed our CAHPS webinar? Watch the recording now to learn effective strategies for enhancing patient satisfaction and care quality.
April 2025
New GLP-1 Payment Rules for Providers
Payment determination is now required for GLP-1 medications (Mounjaro, Ozempic, Rybelsus, and Trulicity) to address potential misuse.
April 2025
Empower Your Patients on National Healthcare Decisions Day
April 16th is National Healthcare Decisions Day (NHDD). As health care providers, you play a crucial role in guiding your patients through advance care planning. Why It Matters NHDD encourages individuals to express their health care wishes and document decisions. Your support ensures patients’ preferences are respected and honored. How You Can Help Resources The […]
April 2025
Expanding Access to Urgent Care: Your Role in Educating Members
Our network is growing to better serve our members. Benefits for Providers: Your Role: We appreciate your ongoing efforts and commitment. For any questions or further information, please contact Provider Services at 1-866-783-0222. TTY users call: 711, Monday-Friday, 8 am-5pm. Thank you for your continued partnership.
January 2025
Prescriber Billing Codes
New York State has executed a state-direct supplemental rebate agreement with Sarepta for drugs used to treat Duchenne muscular dystrophy. This agreement went into effect on April 1, 2022.
December 2024
Key Tips on Ensuring Quality Care
We’d like to take a few minutes of your time to remind you of the importance of closing gaps in care and ensuring all eligible patients complete their Annual Wellness Visits (AWVs).
December 2024
2025 Prior Authorization Guidelines for Certain Medications
As of 1/1/2025, some medically administered drugs like injectables may require utilization management such as a prior authorization to determine appropriateness of care, while ensuring safe and effective use.
December 2024
Complete this SelectHealth Provider Survey to Help Increase Cancer Screenings
We would like to work with you to improve the rate of cancer screenings among SelectHealth members. To that end, we are asking about any barriers you’ve experienced in coordinating screenings as well as about any onsite screening services your practice may provide.
August 2024
Provider Portal: Fastest, Easiest Way to Manage Authorizations
Our Health Plans provider portal gives you easy access to submit authorization requests and check the status of existing authorizations. This guide will help you request new authorizations on our portal. Our provider portal offers you 24/7 access to claims, eligibility, and more — without picking up the phone. Perform key functions and get the information you need, all in one place.