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January 07, 2020
Prior Authorization Requirements for Psychotropic Medications in Children and Adolescents
New York state requires CDPHP, as a Medicaid Managed Care plan, to implement a Children’s Behavioral Health Pharmacy Program that includes the monitoring and oversight of key medications for children. Effective February 1, 2020, prior authorization will be required for:
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December 18, 2019
October 2019 Code Auditing Changes
Quarterly, Capital District Physicians’ Health Plan, Inc. (CDPHP®) implements appropriate code auditing changes to remain current with industry standard coding updates. Updates are made to our code auditing software Change Healthcare Technologies, LLC ClaimsXten™ based on recommendations from a variety of sources, including the American Medical Association (AMA), Centers for Medicaid and Medicare Services (CMS)…
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October 03, 2019
Annual CAHPS and HEDIS Survey Results: An Overview
On an annual basis, CDPHP assesses member satisfaction with their health care providers and our health plan using the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) and Health Effectiveness Data and Information Set (HEDIS®) surveys. Members rate their satisfaction with various aspects of health care, including their health plan, overall health care, primary and…
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September 24, 2019
Prior Authorizations to Be Eliminated for 17 Care Services and Supplies
In a move designed to relieve some of the administrative burdens experienced by medical practices within our network, CDPHP is removing the requirement for prior authorization for the following services and procedures, effective January 1, 2020:
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September 03, 2019
July 2019 Code-Auditing Changes
Quarterly, Capital District Physicians’ Health Plan, Inc. (CDPHP®) implements appropriate code-auditing changes to remain current with industry standards. Updates are made to our code-auditing software, Change Healthcare Technologies, LLC ClaimsXten™, based on recommendations from a variety of sources, including the American Medical Association (AMA), Centers for Medicaid and Medicare Services (CMS) Correct Coding Initiative and…
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June 26, 2019
The Critical Role of Physicians in Adolescent Well Care
While helping adolescents avoid unintended pregnancies, sexually transmitted infections, depression, eating disorders, and substance abuse is necessarily a community-wide initiative, primary care providers are in a great position to support teens and their families in this effort. Indeed, a healthy transition to adulthood relies on having a non-judgmental adult who can offer accurate information about…
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