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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.

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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.

February 2024

2024 Rewards Program Name Change: Pregnancy Passport

Personal Care Services Allocation Tool Format Change

January 2024

2024 January Network Connection

Presbyterian Shares the January 2024 Network Connection Newsletter

The 2024 Practitioner and Provider Manuals are Available

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

2023 November Network Connection

Presbyterian Shares the November 2023 Network Connection Newsletter

Invitation to Annual Personal Care Services Critical Incident Reporting Training

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

Member Reimbursements for Medicare Balance Billing

Electronic Visit Verification Training for Home Health and Respite Care Providers

December 2023 Provider Education Webinars Invitation

Help Improve Discharge Planning and Care Coordination for Members

Presbyterian’s Hospice Value-Based Insurance Design Program is Ending

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

2023 September Network Connection

Presbyterian Shares the September 2023 Network Connection Newsletter

Upcoming Behavioral Health Provider Trainings Invitation – Sept. 4, 2023

Automated Authorizations for Tonsillectomies

There’s Still Time: Complete the Coordinating Care Between Physical and Behavioral Health Providers Survey

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 Will Update its Medical Policy Manual and PA Guide on Nov. 1, 2023

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

September 2023 Physical Health Provider Education Webinars InvitationEducational Materials for Children and Adolescents on Antipsychotic Medications

Reminder: Help Improve Discharge Planning and Care Coordination for Members

Update Provider Directory Information by Sept. 28 to Comply with the No Surprises Act - Letter

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

2023 July Network Connection

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

Presbyterian Will Update its Medical Policy and PA Guide on July 1, 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

Presbyterian Will Update its Medical Policy and PA Guide on Aug. 1, 2023

May 2023

2023 May Network Connection

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

June 2023 Physical Health Provider Education Webinars InvitationMassage Therapy Benefit for State of New Mexico EmployeesHow to Host a “Got Shots?” Back-to-School Event for Children and Adolescents

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 Update its Medical Policy Manual and Prior Authorization Guide on June 1, 2023

Presbyterian Will No Longer Waive Prior Authorization Requirements for Facility Transfer Admissions

March 2023

2023 March Network Connection

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

Update Provider Directory Information by April 1 to Comply with the No Surprises ActSign Up to Receive Electronic Communications – Feb. 2023

Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q2

Provider Education Conference Invitation – March 31

2023 Presbyterian Individual and Family Plans and Networks

2023 Presbyterian Dual Plus Training is AvailableAdult Protective Services (APS) Reporting through Critical Incidents Training Invitation

January 2023

2023 January Network Connection

Behavioral Health Town Hall Invitation Q1

Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q1

The 2023 Practitioner and Provider Manuals Are Available

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

Provider Education Conference Invitation – March 31Home and Community-Based Services (HCBS) Final Setting Rule Memo

Presbyterian Shares the January 2023 Network Connection Newsletter

December 2022

Behavioral Health Town Hall Invitation Q4

Presbyterian Will Update its Medical Policy Manual and Prior Authorization Guide on Feb. 1

November 2022

2022 November Network Connection

Second Reminder: Risk of Pharmacy Claim Denials for Prescribers Not Enrolled in New Mexico Medicaid

Sharing Critical Incident Reporting Reminders

2022 Annual Critical Incident Reporting Training AttendanceChanges to Enroll Eligible Members into the Synagis® Program for the 2022-2023 RSV Season (Letter)

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 (Letter)

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

Personal Care Services Provider Training Announcement

September 2022

2022 September Network Connection

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 Will Update Its Medical Policy Manual and Prior Authorization Guide in November

Presbyterian Shares the September 2022 Network Connection Newsletter

August 2022

Information on Metabolic Monitoring for Children and Adolescents on Antipsychotics

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

Changes to the Observation Review Process

Become a Certified Telemental Health Provider

2022 July Network ConnectionProviders Must be Medicare CompliantPresbyterian Will Update its Medical Policy Manual and Prior Authorization Guide in September

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

2022 May Network ConnectionHow to Host a "Got Shots?" Back-to-School Event for Children and AdolescentsClaims Guidance for Medicare Advantage $250 Routine Eyewear Benefit Letter

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

Updated Value-Based Insurance Design Model Hospice Benefit Component Notice of Election (NOE) and Claim Submission Information

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

Updated Value-Based Insurance Design Model Hospice Benefit Component Notice of Election (NOE) and Claim Submission Information

2022 Health Equity Trainings

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

2022 March Network ConnectionCentennial Care Rewards Program: Baby Bonuses

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

COVID-19 Testing Coverage UpdatePresbyterian Will Update its Medical Policy Manual and Prior Authorization Guide in MarchHow to Prevent Claim Denials in AuthentiCareLaw Requires Provider Directory Information to Be Verified Every 90 Days

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

2022 January Network ConnectionIncreasing Administrative Efficiency with Claims Editing System Enhancement2022 Provider Manuals Are Available

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

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