Monthly newsletter with information about clinical practice and business updates. Newsletters are in print-friendly PDF format.
- Other Party Liability Unit
- Provider Reconsideration request form changes
- Contacting Kaiser Permanente when one hospital needs to transfer a patient to another hospital
- Special instructions for submitting prior authorization requests in Affiliate Link
- Post service: Claims payment review & reconsideration process
- Asthma diagnosis and treatment guideline update
- Back pain guideline update
- Diabetes guidelines update
- Drug utilization management exception process
- Updated prior authorization criteria for average chronic opioid dose
- Learning collaborative opportunity
- Notification of Part D Negative formulary change 2021
Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii. Kaiser Foundation Health Plan of Colorado. Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000. Kaiser Foundation Health Plan of.
KAISER PERMANENTE $30 COPAYMENT HMO PLAN Small Business 61123009 January 2020 ADA FEATURES MEMBER PAYS CALENDAR-YEAR DEDUCTIBLE $0 PHARMACY CALENDAR-YEAR DEDUCTIBLE $250 for brand prescription ANNUAL OUT-OF-POCKET MAXIMUM1 Individual/Family $3,000/$6,000 IN THE MEDICAL OFFICE Office visits Preventive exams Maternity/Prenatal care2. Download a printer-friendly feature comparison chart of our copayment plans. Emergency ambulance services. Prescription drug coverage. Covered items in accord with our drug formulary when obtained at Plan pharmacies. $10 up to a 30-day supply. Brand-name drugs.
- Update: First call guide for ambulance partnerships for Kaiser Permanente
- Threshold decrease for claims pre-payment and medical necessity review for inpatient and outpatient claims
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- Timely filing of claims involving a coordination of benefits
- HEDIS® medical record review season: February - May 2021
- Reminder - we can't accept CDs for reconsideration and appeals
- 1099 form requests
- Online referral request tools you can use today
- Retail flu vaccine options extended to March 31, 2021
- Routine hepatitis C screening now recommended for all adults - not just baby boomers
- Non-invasive prenatal fetal testing - temporary change extended to March 15, 2021
- Medical necessity review guidelines for substance use disorder treatment
- Elimination of CPT code 99201
- Threshold decrease for claims pre-payment and medical necessity review for inpatient and outpatient claims
- HEDIS® medical record review season: February - May 2021
- Terminology for our online resources
- Affiliate Link reminders and updates
- Retail flu vaccine options extended to March 31, 2021
- Mandatory telemedicine training for all licensed, registered, or certified health care professionals.
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- New guideline provides treatment options for patients with opioid use disorder
- CDC drops azithromycin from gonorrhea treatment recommendations
- COVID-19 household prevention program resources available
- Important changes effective 1/1/2021 to our Women's Health payment policy
- Kaiser Permanente offering $0 copay for primary care visits for Medicare Advantage members through December 2020
- We need your help to transfer your patients' refills to Kaiser Permanente mail order
- Acupuncture Medicare benefit for chronic low back pain
- Generic albuterol HFA (Proventil) is Kaiser Permanente's preferred short-acting beta agonist
- 30-day supply limit added for opioids, benzodiazepines, and non-benzodiazepine receptor agaonists (Z-drugs) for KP Commercial Plans
- Upcoming changes
- Kaiser Permanente offers $0 copay for primary care office visits for Medicare Advantage members through December 2020
- Women's health care performed by non-network providers requires prior authorization
- Flu campaign toolkit
- New ways to deliver flu shots to our members
- Updated guidelines
- More authorizations upgrades going live on August 17
- Kaiser Permanente walk-in pharmacy opening in Bellingham on August 20, 2020
- Expedited appeals
- New ambulance partnerships for Kaiser Permanente
- Kaiser Permanente will not reopen CareClinic by Kaiser Permanente at Bartell Drugs locations
- Upcoming changes
- New pre-authorization code check tool added to provider site
- More provider site upgrades coming in August
- COVID-19 vaccine well tolerated, generates immune response
- Non-invasive prenatal fetal testing - temporary change extended to September 15, 2020
- Kaiser Permanente partners with Magellan Healthcare to support mental health access
- Upcoming changes
Kaiser Ambulance Copay 2020 California
- Understanding hierarchical condition categories & accurate coding
- New referrals and authorization improvement launch date
- Upcoming changes
- CME opportunities
Kaiser Ambulance Copay 2020 Schedule C
- COVID-19 provider resources page
- Medicare telehealth services
- Quality program patient outreach moratorium
- New referrals and authorization improvement launch date
- Credentialing applications process update
- Non-invasive prenatal fetal testing
- Smokey Point Medical Center is open for business!
- Flu vaccines