Provider Administrative newsletter
September 2026: Prior auth support for radiology services starting Nov. 1
Meeting Senior Care Options (SCO) and One Care members where they are
15 minute read
August 2026: Plan receives Health Outcomes Accreditation for commercial plans by the NCQA
Independence through support: A more inclusive approach to health care
12 minute read
July 2026: Required MOC training for D-SNP providers; Prime update
Digital equity for all ages: Helping older adults access technology and care
10 minute read
June 2026: Billing reminder for D-SNPs; Supplier Diversity Program
Men's Health Month: 7 essential screenings
11 minute read
May 2026: Mental Health Awareness Month
From experimentation to dependency: How substance use can escalate over time
12 minute read
April 2026: MassHealth RY25 encounter data deadline; hospital inpatient utilization report
Understanding the spectrum of autism: A clear, compassionate guide
12 minute read
March 2026: Weight management program for members; interpreter services through LanguageLine
Mass General Brigham ACO recognized as “ACO to Know” by Becker’s Healthcare
9 minute read
February 2026: Submitting PA requests to Prime; utilization management updates
Brave the cold: What New Englanders can learn from Norway’s winter wellness mindset
9 minute read
January 2026: D-SNPs provider FAQs and webinar; enroll in MCPAP
Helping primary care providers approach patients’ mental health needs
12 minute read
December 2025: Prime webinar sessions added; required MOC training for SCO and One Care providers
From blood drives to companionship: Six ways to make a difference in healthcare
12 minute read
November 2025: Upcoming provider events and webinars
Last chance: Join us for the Fall Regional Provider Meeting on November 10
13 minute read
October 2025: Fall Regional Provider Meeting; Prime Therapeutics webinars
Understanding the NICU: Helping families cope and connect
13 minute read
September 2025: Update on GLP-1s; Prime Therapeutics coming soon; EOP updates for October 1
Interstitial Cystitis Awareness Month: Raising awareness, understanding symptoms, and exploring...
9 minute read
August 2025: Join our Quality Program Committee; register for our Provider Portal webinar
Understanding PTSD in first responders: A call for support and awareness
10 minute read
July 2025: Utilization Management updates effective Sept. 1; retraction of recent auth policy update
Expanding access to care for people with Down syndrome
12 minute read
New in 2024 - Member ID Cards, Optum Rx, and Complete Access EPO
Featured story: Comparing coverage: What's the difference between an HMO, PPO, and EPO?
11 minute read
New Member ID Cards and Numbers, Optum Rx Training in December, Vaccine Alerts for RSV and COVID-19
Featured story: How volunteering affects your health
11 minute read
Pharmacy Benefit Manager Changing to Optum Rx on January 1, 2024
Featured story: Are you empowering patients with these health literacy strategies? Personal health...
6 minute read
New Massachusetts Step Therapy Law and Expedited Psychiatric Inpatient Admissions in October 2023
Featured story: Behavioral health offerings for members at Mass General Brigham Health Plan Mental...
16 minute read
Medicare Advantage, Interqual update, and provider enrollment changes in September 2023
Featured story:School restart: Helping kids adjust to a new morning routine Even if your kids have...
9 minute read
Medicare Advantage billing, Roadmap for Behavioral Health reform, and code updates August 2023
Featured story:The effects of bias on women's health Everyone deserves equal access to quality...
11 minute read
Continuity of care, chiropractic benefits, and medical policy updates in July 2023
Featured story to share with patients:Summer tips shield yourself from sunburns Sunshine offers...
15 minute read
Launch of comprehensive women’s health portfolio, Group Insurance Commission updates, and clinical practice guidelines in June 2023
Featured story:Mass General Brigham Health Plan Announces Launch of Comprehensive Women’s Health...
17 minute read
MassHealth eligibility redeterminations, calls to customer service, and provider resources in May 2023
Featured story: When irritable bowel syndrome (IBS) flares, here's how to put out the flames IBS...
10 minute read
Updating your directory information and a provider webinar on utilization and authorization in April 2023
Featured story: How to manage adult scoliosis “Adult scoliosis isn’t a new diagnosis, but it’s...
15 minute read
Announcing the Mass General Brigham ACO and discharge notifications for providers in February 2023
Featured story: Revamp your winter skin care with these 5 tips Whether you live in a place that...
5 minute read