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Provider Alert Archive
2024
4/1/2024 – Carelon program prior authorization updates (PDF)
2022
12/22/2022 – Minnesota's provider tax to decrease from 1.8% to 1.6% (PDF)
2021
02/03/2021 – Submit Claims With Correct Payer ID to Help Ensure Timely Payment (PDF)
2020
10/15/2020 – Reminder: Sign Up With InstaMed Today to Receive EFT ClaimPayments Starting Next Month (PDF)
08/20/2020 – COVID-19 Special Edition (PDF)
05/05/2020 – Medica Makes Credentialing Adjustments for Practitioners During Pandemic (PDF)
04/28/2020 – Medica to Add Quantity Limits on Certain Drugs Used for COVID-19 (PDF)
04/03/2020 – Medica Expands Coverage and Payment for Telehealth Services (PDF)
04/01/2020 – Medica Temporarily Waives Prior Authorization for Post-AcuteCare Settings Due to COVID-19 Crisis (PDF)
03/26/2020 – Medica Expands 2 Telehealth Policies (PDF)
03/20/2020 – Notice of an Emergency Reimbursement Policy on COVID-19 lab testing claims (PDF)
03/17/2020 – A Message to Our Partners: Medica staff will be working remotely (PDF)
03/10/2020 – Medica Waives All Cost Sharing for COVID-19 Testing (PDF)
01/06/2020 – Pharmacy Appeal Requests for 2019 Dates of Service Need to be Directed to Medica, Not CVS (PDF)
2019
11/14/2019 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
11/01/2019 – Medica to Launch First 2 Commercial ACO Products in Nebraska (PDF)
08/13/2019 – Medica Expands Insulin Cost Relief Program to Include North Dakota (PDF)
08/06/2019 – Medica Introduces Insulin Cost Relief Program (PDF)
06/17/2019 – Medica Also Takes Steps to Help Missouri IFB Members Affected by
Natural Disasters (PDF)
04/10/2019 – Medica Takes Steps to Help Nebraska, Iowa IFB Members Affected by
Flooding (PDF)
03/05/2019 – For Medica Signature Solution Members, Submit Claims to Medicare First (PDF)
02/15/2019 – Medica No Longer Requires Prior Authorization for Knee and Hip
Surgical Procedures (PDF)
2018
05/18/2018 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
01/11/2018 – Medica Call Centers Closed for MLK Jr. Day (PDF)
2017
10/10/2017 – Medica's Statement on Market Changes (PDF)
08/18/2017 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
08/17/2017 – Medica Announces Its Intent to Acquire MMSI (PDF)
05/19/2017 – Limited Availability of Medica Electronic Transactions This Weekend
05/17/2017 – Medica Expands Coverage for GERD Treatment (PDF)
04/10/2017 – Medica to Implement Drug Coverage Policy for Exondys 51 (PDF)
04/06/2017 – Update on Processing Drug-Related Claims With NDC Details (PDF)
04/04/2017 – Clarification on MHCP Members Who Will Continue to Have Medica Coverage After April 30 (PDF)
03/31/2017 – Medica Adds Policy for New-to-Market Medical Benefit Drugs and Biologics (PDF)
03/16/2017 – Medica to Require Prior Authorization for Spinraza (PDF)
03/15/2017 – Medica Approves Coverage for Obstructive Sleep Apnea Procedure (PDF)
02/09/2017 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
2016
12/21/2016 – Medica Expands Coverage for Test and Treatment Technologies (PDF)
11/16/2016 – Medica Modifies UM Policies for Spine Surgeries, Tumor Treatment (PDF)
11/10/2016 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
10/25/2016 – Important Pharmacy Changes Coming for Medica Patients, Including New Diabetes Program (PDF)
10/19/2016 – Medica Expands Coverage for Digital Breast Tomosynthesis (PDF)
10/06/2016 – IFB Electronic Transactions Not Available This Weekend (PDF)
09/21/2016 – Medica Expands Coverage for Genetic Testing, Spinal Cord Stimulation (PDF)
08/18/2016 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
08/17/2016 – Medica Expands Coverage for Lumbar Interbody Fusion (PDF)
06/15/2016 – Medica Expands Coverage for 2 Test Procedures (PDF)
05/20/2016 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
05/12/2016 – GY Modifier Accepted on Medicare Claims With Status X Codes (PDF)
04/28/2016 – Medica to Enhance 835 Transaction Related to IFB Claims (PDF)
04/15/2016 – New Policy to Address Intensity-Modulated Radiation Therapy (IMRT) – (PDF)
04/01/2016 – New Policy to Address Electric Tumor Treatment Fields (PDF)
03/16/2016 – Coverage Expanded for Genetic Testing for Thyroid Cancer (PDF)
03/01/2016 – New Policy to Address Outpatient Urine Drug Testing (PDF)
02/11/2016 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
01/04/2016 – Provider Call Center Claims Lines Temporarily Closed (PDF)
2015
12/23/2015 – Medica to Revise Policy on Genetic Testing for Cancer (PDF)
12/17/2015 – Medica Expands Coverage for Heart Valve Procedures (PDF)
12/01/2015 – New and Updated Coverage and UM Policies, Eff. Feb. 1, 2016 (PDF)
11/19/2015 – Medica Expands Coverage for 2 Spine Surgeries (PDF)
11/12/2015 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
11/05/2015 – New Coverage Policy Will Address Urine Drug Testing (PDF)
10/02/2015 – Upcoming Training on MHCP Changes (PDF)
08/20/2015 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
08/19/2015 – CMS to Host Provider Call on ICD-10 Coding Guidance and Tips (PDF)
07/13/2015 – Medica Updates Medicare Physician Fee Schedule (PDF)
05/20/2015 – Medica No Longer Requires Prior Authorization for Wound Therapy (PDF)
05/19/2015 – Medica to Make Medicare Coding Updates (PDF)
05/15/2015 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
03/17/2015 – Last Call to Sign Up! Learn About Changes to Medical Benefit Drugs (PDF)
02/16/2015 – CMS to Host Provider Call on ICD-10 Testing Next Week (PDF)
02/12/2015 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
02/05/2015 – More Enhanced EDI Claim Edits Scheduled for March 2015 (PDF)
02/04/2015 – Upcoming Webinars: "Prior Authorization Changes for Medical Benefit Drugs" (PDF)
01/21/2015 – Medica Expands Coverage of Continuous Glucose Monitoring Systems (PDF)
2014
12/23/2014 – Significant CPT and HCPCS Code Updates for 2015 (PDF)
12/17/2014 – Medica Expands Coverage of Screening Procedure for Lung Cancer (PDF)
11/19/2014 – Medica Delays Policy Update for Continuous Glucose Monitoring Systems (PDF)
11/13/2014 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
11/07/2014 – Children's Notifies Medica of Intent to Terminate Network Contract (PDF)
09/22/2014 – Medica to Begin Concurrent Review Process at Selected Minnesota Facilities (PDF)
08/21/2014 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
05/14/2014 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
03/03/2014 – Medica Extends Premium Designation Reconsideration Period (PDF)
02/27/2014 – Claims for IFB Members Require Payer ID #12422 (PDF)
02/20/2014 – Premium Designation Portal Undergoing Maintenance This Weekend (PDF)
02/17/2014 – Free CMS ICD-10 Compliance Training Available This Week (PDF)
02/12/2014 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
2013
12/30/2013 – New Edit for Preventive E/M Services Billed With Vaccine Administration (PDF)
11/27/2013 – Medica Expands Coverage for Cervical Disc Procedure (PDF)
11/26/2013 – Group Code Defect Identified on Electronic and Paper Remittances (PDF)
10/23/2013 – Free Webinar coming up on ICD-10 Testing (PDF)
10/21/2013 – Providers Encouraged to Take ICD-10 Readiness Survey by Oct. 31 (PDF)
09/06/2013 – Providers to Receive Second Mailing of Contract Amendments (PDF)
08/30/2013 – Some Providers to Receive Second Mailing to Validate Demographic Data (PDF)
08/21/2013 – Free Webinar Coming up on ICD-10 Coding Accuracy (PDF)
06/25/2013 – HIPPS Codes Required for SNF Medicare Patient Encounters (PDF)
06/03/2013 – Medica to Reward Care Innovation With Awards Up to $25,000 Each (PDF)
05/31/2013 – Claims Incorrectly Denied With Remark Codes CO 16, N115 (PDF)
05/16/2013 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
04/22/2013 – Medica Paying Medicare Claims with 2% Sequester Reduction (PDF)
04/09/2013 – Medica Holding Medicare Claims Due to Sequester (PDF)
03/12/2013 – NPI to be Removed from ACH Addenda Record as of March 27 (PDF)
02/14/2013 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
02/01/2013 – Limited Availability of Medica Electronic Transactions This Weekend (PDF)
01/14/2013 – MHCP Claims to Require NDC Number Effective March 1 (PDF)