News

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Current issue: November 1, 2019 Provider Update

The latest news for our providers, including coverage updates, coding reminders, mandates, plan changes, requirements and more.

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CarePartners of Connecticut distributes its Provider Update newsletter by email. In order to receive Provider Update, you must complete the online registration form by registering your email. 

Apr 30, 2019

HEDIS Comprehensive Care for Diabetes (CCD) continues to be a core measure of health plan performance, as well as provider effectiveness of care. This measures the percentage of members 18–75 years of age with diabetes (type 1 and type 2) who have had each of the following:

Jan 31, 2019

Welcome to the CarePartners of Connecticut provider network. CarePartners of Connecticut is a new Medicare Advantage health plan dedicated to serving the Medicare-eligible population in Connecticut.* Our company is a not-for-profit joint venture in which Tufts Health Plan has partnered with Hartford Healthcare.

Jan 31, 2019

Provider Update is CarePartners of Connecticut’s quarterly newsletter for providers, hospital administrators and ancillary providers in the CarePartners of Connecticut network. Provider Update is CarePartners of Connecticut’s primary vehicle for providing 60-day notifications and other critical business-related information to providers.

Jan 31, 2019

As a routine business practice, claims are subject to payment edits that are updated at regular intervals and generally based on CMS (including the National Correct Coding Initiative [NCCI]), specialty society guidelines and drug manufacturers’ package label inserts.

Jan 31, 2019

Opioid-naïve members’ prescriptions

As a reminder, and in accordance with CMS requirements, per the Comprehensive Addiction and Recovery Act (CARA), CarePartners of Connecticut denies opioid-naïve members’ prescriptions exceeding seven days for acute pain.

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