News and Updates

• Blue Review Newsletter
  

• 4/24/25 Your NICU Claims Submissions Should Match Prior Authorization Levels of Care Effective Aug. 1, 2025
• 4/23/25 Payment Error Rate Measurement Program Identifies Common Medicaid Claims Errors
• 4/09/25 Reinforce Prenatal and Postpartum Care to Support Whole Health
• 4/03/25 Prior Authorization Changes for Medicare Advantage and Healthy Montana Kids, Effective July 1, 2025
• 4/03/25 Prior Authorization Changes for Some Commercial Members, Effective July 1, 2025
• 4/03/25 Pharmacy Program Quarterly Update Changes Effective April 1, 2025 – Part 2
• 3/27/25 Coding and Compensation Policy Updates
• 3/26/25 Clinical Series Program Offers Education on Pediatric Care
• 3/19/25 Cigna Healthcare Medicare Advantage Transaction Complete
• 3/17/25 Watch for Our Annual Satisfaction Survey
• 3/14/25 Update Your Records with New Member ID Numbers
• 3/13/25 Quality Measures Track Treatment and Follow-Up Visits for Substance Use Disorders
• 3/05/25 Earn Continuing Education Credit in Webinar on Behavioral Health in Older Adults
• 2/26/25 We’re Updating Our Payment Systems to Help Improve Efficiencies 
• 2/25/25 Coding and Compensation Policy Updates
• 2/14/25 Claims Review to Be Enhanced for Oncology Drugs and Services for Medicare Members, Effective June 1, 2025
• 2/14/25 Education and Residency Information Required for Directory
• 2/14/25 Encourage Follow-up Care after Hospital Visits for Mental Health
• 2/12/25 Has Your Information Changed? Update Us and the NPI Registry
• 2/07/25 Itemized Bills or Medical Records May Be Required for Additional Facility Claims
• 2/07/25 Utilization Management Review Paused for Advanced Imaging Site of Care
• 2/05/25 Discuss Colon Health and Preventive Screening with Our Members
• 2/04/25 Earn Continuing Education Credit with Courses on Tobacco Cessation
• 2/03/25 Pharmacy Program Quarterly Update Changes Effective April 1, 2025 – Part 1
• 1/24/25 Encourage Medicare Advantage Members to Respond to Survey on Health Care Experiences
• 1/24/25 Update: Medical Policy Updates for Self-Administered Drugs Effective April 15, 2025
• 1/23/25 March of Dimes^® Courses on Maternal Mental Health Offer Continuing Education Credit at No Cost 
• 1/23/25 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
• 1/22/25 Hospitals Must Provide Notice to Members Under Outpatient Observation for More Than 24 Hours 
• 1/15/25 Avoid the Inappropriate Use of Antipsychotic Medication in Anxiety Disorders
• 1/15/25 Confirm Your Medical Records Align with Submitted Claims
• 1/13/25 Big Sky Pulmonary Conference Set for March 6-7, 2025
• 1/10/25 Quality Measures Help Track Our Members’ Heart Health
• 1/10/25 Laboratory Management Payment and Coding Policies Updated
• 1/09/25 Reduce Barriers to Care for Indigenous Montanans
• 1/07/25 Pharmacy Program Quarterly Update Changes Effective Jan. 1, 2025 – Part 2

Related Resources

• 2024 News Archive
  
• 2023 News Archive
• Blue Review Archive