Effective May 1, 2022, Dermatology Network Solutions will be the statewide subcontractor providing dermatology services to Simply and CHA members.
Effective May 1, 2022, Podiatry Network Solutions will be the statewide subcontractor providing podiatry services to Simply and CHA members.
Earn CME/CEU credit by accessing the Trauma Informed Care for Physicians training by June 30, 2022.
This notice is to remind providers that Simply and CHA follow the HIV therapy automated prior authorization logic and HIV/PrEP (pre-exposure prophylaxis) Clinical Criteria as posted on the Agency for Health Care Administration (AHCA) website. HIV medication therapy must have specific diagnosis codes in the medical history. For PrEP, providers must submit an AHCA HIV Diagnosis Verification Form or Prophylaxis for HIV Form.
The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.
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Clear Health Alliance is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.
We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.