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2026
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- October 13, 2026: New Availity® button connects providers to EviCore (PDF)
- October 13, 2026: View authorization status letters on Availity® (PDF)
- September 15, 2026: Understanding the CAHPS® Survey (PDF)
- August 31, 2026: Waste and Error - Claims Review (PDF)
- August 26, 2026: Availity Improved Claim Experience (PDF)
- August 26, 2026: Availity Attachment Dashboard Resource Guide (PDF)
- August 20, 2026: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
- August 12, 2026: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
- August 12, 2026: New Jersey Medicaid Policies Updates (PDF)
- August 4, 2026: Upcoming Enforcement of NJ Medicaid Claim Edits (PDF)
- June 4, 2026: Changes to reimbursement for non-participating providers (PDF)
- May 15, 2026: Introducing Aetna® Prior Authorization Bundles for Oncology (PDF)
- April 29, 2026: Enhancing claims intake editing for SNIP Types 1 – 4 (PDF)
- April 29, 2026: Cotiviti PCCV Implementation (PDF)
- April 29, 2026: Cotiviti PCCV Implementation (PDF)
- March 16, 2026: Prior Authorization Metrics for Medical Items and Services (PDF)
- March 6, 2026: Transition From Sepsis-2 to Sepsis-3 Criteria for Pre-Pay DRG Review (PDF)
- February 27, 2026: Depression HEDIS Tips (PDF)
- February 27, 2026: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
- February 5, 2026: Aetna - MH Partial Care (PC) and PC Transportation (PDF)
- January 8, 2026: Topical Fluoride Varnish for Children (PDF)
2025
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- December 2, 2025: Billing Guidance Outline for Sickle Cell Disease (SCD) Gene Therapies (PDF)
- December 1, 2025: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
- November 14, 2025: Time to Register! Aetna Better Health Webinar Understanding the CAHPS (PDF)
- November 11, 2025: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
- September 4, 2025: : Provider Network Update (PDF)
- August 21, 2025: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
- August 20, 2025: CLIA Certificate Editing (PDF)
- August 18, 2025: New Policy Update: Clinical Payment, Coding and Policy Changes (PDF)
- July 25, 2025: MH Partial Care (PC) and PC Transportation (PDF)
- July 1, 2025: Physician-administered drug claim submission requirements reminder (PDF)
- July 1, 2025: EviCore Prior Authorization Code Requirement (PDF)
- May 22, 2025: Oral Health in Children (PDF)
- May 15, 2025: Summary of EPSDT/PDN Services (PDF)
- May 15, 2025: Criminal Background Screening Policy (PDF)
- March 31, 2025: CXT New State Rule for NJ Medicaid (PDF)
- March 6, 2025: NJ FamilyCare Behavioral Health Integration, Extension of 90-Day Transition Policies (PDF)
- January 27, 2025: NJSAMS Update (PDF)
- January 16, 2025: L5782 CPT Code Update (PDF)
2024
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December 31, 2024: Enhancements to our claims editing programs (PDF)
December 30, 2024: New Policy Update: Clinical Payment, Coding and Policy Changes (PDF)
December 30, 2024: New Policy Update: Clinical Payment, Coding and Policy Changes (PDF)
December 30, 2024: New Policy Update: Clinical Payment, Coding and Policy Changes (PDF)
December 12, 2024: Enhancing claims intake editing for SNIP Types (PDF)
December 12, 2024: Acute Hospital Care at Home Services Policy (PDF)
November 14, 2024: Updates to laboratory codes 81513 & 81514 (PDF)
October 24, 2024: Medicaid Lab NCDs and Precertification Optimization (PDF)
October 22, 2024: Pharmacy Update - Contraceptive Counseling Services (PDF)
October 17, 2024: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
October 11, 2024: Aetna and Quest Analytics Partnership (PDF)
September 30, 2024: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
September 9. 2024: EFT/ERA registration vendor services (PDF)
August 22, 2024: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
July 25, 2024: Reimbursement to Ambulatory Surgical Centers (ASC) For Dental Services (PDF)
July 12, 2024: CLIA Certificate Editing (PDF)
June 19, 2024: Home- and Community-Based Services Loan Redemption Program Webinar (PDF)
June 17, 2024: Genetic codes (PDF)
May 23, 2024: Non-Medically Indicated Early Elective Deliveries Revised Diagnosis Codes (PDF)
April 18, 2024: Medicaid Precertification Optimization (PDF)
April 8, 2024: New Policy Updates: UM Transformation PA Yes (PDF)
April 3, 2024: April 1, 2024: New Policy Updates: NJ RSV Medicaid Provider Notification (PDF)
March 29, 2024: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
March 5, 2024: Non-Medically Indicated Early Elective Deliveries Revised Diagnosis Codes (PDF)