Read Article
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:
#Network in the Know
Read Article
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…
#Network in the Know
Read Article
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…
#Network in the Know
Read Article
June 26, 2019
Early Childhood Screenings Help Ensure Healthy Outcomes
CDPHP is supporting a New York State Department of Health (NYSDOH) performance improvement project to promote screening, testing, and linkage to services for Managed Medicaid members ages birth to three years. The initiative focuses on achieving improved health outcomes for these children and educating parents/caregivers about the negative consequences of lead exposure, newborn hearing loss,…
#Network in the Know
Read Article
June 26, 2019
Social Determinants of Health: Breaking Down Barriers to Care
CDPHP has partnered with multiple community organizations to identify resources that can help remove barriers to care for those members who are grappling with issues like food insecurity, housing instability, and transportation. If your CDPHP patient needs this type of assistance, you can call our Single Source Referral Line at 1-888-942-3747, providing the patient’s name,…
#Network in the Know
Read Article
June 26, 2019
Finding the Best Resources for Patients Who Misuse Alcohol or Drugs
Due to the increased prevalence of substance abuse and misuse, CDPHP is taking steps to work with you to initiate and engage members in care. Many people who misuse alcohol and other drugs disclose their substance use concerns to their health care providers. If you determine your patient needs help, please make a referral to…
#Network in the Know
The Daily Dose