Anuncios y noticias
Clinical Payment, Coding and Policy Changes effective 9/1/26
Good news! $0 copay for Part D Prescriptions
Transition From Sepsis 2 to Sepsis 3 Criteria for Pre-Pay DRG Review
Clinical Payment, Coding and Policy Changes effective 3/1/26
Level of Severity Payment Policy (PDF)
Enhancement to the EviCore Prior Authorization Process
CLIA Provider Reminder 10/23/2025 (PDF)
Clinical Payment and Coding update 11/1/2025 Update
Level Severity Inpatient (IP) Review and Reimbursement (PDF)
Provider Appointment Standards (PDF)
Provider Notification - HUGS Claims Update (PDF)
Upcoming Changes to Dental Claims Processing for Medically Linked Services
Clinical Payment, Coding and Policy updates effective 9/1/2025
Provider Contact – Prior Authorizations
Virginia Q4 EM Provider Notification
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Archived Announcements and News
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Provider notification – Tax form 1099 for 2024
Dear Valued Provider,
Please be advised you may receive two 1099 forms for 2024 from Aetna Better Health of Virginia (HMO D-SNP). The 1099 from Change Health Care is for the date range between January 1st, 2024 to March 20th, 2024. The other 1099 form you may receive will be directly from ECHO Health, Inc. As always, do not hesitate to contact your Aetna Better Health of Virginia (HMO D-SNP) Aetna Medicare Assure Premier HMO D-SNP Aetna Medicare Assure Value HMO D-SNP Provider Relations Representative at 1-855-463-0933 with any questions or comments. Thank you for your valued partnership in caring for our Aetna Better Health Members.
Coverage change for certain antiretroviral drugs 10/10/2024
CLIA Provider Reminder 10/1/2024
Clinical Payment and Coding 12/1/2024 Update
Clinical Payment and Coding 10/1/2024 Update
Clinical Payment and Coding 2024 Update
Lab NCDs and Precertification Optimization
Precertification Optimization July Update
COVID-19 PHE Unwinding Liberalizations
Precertification Optimization 06/30/2023
Clinical Payment, Coding and Policy Changes, eff. 3/1/2023
Prior Authorization Waiver Notification
Nueva dirección para reclamaciones a partir del 12/1/2022
Eliminación de la Optimización de la precertificación
Tercer aviso a los proveedores sobre la optimización de la precertificación
Agregado sobre optimización de la precertificación para doble elegibilidad
Optimización de la precertificación
Mejoras en el Portal para proveedores
Facturación de la vacuna contra la COVID-19 y el tratamiento de infusión de anticuerpos monoclonales
Requisito de aviso de observación para pacientes externos de Medicare
NOVEDADES DE LOS CMS: los CMS toman medidas para proteger la integridad de las pruebas de COVID-19
Actualización sobre la COVID-19: Protocolo de autorización previa/precertificación/internaciones
Cambio de dirección para quejas y apelaciones
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Boletines de noticias para proveedores
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Archived Newsletters
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Winter 2024 Provider Newsletter
Summer 2024 Provider Newsletter
Spring 2024 Provider Newsletter
Winter 2023-2024 Provider Newsletter
Summer 2023 Provider Newsletter
Spring 2023 Provider Newsletter
Winter 2022 Provider Newsletter
Boletín para proveedores - Verano 2022
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Boletines informativos de FDR
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Please visit the Aetna Medicare FDR Resource page to review the most recent newsletter