2026
- CareCentrix Medical Necessity Review Criteria Change: Effective May 1, 2026
- Cotiviti Evaluation and Management Leveling
- Review CPT Codes for Medicaid, Medicare, and Marketplace Plans That Will No Longer Require Prior Authorization
2025
- Medicare Telehealth Flexibilities for Wellcare Members through 2026
- Important Prior Authorization Updates: Effective April 1, 2026 (PDF)
- CMS Prior Authorization Change: Effective January 1, 2026
- Meridian’s Clean Claim Vendor is 6 Degrees Health
- Important Prior Authorization Updates: Effective October 17, 2025
- Medicare Prior Authorization Change Summary: Effective 10/1/2025
- Introducing Availity Editing Services
- Model of Care Training Required
- Medicare Prior Authorization Change Summary: Effective 7/1/2025
- Notice of Changes by Medicare That May Affect Drug Coverage
