View the latest updates to Medical Clinical Policies
2026 Notifications
- 26-652 State of Emergency: Impacts from Late December 2025 Storms
- 26-622 Your Input Matters: Take the Provider Satisfaction Survey
- 26-581 New Claims Editing Requirements for Bundled Codes
- 26-526 Missed It? CAHPS A.I.M. Make Up Webinar
- 26-393 California Immunization Requirements
- 26-418m Medication Trend Updates and Formulary Changes – Q2 2026
- 26-271m Enhancing Patient Experience Through Timely Access
- 26-345m Part D Coverage of Insulin and Biosimilars
- 26-343m Preferred Pharmacy Network
- 26-284m New State-Mandated Chaperone Requirements for Sensitive Ultrasound Exams
- 26-265m Medicare Tier 6: Select Care Drugs
- 26-249m Quick Reference Guide – Prescribing Diabetes Drugs
- 26-242 Providers: No-Cost Webinars to Help Improve Patient Experience
- 26-082m Empower Patient Health With Annual Preventive Care Visits
- 26-062m Updates to Medicare Clinical Policies – December 2025
- 26-044 2026 Formulary Change Update
- 26-006m Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults
2025 Notifications
- 26-022m Medication Trend Updates and Formulary Changes – 1st Quarter 2026
- 25-1424 CA State of Emergency - Late December Storms throughout California
- 25-1418 Reminder: Watch the One-Hour Cultural Humility and Competency Training Video by December 31
- 25-1311 Urgent Action Needed: Close Critical Care Gaps Before Year End
- 25-1280 Telehealth Benefits Remain Available Under Wellcare Plans Through 2026
- 25-1247 Action Required: Ensure Depression Screenings Count Toward Quality Metrics
- 25-1215m Opioid Interactions: Potentiator Drugs That Increase the Risk of Overdose
- 25-1242 Strengthen Patient Safety at Your Hospital With Expert-Led Support and Proven Tools
- 25-1253m Streamline Compliance With Same-Day Scheduling
- 25-1175 Urgent: New Law Expands Patient Privacy Protections – Compliance Required by November 4, 2025
- 25-1185 2026 Medicare Advantage Updates
- 25-1195 Correction to Provider Update 25-1001 – Prior Authorization Code Clarification
- 25-1139m Submit Medical Records for HEDIS® Review Starting January 2, 2026
- 25-1126m Updates to Medicare Clinical Policies – September 2025
- 25-1077m Strengthening Cognitive Health in Aging Patients
- 25-1031m Medication Trend Updates and Formulary Changes – 4th Quarter 2025
- 25-1063 Comply With State Law: Sign Mandatory Data Sharing Agreement by January 31, 2026
- 25-1035m Protect Your Patients with the Flu Vaccine: Flu Season Has Arrived
- 25-1001 Streamlined Prior Auth Starts Dec. 1 – What You Need to Know
- 25-919 Advance Health Equity: Complete Your Required Cultural Humility & Competency Training
- 25-927m Updates to Medicare Medical Clinical Policies – July 2025
- 25-824m Improve Member Care By Making Medical Record Sharing Easy and Secure
- 25-831 Prepare for New Prior Authorization Timelines
- 25-826m Notice of Health Outcomes Survey Flyer
- 25-726m Coming Soon: 2025 Provider Availability & After-Hours Surveys
- 25-682m Medication Formulary Changes – 3rd Quarter 2025
- 25-704 Does Your Hospital Have Adequate Supplies and Staff Levels?
- 25-654 State of Emergency: City of Malibu's Recovery from the Franklin Fire
- Model of Care (MOC) Training Required
- 25-541 Mark Your Calendar: New Peer-to-Peer Request Line Launches July 12, 2025
- 25-370m Quick Reference Guide - Prescribing Diabetes Drugs
- 25-470m 2025 Non-Formulary Drug Alternatives Available for Physicians & other Providers
- 25-451m Important: Telehealth Benefits Continue Under Our MA Plans
- 25-412m Extended-Day Supply Prescription (PDP)
- 25-411m Extended-Day Supply Prescription (MAPD)
- 25-449 Urgent Notice: Planned Strike at L.A. County Department of Health Services
- 25-436 Relief for Providers Impacted by Southern California Wildfires
- 25-399m Concurrent Use of Opioids and Benzodiazepines
- 25-397m Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults
- 25-386m Medication Formulary Changes – 2nd Qtr. 2025
- 25-387m Access Online Transplant Performance Centers List
- 25-344m We want to know What’s important to you
- 25-362 Streamlined Transactions with New Features on the Availity Essentials™ Provider Portal
- 25-296 ADT Data Report Change
- 25-281m 2025 Medicare Mammogram Facility Incentive Program
- 25-301 Submission Timelines Extended from 60 to 65 Days for Certain Appeals
- 25-280 Physicians Can Now Supervise Up to Eight Physician Assistants When Criteria Are Met
- 25-269m Updates to Medicare Clinical and Medical Policies – April 2025
- 25-251 Out-of-network Referrals
- 25-257 Register now! Create a Positive Outcome and Improve Access to Care
- 25-221 Find Training/Resources in One Spot on Our Website
- 25-195m Stay Compliant By Reviewing Changes to Medical Policies for Medicare
- 25-199 Tips to Use the Availity Essentials Portal
- 25-043 Find Out What Changed: New Coverage Requirements for PrEP
- 25-005m Assist Members With Getting Care Fast
- 25-100 SB 923 Gender Affirming Training
- 25-057 State of Emergency: Southern California Windstorm and Fires
- 25-027m Medication Formulary Changes – 1st Quarter 2025
