Provider
QP1-26 Commercial and MHCP Pharmacy Benefit Update: New and Revised Drug-Related Prior Authorization (PA) Requirement Notification, Effective March 1, 2026
Program effective Date: Jan 14, 2026
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QP2-26 Correct Coding Requirements
Program effective Date: Jan 14, 2026
Provider
QP44R1-20 Non-Covered Medicare Services and Organization Determination Reminder for Platinum Blue and Medicare Advantage Subscribers
Program effective Date: Nov 27, 2024
Provider
QP85-24 Update to Cotiviti Hospital Bill Validation (HBV) Services
Program effective Date: Nov 27, 2024
Provider
QP79-24 Commercial Pharmacy Benefit Update: New and Revised Drug-Related Prior Authorization (PA) Requirement Notification, Effective January 1, 2025
Program effective Date: Nov 13, 2024
Provider
QP81-24 Health Equity Certification 2025 Launch
Program effective Date: Nov 13, 2024
Provider
QP78-24 MHCP Pharmacy Benefit Update: New and Revised Drug-Related Prior Authorization (PA) Requirement Notification, Effective December 1, 2024
Program effective Date: Nov 13, 2024
Provider
QP84-24 Commercial Pharmacy Benefit Exclusion for Tremfya® and Ocrevus Zunovo™
Program effective Date: Nov 13, 2024
Provider
QP83-24 MHCP Pharmacy Benefit Exclusion for Tremfya®, Tecentriq Hybreza™ and Ocrevus Zunovo™
Program effective Date: Nov 13, 2024
Provider
QP82-24 Enhanced Authorization Submissions through Availity Essentials
Program effective Date: Nov 13, 2024