Network Connection Newsletter
Network Connection is our newsletter for contracted network providers and staff. It covers important information such as educational programs, policy changes and news about services.
PAST ISSUES AND COMMUNICATIONS
This archive below hosts Presbyterian's provider network communications, organized by month of distribution. If you have any questions about a communication, or need to locate an older communication, please contact your Provider Network Operations relationship executive.
September 2024
You’re Invited to September’s Value-Based Programs Lunch and Learn Sessions
Presbyterian Shares the September 2024 Network Connection Newsletter
Primary Care Payment Reform: HCA Meeting Requirement for Initial Bonus Payment
August 2024
Introducing Payment Policy Management, a Claims Initiative Launching Sept. 1
You’re Invited to August Value-Based Programs Lunch and Learn Sessions
Please Check Your HCA Eligibility to Serve Medicaid Members & Take Action if Necessary
You’re Invited to Upcoming Behavioral Health Provider Trainings
Electronic Funds Transfer Reconnection for Magellan Claims Payments
Help Improve Discharge Planning and Care Coordination for Members
Attention: New Claims Payment and Coding Edits
Please Sign Up for AuthentiCare Communications Regarding Outages and System Maintenance
Reminder: Payment Policy Management Launches on Sept. 1
Automated Authorizations for Non-Medicare and Pediatric Bariatric Surgery
July 2024
Presbyterian Shares the July 2024 Network Connection Newsletter
Presbyterian Turquoise Care Has Launched: ID Cards, Manuals and More
You’re Invited to July’s Value-Based Programs Lunch and Learn Sessions
Join Us for Upcoming Provider Education Conferences & Webinars
Presbyterian Shares Medicaid Self-Pay Guidance for Some Former Western Sky Members
Viscosupplementation Formulary Updates: Gel-One and Durolane Products
You're Invited to HCA Meetings on Long-Term Care Provider Rates
You’re Invited to Upcoming Behavioral Health Provider Trainings
Provider Assistance Resources for Long-Term Services & Supports
Presbyterian Shares Guidance on Secondary Claims Processing
Help Improve Discharge Planning and Care Coordination for Members
CrowdStrike Outage and Presbyterian Impacts
Attention: New Claims Payment and Coding Edits
Personal Care Services Authorization and Billing Guidance
June 2024
Presbyterian Shares a Message from Magellan Regarding Change Healthcare Cyber Incident
You’re Invited to Upcoming Behavioral Health Provider Trainings – June 5, 2024
You’re Invited to June’s Value-Based Programs Lunch and Learn Sessions
Presbyterian Shares a Message from HSD About Medicaid Disenrollment
Reminder: Join Us for Upcoming In-Person Provider Education Conferences
Correction: Online Registration Issue for the Provider Education Conferences Was Resolved
Presbyterian Shares a New Member Referral Portal Functionality Guide
Help Improve Discharge Planning and Care Coordination for Members
Supporting Presbyterian Members & Providers Impacted by Wildfires Near Ruidoso
AuthentiCare Updates Related to the Ruidoso Fires for Long-Term Care Providers
Request for Attestation to Receive Patient Gaps in Care List
From Human Services Department: Ruidoso Evacuation Assistance
Discontinuation of Secondary Claims Processing on Behalf of Providers
Managed Care Organizations Turquoise Care Transition Authorizations
May 2024
Presbyterian Shares the May 2024 Network Connection Newsletter
You're Invited to Upcoming Behavioral Health Trainings – May 2, 2024
Host a "Got Shots" Event for Children and Adolescents
Ascension Healthcare Incident Notification
Help Improve Discharge Planning and Care Coordination for Members
Reminder: Register by June 7 to Participate in "Got Shots"
Ascension Healthcare Cyber Incident Update
Announcing New Conference Locations: Farmington & Las Cruces
Helping Providers Prepare for the New Lab Program
April 2024
You're Invited to Youth Mental Health First Aid Training
New dates: PROVIDERConnect 2024 Trainings
Presbyterian 2024 Lunch and Learn Sessions – April
You're Invited to Upcoming Behavioral Health Trainings – April 9, 2024
Presbyterian Shares Primary Care Reform Training Hosted by New Mexico Human Services Department
New PROVIDERConnect Portal Training Opportunities
Automated Authorizations for Total Hip Replacement
Presbyterian Shares a Message from HSD Regarding the Transition to Turquoise Care
New Policies for Laboratory Services Become Effective July 1
Announcements to Personal Care and Home Health Providers about EVV Stipends
You're Invited to May Value-Based Programs Lunch and Learn Sessions
March 2024
Presbyterian Shares the March 2024 Network Connection Newsletter
You're Invited to Upcoming Behavioral Health Trainings – March 5, 2024
Reminder: Presbyterian Invites You to March 2024 Provider Education Webinars
Behavioral Health Resources: Change Healthcare Cyberattack
You're Invited to March Value-Based Programs Lunch and Learn Sessions
Help Presbyterian Improve Long-Term Care Provider Data
Change Healthcare Cyberattack and How Presbyterian Is Supporting You
PROVIDERConnect Portal Launch and Training Opportunities
Reminder: PROVIDERConnect 2024 Launch and Trainings
2024 In-Person Provider Education Conference (PEC) Invitation
February 2024
Personal Care Services Allocation Tool Format Change
Presbyterian Invites You to March 2024 Provider Education Webinars
Correction: You're Invited to 2024 Provider Education Webinars
Upcoming Behavioral Health Provider Trainings Invitation – Feb. 8, 2024
February 2024 Lunch and Learn Sessions
Reminder: Trualta Education and Support Platform Training for Family Caregivers
Botox Prior Authorization Updates
Reminder: February 2024 Lunch and Learn Sessions
Change Healthcare Data Breach and Claims Submission Alternatives
January 2024
Presbyterian Shares the January 2024 Network Connection Newsletter
Trualta Education and Support Platform Training for Family Caregivers
December 2023
Cancellation: Dec. 12 Quarterly Solutions Meeting
Final Reminder: Complete the HCBS Final Setting Rule Survey and Attestation
Annual Critical Incident Reporting Training is Required
Expanding Our Partnership with Optum Care Network of New Mexico
Help Improve Discharge Planning and Care Coordination for Members
November 2023
Presbyterian Shares the November 2023 Network Connection Newsletter
Medicaid Payment Rates Increases
Emergency Order: Protecting Access to Behavioral Health Resources
New Date: Behavioral Health Critical Incident Reporting Training
Temporary Economic Recovery Payment Increase for Home and Community Based Services
Automated Authorizations for Total Knee Replacement
Electronic Visit Verification Training for Home Health and Respite Care Providers
Help Improve Discharge Planning and Care Coordination for Members
Announcing the New PROVIDERConnect Provider Portal
Provider Survey: Tell Us about Your Practice
Upcoming Behavioral Health Provider Trainings Invitation – Nov. 30, 2023
Reminder: Presbyterian Invites You to December 2023 Provider Education Webinars
The New PROVIDERConnect Provider Portal is Delayed
2024 Medicare Advantage Formulary Updates: Adalimumab and Insulin Products
October 2023
Upcoming Behavioral Health Provider Trainings Invitation – Oct. 3, 2023
Provider Manuals and Guides Have Moved
Members May Request to Receive Fewer Personal Care Services Hours
Go-Live Update for Electronic Visit Verification Implementation for Home Health Care Services
Centennial Care Rewards Program: Baby Bonuses
Help Improve Discharge Planning and Care Coordination for Members
Upcoming Behavioral Health Provider Trainings Invitation – Oct. 30, 2023
September 2023
Presbyterian Shares the September 2023 Network Connection Newsletter
Upcoming Behavioral Health Provider Trainings Invitation – Sept. 4, 2023
Automated Authorizations for Tonsillectomies
Help Improve Discharge Planning and Care Coordination for Members
Presbyterian Invites You to December 2023 Provider Education Webinars
Last Chance: Complete the Coordinating Care Between Physical and Behavioral Health Providers Survey
Presbyterian Shares Nursing Facility Checklists
Correction: Long-Term Care Nursing Facility Checklist
August 2023
Presbyterian Announces TytoCare, a No-Cost Telehealth Tool
Upcoming Behavioral Health Provider Trainings Invitation – Aug. 7, 2023
Help Improve Discharge Planning and Care Coordination for Members
University of New Mexico Health System is In-Network for Medicare Advantage Members
Reminder: Help Improve Discharge Planning and Care Coordination for Members
Provider Survey: Coordinating Care Between Physical and Behavioral Health Providers
Medical Drug Prior Authorization Updates - Emend, Ozurdex and Prolia/Xgeva
Reminder: Presbyterian Invites You to September 2023 Provider Education Webinars
July 2023
Presbyterian Shares the July 2023 Network Connection Newsletter
Rescheduled: Aug. 1 Nursing Facility Payment Concerns and Resolution Meeting
Upcoming Behavioral Health Provider Trainings Invitation – July 11, 2023
Centennial Care Rewards Program: Baby Bonuses
Invitation to Improving Member Engagement Training for Behavioral Health Providers
Avoid Denials for Patients with Multiple Health Plan Carriers and Benefit Plans
Long-Term Services & Supports (LTSS) Provider Assistance Resources
June 2023
You’re Invited to Upcoming Behavioral Health Provider Training – June 2023
Reminder: Presbyterian Invites You to June 2023 Provider Education Webinars
Reminder: Verify/Update Your Provider Directory Information by June 30
Presbyterian Invites You to September 2023 Provider Education Webinars
Nursing Facility Payment Concerns and Resolution Meeting – Aug. 1
May 2023
Presbyterian Shares the May 2023 Network Connection Newsletter
Physical Health Provider Education Webinars Invitation – June 15 & 16 2023
Upcoming Behavioral Health Provider Trainings Invitation – May 3, 2023
Presbyterian Care Coordinators Resumed In-Person Home Visits
Personal Care Services Agency Staffing Shortages
Reminder: Ending of the COVID-19 Public Health Emergency
April 2023
Nursing Facility Payment Concerns And Resolution Meeting - May 2, 2023
Correction: Nursing Facility Payment Concerns And Resolution Meeting - May 2, 2023
Reminder: Behavioral Health Town Hall Invitation Q2
Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q2 Reminder
Reminder: Nursing Facility Payment Concerns and Resolution Meeting - May 2, 2023
Centennial Care Rewards Program: Baby Bonuses
Presbyterian Will No Longer Waive Prior Authorization Requirements for Facility Transfer Admissions
March 2023
Presbyterian Shares the March 2023 Network Connection Newsletter
Adult Protective Services (APS) Reporting through Critical Incidents Training Letter Notification
Behavioral Health Town Hall Invitation Q2
Home and Community-Based Services Final Setting Rule Trainings
Reminder: Home and Community-Based Services Final Setting Rule Trainings Are This Week
Medicaid Benefits Renewal for Centennial Care Members
February 2023
Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q1 Second Reminder
Second Reminder: Behavioral Health Town Hall Invitation Q1
Use the Correct Taxonomy Code and Provider Type to Prevent Claim Denials
Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q2
Provider Education Conference Invitation – March 31
2023 Presbyterian Individual and Family Plans and Networks
January 2023
Behavioral Health Town Hall Invitation Q1
Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q1
Nursing Facility Payment Concerns and Resolution Meeting - Feb. 7
Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q1 Reminder
How to Prevent Claim Denials in AuthentiCare
Reminder: Behavioral Health Town Hall Invitation Q1
Reminder: Nursing Facility Payment Concerns and Resolution Meeting - Feb. 7
Centennial Care Rewards Program: Baby Bonuses
Presbyterian Shares the January 2023 Network Connection Newsletter
December 2022
Behavioral Health Town Hall Invitation Q4
November 2022
Second Reminder: Risk of Pharmacy Claim Denials for Prescribers Not Enrolled in New Mexico Medicaid
Sharing Critical Incident Reporting Reminders
Changes to Enroll Eligible Members into the Synagis® Program for the 2022-2023 RSV Season (eBlast)
Correction: Best Practices and Coding Tips for Audio Telehealth Services (eBlast)
Reminder: Presbyterian Shares 2022 Behavioral Health Provider Education Webinars
Reminder: Presbyterian Invites You to 2022 Provider Education Webinars
Metabolic Screenings for Members on Antipsychotic Medications
Presbyterian Shares the November 2022 Network Connection Newsletter
October 2022
Nursing Facility Payment Concerns and Resolution Meeting - Nov. 1
Reminder: Risk of Pharmacy Claim Denials for Prescribers Not Enrolled in New Mexico Medicaid
Fall 2022 Health Equity Trainings Invitation
You're Invited to Dec. 2022 Physical Health Provider Education Webinars
You're Invited to Upcoming Critical Incident Reporting Training for Behavioral Health
Introducing Presbyterian UltraFlex (HMO-POS)
Presbyterian Shares a Guide to Coordinating Interpreter Services
Reminder: Fall 2022 Health Equity Trainings Invitation
Reminder: Nursing Facility Payment Concerns and Resolution Meeting - Nov. 1
2023 Presbyterian Dual Plus Training Is Available
September 2022
Risk of Pharmacy Claim Denials for Prescribers Not Enrolled in New Mexico Medicaid
Behavioral Health Provider Education Webinars Q3/Q4 Invitation
Presbyterian Shares Care Coordination FAQs
Presbyterian Shares the September 2022 Network Connection Newsletter
August 2022
Centennial Care Behavioral Health Critical Incident Report Training Q3 Invitation
Behavioral Health Town Hall Invitation Q3
Centennial Care Behavioral Health Critical Incident Report Training Q3 Reminder
Physical Health Provider Education Webinars Invitation Q3/Q4
Long-Term Services and Supports Providers Survey
July 2022
Become a Certified Telemental Health Provider
Nursing Facility Payment Concerns and Resolution Meeting – Aug. 2
Reminder: Nursing Facility Payment Concerns and Resolutions Meeting – Aug. 2
Presbyterian Shares the July 2022 Network Connection Newsletter
June 2022
Supporting Presbyterian Members During the New Mexico Wildfires
Time is Running Out - Don't Miss Your Chance to Take Our Telehealth Strategy Survey
Transgender 101 and 201 Health Equity Training Invitation
Presbyterian Shares a Distinction Value-Based Program Flyer
Provider Survey Opportunity: Tell Us about Your Telehealth Strategy
Best Practices for Primary Care Providers Prescribing Antipsychotic Medications
Current Best Practices for Primary Care Providers Prescribing Antidepressant Medications
May 2022
Claims Guidance for Medicare Advantage $250 Routine Eyewear Benefit
Provider Survey Opportunity: Coordinating Care Between Physical and Behavioral Health Providers
Presbyterian Updated Its Process to Review Nursing Facility Claims
Presbyterian Shares a Classic Value-Based Program Flyer
Centennial Care Behavioral Health Critical Incident Report Training Q2 Reminder
Centennial Care Behavioral Health Critical Incident Report Training Q2 Invitation
Behavioral Health Town Hall Discuss May/Q2 Reminder
Presbyterian Shares the May 2022 Network Connection Newsletter
April 2022
Behavioral Health Town Hall Discuss May/Q2 Invite
Presbyterian Shares a Pharmacy Formulary FAQ
NOTICE: Nursing Facility Payment Concerns and Resolution Meeting Date Change - April 5
Nursing Facility Payment Concerns and Resolution Meeting - May 3
Reminder: Nursing Facility Payment Concerns and Resolution Meeting - May 3
March 2022
Behavioral Health Town Hall Discuss March/Q1 Invite
Nursing Facility Payment Concerns and Resolution Meeting - April 5
Presbyterian Shares the March 2022 Network Connection Newsletter
February 2022
Critical Incident Reporting Training for Behavioral Health
Reminder: Law Requires Provider Directory Information to Be Verified Every 90 Days
Criteria for Submitting Manual Entry Claims through AuthentiCare
Centennial Care Behavioral Health Critical Incident Report Training Q1 Invitation
Nursing Facility Payment Concerns and Resolution Meeting - March 1
Reminder: Nursing Facility Payment Concerns and Resolution Meeting - March 1
January 2022
Second Reminder: Nursing Facility Payment Concerns And Resolution Meeting - Feb. 1
Payment Issued to HCQS Providers
Informing Providers of Updated Third-Party Liability Requirements
Presbyterian Is Issuing Payment to Nursing Facility Providers
Reminder: Nursing Facility Payment Concerns And Resolution Meeting - Feb. 1
Nursing Facility Payment Concerns And Resolution Meeting - Feb. 1
Presbyterian Shares the January 2022 Network Connection Newsletter
