提供者警报

As a provider, you are accountable for the information in this alert and when applicable, it will be incorporated into the Carelon Health of Pennsylvania Provider Manual.

2024 Provider Alerts

• PA 12.24.11 DDAP Licensing Alert – 07-2024 Exceptions Related to 42 CFR Part 8
• PA 11.24.11 Federal Final Rule Creates New Exception Options for “Four Walls” Rule
• PA 10.24.10 Annual Provider Education Webinars 2024
• PA 09.24.10 Reminder to Notify Carelon Health of Pennsylvania
• PA 08.24.08 OMHSAS Resource Guide for National Suicide Prevention Month
• PA 07.24.08 A Carelon of PA Message to Fiscal Officers About Member Eligibility
• PA 06.24.07 Carelon Health of Pennsylvania Update to Timely Filing Waiver Request Information
• PA 05.24.07 Carelon Health of PA Now Has a Separate Payer Space in the Availity Provider Portal
• PA 04.24.05 Carelon Health of PA’s Language Assistance Accommodation and Expectations
• PA 03.24.05 Carelon Reminder to Screen Employees
• PA 02.24.05 Memorial Day Check Run Schedule
• PA 01.24.01 Discontinuation of Performance Outcome Management System

2023 供应商警报

• PA 18.23.10 Continuing Use of American Society of Addiction Medicine Criteria, Third Edition
• PA 17.23.09 Reminder: Retro-Authorizations Process and Policy
• PA 16.23.07 ASAM Level of Care Assessments: Who is Qualified to Conduct a Level of Case Assessment
• PA 15.23.07 Is Your Information Accurate? Please Review Your Provider Portal for Our Members
• PA 14.23.06 Return to Authorization ASAM 3.7 3.5 and 3.1
• PA 13.23.05 OHMSAS Bulletin: Confidentiality of Records Changes and Aligning with HIPAA Act of 1996
• PA 12.23.05 Office of Mental health and Substance Abuse Services Announcement: Interim Telehealth Guidance
• PA 11.23.05 Department of Drug and Alcohol Programs Reminder: Regulatory Suspensions and End of the Public Health Emergency
• PA 10.23.05 Office of Mental Health and Substance Abuse Services Announcement: Notification of HIPAA Enforcement
• PA 9.23.05 Updated Timely Filing Waiver Request Process
• PA 8.23.04 Prohibition of Billing while Operating a Motor Vehicle
• PA 7.23.04 Return to Authorizations
• PA 6.23.03 提供商计费更新
• PA 5.23.02 Beacon Health Options 正在成为 Carelon Behavioral Health
• PA 3.23.01 心理健康和药物滥用服务办公室公告 - 公告暂停信息
• PA 2.23.01 COVID-19 报告更新
• PA 1.23.01 邀请供应商参加网络研讨会：使用 Availability Essentials
• PA 4.23.02 可用性基础资源

2022 年供应商警报

• PA 9.22.12 访问、可用性和健康公平调查
• PA 8.22.12 事先授权要求更新，2022 年 9 月 1 日生效
• PA 7.22.11 毒品和酒精计划部保密指南
• PA 6.22.11 心理健康和药物滥用服务更新办公室
• PA 5.22.08 Monkeypox：提供者的重要信息
• PA 4.22.07 IBHS 提供者的授权参数和 KidNet
• PA 3.22.06 语言协助计划
• PA 2.22.03 暂时放弃及时申报要求
• PA 1.22.02 事先授权暂停，截至 2022 年 3 月 31 日

2021年提供商警报

• PA 11.21.11 Carelon COVID-19 Guidelines Update for November 2021
• PA 10.21.11 精神病和物质使用障碍患者的医学评估
• PA 9.21.11 Carelon Updated Fax Process
• PA 8.21.9 丙戊酸在育龄妇女和女孩中的使用
• PA 7.21.9 Carelon Updated Timely Filing Waiver Request Process
• PA 6.21.9 Carelon COVID-19 Guidelines: Update at 18 Months
• PA 5.21.7 Carelon Expectations for Safe Discharge from Residential Care Settings
• PA 4.21.2 Carelon Expectations for ASAM Service Alignment
• PA 3.20.8 COVID-19动态和社区护理环境准则
• PA 1.20.7 COVID-19总体照护环境指南
• PA 1.21.1用于评估和管理的CPT编码更改

2020年提供商警报

• PA 6.20.12执业医生报销
  • 报销常见问题
• PA 5.20.11阿片类药物治疗计划和双重合格成员
• PA 4.20.9 COVID-19 Reporting Tool for All Carelon In-Network Providers
• PA 2.20.8为精神卫生部分住院增加了15分钟代码

2019提供者警报

• PA 9.19.12口译服务
• PA 8.19.10美沙酮客户剂量
• PA 7.19.10更新的门诊授权要求
• PA 5.19.6 ACT 62流程变更
• PA 4.19.6参加分类法 已修改
• PA 3.19.5阿片类药物使用失调治疗指南
• PA 2.19.6医疗主任在住宅治疗设施中的作用

2018年提供商警报

• PA 3.18.9 ORP更新了帐单说明
• PA 2.18.8订购，参考和处方
• PA 1.18.6加强了追溯授权策略

2017年提供商警报

• PA 4.17.8 TSS处方时间表计划修改
• PA 3.17.3服务位置代码正在更新
• PA 2.17.2纸张索偿提交标准
• PA 1.17.2卫生保健选择中的远程心理服务批准指南

2016年提供商警报

• PA 4.16.11 ICD-10编码提醒
• PA 3.16.10 ICD-10更新
• PA 2.16.9可能的重新注册/重新验证
• PA 1.16.3基于可信欺诈指控的提供商付款暂停

2015年提供商警报

• PA 6.15.12 ICD-10和授权
• PA 5.15.12在2015年底之前重新注册/重新验证所有医疗救助计划
• PA 4.15.9授权和ICD-10编码提醒
• PA 3.15.6服务地点代码提示
• PA 1.15.4为从私人护理选择转向HealthChoices的会员申请追溯授权

2014年提供商警报

• PA 10.14.12以电子方式提交授权
• PA 9.14.10凭证和凭证– CAQH
• PA 8.14.8电子商务要求。
• ProviderConnect中的PA 7.14.7 DSM-5屏幕
• PA 6.14.4授权和追溯授权的请求
• PA 5.14.2 ICD-10索赔流程规则
• PA 4.14.2门诊药物和酒精诊所的诊断实验室服务付款
• PA 3.14.2服务授权要求
• PA 2.14.1基于家庭的提供者–旅行单位
• PA 1.14.1更新了CMS-1500表格

2013年提供商警报

• PA 1.13.5地址更改通知