January 1, 2025

January 2025 Provider Newsletter

Filter By: AllMedicare AdvantageMedicaid

Administrative

AdministrativeMedicare AdvantageJanuary 1, 2025

Announcing Health Perks — earn rewards for your healthcare activities

Behavioral Health

Behavioral HealthMedicare AdvantageMedicaidJanuary 1, 2025

Our Sleep Apnea Program offers clinical and behavioral health support

Education & Training

Education & TrainingMedicaidJanuary 1, 2025

Tips for Provider's Offices; TMMA Call Center Who We Are

Education & TrainingMedicaidJanuary 1, 2025

Lactation office hours

Policy Updates

Policy UpdatesMedicaidDecember 3, 2024

Clinical Criteria updates

Effective January 5, 2025

Policy UpdatesMedicaidDecember 5, 2024

Clinical Criteria updates

Effective January 6, 2025

Policy UpdatesMedicare AdvantageDecember 6, 2024

Clinical Criteria updates

Effective January 9, 2025

Medical Policy & Clinical GuidelinesMedicare AdvantageDecember 4, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective January 5, 2024

Products & Programs

Long-Term Services & SupportsMedicaidDecember 27, 2024

How to successfully navigate CHOICES credentialing and re-credentialing

PharmacyMedicare AdvantageDecember 23, 2024

Specialty pharmacy precertification list expansion

Effective March 1, 2025

PharmacyMedicare AdvantageDecember 31, 2024

Important information about specialty prescriptions

PharmacyMedicare AdvantageDecember 23, 2024

Specialty Pharmacy Precertification and Step Therapy list expansion

Effective April 1, 2025

PharmacyMedicare AdvantageJanuary 1, 2025

Kroger Specialty Pharmacy acquisition

PharmacyMedicare AdvantageDecember 16, 2024

Shortage of repackaged bevacizumab for ophthalmic use

TNWP-CDCR-074637-24