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We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.

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News

Medicaid: New VBT and extremity prosthetic prior authorization codes

On Sept. 1, 2026, we’ll add new prior authorization codes for VBT and extremity prosthetic services in select states.

New Mexico Medicaid: State enrollment is required for claim payment

Effective July 1, 2026, rendering, ordering and prescribing providers must enroll with Medicaid to receive reimbursement.

Maryland Medicaid: Balance billing is not permitted

Avoid payment recoupment and sanctions. See what steps you can take to stay compliant with balance billing regulations.

Kentucky Medicaid: Outpatient therapy updates – what you need to know

Learn how KY Regulation 907 KAR 8:40 updates impact outpatient therapy authorization, medical necessity review and exemptions.

New Jersey Medicaid: New palliative care assistance program

Join the CBPC program to provide enhanced support for members with serious illnesses.

Prior authorization codes added for VBT services

On April 1, 2026, we added new prior authorization vertebral body tethering codes to the Vertebral Body Tethering Policy.

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