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News & Communications

​​​​​​​​​​​​​​​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 from 2016 and 2017, 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 Management relationship executive.

April 2018​

CMS to Issue New ID Cards to Medicare Members

March 2018​

EPSDT Private Duty Nursing Claim Form Update CARELink Health Homes - Bernalillo CARELink Health Homes - DeBaca CARELink Health Homes - Hidalgo CARELink Health Homes - Lea CARELink Health Homes - Quay CARELink Health Homes - Roosevelt CARELink Health Homes - Kewa Sandoval CARELink Health Homes - SandovalPharmacy and Therapeutics Committee Provider Update First Quarter 2018 ​​​​​​Enhanced AuthentiCare System​Network Connection March 2018

February ​2018​

​​​​​​Requirements for Requesting a Nursing Facility Level of Care​

January ​2018​

Network Connection January 2018​​ The Supplement for the Early Periodic Screening, Diagnostic and Treatment Program Was ​Updated​​ 2018 Practitioner and Provider Manual Available on PHS.orgAttending, Ordering, Referring, Rendering and Prescribing Providers are Required to Enroll in New Mexico Medicaid​​​​National Imaging Associates Inc. Updated Magellan Healthcare’s Clinical Guidelines​​​​Use the V1 Demonstration Modifier for Wound Care Claims​​

​December ​2017​

Manual EVV Claim Entries Require Supporting Documentation​ Pharmacy and Therapeutics Committee Provider Update Fourth Quarter 2017​ Important Information regarding Hospice Rates and Revenue Codes​

November 2017​

​Network Connection

October 2017​

Updated Fax Numbers for Care Coordination​ HSD's Revised Card Policy

September 2017​

Network Connection​Important Information Regarding the Provider Care Unit Help Members Find Your Office with Real-Time Provider Directory Updates​ Important Information Regarding BioTE​

August 2017

Pharmacy and Therapeutics Committee Provider Update Third Quarter 2017 – Formulary Changes Effective 8.15.2017 2017 Practitioner and Provider Manuals are available on PHS.orgCentennial Care Providers Must be Enrolled with HSD

July 2017

Network Connection​ ​

June 2017

Pharmacy and Therapeutics (P&T) Committee Provider Update

May 2017

Network Connection

April 2017

Electronic Corrected ClaimsNew Fax Number for BH CI ReportingReal-time Provider Directory Updates–Demographic Information Request HSD Enrollment for Non-par Providers

March 2017

Network ConnectionNew Roswell TriCore Reference LaboratoriesNew Transfer form for PCS Providers EVV Compliance Letter Changes in Centennial Care Fee schedule for 90847 with or without HK

February 2017

Delegation Reporting Obligation NotificationNew Fax Numbers for Presbyterian Care CoordinationReminder: Medical Record ReimbursementIMPORTANT UPDATES: Coding, Claims, Reimbursement, BillingPresbyterian Member Survey InitiativeALERT: Risk of Claim Denial; Medicaid Registration Required for Both Group and Individual Centennial Care ProvidersImportant: Changes to Incontinence Products for Centennial Care MembersPharmacy and Therapeutics (P&T) Committee Provider Update

January 2017

2017 Practitioner and Provider Manuals availableNetwork Connection

December 2016

Continuity of Care for Pregnant Members with Individual Presbyterian Health Insurance Exchange PlansPharmacy & Therapeutic Committee Provider Update

November 2016

Network ConnectionUpdates to Dual-Eligible Claims Processing

October 2016

Medicare’s Multiple Procedure Payment Reduction PolicySchool-based Health Center Medical Homes Reminder

September 2016

Network ConnectionAffordable Care Act Section 1557 Claims-related changesReimbursement for Long-acting Retractable Contraceptive Services for FQHCsPCSC Will No Longer Provide a Confirmation/Reference Numbers for Claims Status Inquiries

August 2016

Real-time Directory UpdatesPharmacy & Therapeutic Committee Provider UpdatePresbyterian Dual Plus (HMO SNP) Reminder Letter

July 2016

Medicaid Professional Fee ScheduleNational Imaging Associates, Inc. (NIA) Medical Specialty Solutions Program is Replacing Health Help Network ConnectionMedicaid Fee Schedule

June 2016

NMDOH to Allow Registered Pharmacists to Dispense NaloxoneElectronic Visit Verification Tablets and Smartphone Stipend Update

May 2016

Pharmacy & Therapeutic Committee Provider UpdateMedicaid Registration Required for Provider GroupsNetwork Connection

April 2016

Centennial Care Rate Reductions Pre-notificationReal-time Provider Directory Updates: Selecting a Delegate to Make ChangesYour Guide to In-network Labs

March 2016

Network ConnectionUse Contracted Laboratory Providers for all Laboratory Testing

February 2016

Pharmacy & Therapeutic Committee Provider UpdateReal-time Provider Directory Updates Coming Soon2016 Practitioner and Provider Manuals Now Available

January 2016

Pharmacy and Therapeutics Committee Provider Update: First Quarter 2016Transgender Reassignment Surgery Covered by MedicareAnticoagulation Medication Management and MonitoringCoding and Reimbursement First Quarter Newsletter
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