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Provider Alert Archive

2017 Provider Alerts

10/10/2017 - Medica's Statement on Market Changes (PDF)
08/18/2017 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
08/17/2017
- Medica Announces Its Intent to Acquire MMSI (PDF)
05/19/2017 - Limited Availability of Medica Electronic Transactions This Weekend
05/17/2017 - Medica Expands Coverage for GERD Treatment (PDF)
04/10/2017 -
Medica to Implement Drug Coverage Policy for Exondys 51 (PDF)
04/06/2017 - Update on Processing Drug-Related Claims With NDC Details (PDF) 
04/04/2017 - Clarification on MHCP Members Who Will Continue to Have Medica Coverage After April 30 (PDF)
03/31/2017 - Medica Adds Policy for New-to-Market Medical Benefit Drugs and Biologics (PDF)
03/16/2017 - Medica to Require Prior Authorization for Spinraza (PDF)
03/15/2017 - Medica Approves Coverage for Obstructive Sleep Apnea Procedure (PDF)
02/09/2017 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)


 

2016 Provider Alerts

12/21/2016 - Medica Expands Coverage for Test and Treatment Technologies (PDF)
11/16/2016 -Medica Modifies UM Policies for Spine Surgeries, Tumor Treatment (PDF)
11/10/2016 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
10/25/2016 - Important Pharmacy Changes Coming for Medica Patients, Including New Diabetes Program (PDF)
10/19/2016 - Medica Expands Coverage for Digital Breast Tomosynthesis (PDF)
10/06/2016 - IFB Electronic Transactions Not Available This Weekend (PDF)
09/21/2016 - Medica Expands Coverage for Genetic Testing, Spinal Cord Stimulation (PDF)
08/18/2016 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
08/17/2016 - Medica Expands Coverage for Lumbar Interbody Fusion (PDF)
06/15/2016 - Medica Expands Coverage for 2 Test Procedures (PDF)
05/20/2016 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
05/12/2016 - GY Modifier Accepted on Medicare Claims With Status X Codes (PDF)
04/28/2016 - Medica to Enhance 835 Transaction Related to IFB Claims (PDF)
04/15/2016 - New Policy to Address Intensity-Modulated Radiation Therapy (IMRT) – (PDF)
04/01/2016 - New Policy to Address Electric Tumor Treatment Fields (PDF)
03/16/2016 - Coverage Expanded for Genetic Testing for Thyroid Cancer (PDF)
03/01/2016 - New Policy to Address Outpatient Urine Drug Testing (PDF)
02/11/2016 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
01/04/2016 - Provider Call Center Claims Lines Temporarily Closed (PDF)


 

2015 Provider Alerts

12/23/2015 - Medica to Revise Policy on Genetic Testing for Cancer (PDF)
12/17/2015 - Medica Expands Coverage for Heart Valve Procedures (PDF)
12/01/2015 - New and Updated Coverage and UM Policies, Eff. Feb. 1, 2016 (PDF)
11/19/2015 - Medica Expands Coverage for 2 Spine Surgeries (PDF)
11/12/2015 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
11/05/2015 - New Coverage Policy Will Address Urine Drug Testing (PDF)
10/02/2015 - Upcoming Training on MHCP Changes (PDF) 
08/20/2015 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
08/19/2015 - CMS to Host Provider Call on ICD-10 Coding Guidance and Tips (PDF)
07/13/2015 - Medica Updates Medicare Physician Fee Schedule (PDF)
05/20/2015 - Medica No Longer Requires Prior Authorization for Wound Therapy (PDF)
05/19/2015 - Medica to Make Medicare Coding Updates (PDF)
05/15/2015 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
03/17/2015 - Last Call to Sign Up! Learn About Changes to Medical Benefit Drugs (PDF)
02/16/2015 - CMS to Host Provider Call on ICD-10 Testing Next Week (PDF)
02/12/2015 Limited Availability of Medica Electronic Transactions This Weekend (PDF)
02/05/2015 - More Enhanced EDI Claim Edits Scheduled for March 2015 (PDF)
02/04/2015 - Upcoming Webinars: "Prior Authorization Changes for Medical Benefit Drugs" (PDF)
01/21/2015 - Medica Expands Coverage of Continuous Glucose Monitoring Systems (PDF)


 

2014 Provider Alerts

12/23/2014 - Significant CPT and HCPCS Code Updates for 2015 (PDF)
12/17/2014 - Medica Expands Coverage of Screening Procedure for Lung Cancer (PDF)
11/19/2014 - Medica Delays Policy Update for Continuous Glucose Monitoring Systems (PDF)
11/13/2014 Limited Availability of Medica Electronic Transactions This Weekend (PDF)
11/07/2014 Children's Notifies Medica of Intent to Terminate Network Contract (PDF)
09/22/2014 - Medica to Begin Concurrent Review Process at Selected Minnesota Facilities (PDF)
08/21/2014 Limited Availability of Medica Electronic Transactions This Weekend (PDF)
05/14/2014 Limited Availability of Medica Electronic Transactions This Weekend (PDF)
03/03/2014 - Medica Extends Premium Designation Reconsideration Period (PDF)
02/27/2014 - Claims for IFB Members Require Payer ID #12422 (PDF)
02/20/2014 - Premium Designation Portal Undergoing Maintenance This Weekend (PDF)
02/17/2014 - Free CMS ICD-10 Compliance Training Available This Week (PDF)
02/12/2014 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)


 

2013 Provider Alerts

12/30/2013 - New Edit for Preventive E/M Services Billed With Vaccine Administration (PDF)
11/27/2013 - Medica Expands Coverage for Cervical Disc Procedure (PDF)
11/26/2013 - Group Code Defect Identified on Electronic and Paper Remittances (PDF)
10/23/2013 - Free Webinar coming up on ICD-10 Testing (PDF)
10/21/2013 - Providers Encouraged to Take ICD-10 Readiness Survey by Oct. 31 (PDF)
09/06/2013 - Providers to Receive Second Mailing of Contract Amendments (PDF)
08/30/2013 - Some Providers to Receive Second Mailing to Validate Demographic Data (PDF)
08/21/2013Free Webinar Coming up on ICD-10 Coding Accuracy (PDF)
06/25/2013 - HIPPS Codes Required for SNF Medicare Patient Encounters (PDF)
06/03/2013Medica to Reward Care Innovation With Awards Up to $25,000 Each (PDF)
05/31/2013Claims Incorrectly Denied With Remark Codes CO 16, N115 (PDF)
05/16/2013 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
04/22/2013Medica Paying Medicare Claims with 2% Sequester Reduction (PDF)
04/09/2013Medica Holding Medicare Claims Due to Sequester (PDF)
03/12/2013NPI to be Removed from ACH Addenda Record as of March 27 (PDF)
02/14/2013Limited Availability of Medica Electronic Transactions This Weekend (PDF)
02/01/2013Limited Availability of Medica Electronic Transactions This Weekend (PDF)
01/14/2013MHCP Claims to Require NDC Number Effective March 1 (PDF)


 

2012 Provider Alerts

12/18/2012 - Medica Delays Revision to MHCP Fee Schedule (PDF)
12/13/2012 - No Availability of Medica Electronic Transactions This Weekend (PDF)
12/03/2012 - Pharmacy-Related Survey Available Until December 31 (PDF)
11/08/2012 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
10/01/2012 - Free Webinar Coming up on ICD-10 Codeset Preparations (PDF)
08/09/2012 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
07/13/2012 - Claims Incorrectly Denied With Remark Codes OM, CO 11 (PDF)
06/01/2012 - Medica to Reward Care Innovation With Awards Worth Up to $25,000 Each (PDF)
05/16/2012 - Medica Changes Coverage for AmniSure (PDF)
05/10/2012 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
05/01/2012 - Medica Revises Medical Criteria for GI Surgery for Morbid Obesity (PDF)
04/23/2012 - Group Number Issue Requires Re-Issued ID Cards for MHCP Enrollees (PDF)
04/18/2012 - Medica Expands Coverage for Sacral Nerve Stimulation (PDF)
03/23/2012 - Medica Removes Prior Authorization Step for 2 Medications (PDF)
03/13/2012 - Billing for New Genetic Testing Codes (PDF)
02/10/2012 - Limited Availability of Medica Electronic Transactions This Weekend (PDF)
01/30/2012 - Enhanced Electronic Transactions Now Available Online (PDF)


 

2011 Provider Alerts

12/14/2011 - Billing vs. Pay-to Address Clarification for 5010 EDI Initiative (PDF)
11/07/2011 - Training on Minnesota Health Care Programs Changes (PDF)
10/20/2011 - Medica Expands Coverage for Breast Cancer Gene Expression Profiling (PDF)
09/26/2011 - Synagis Limited to 5 Doses Per Guidelines (PDF)
09/21/2011 - PCA Billing to Require Only 2 Relative Code Modifiers (PDF)
09/14/2011 - PCA Billing to Require Relative Code Modifiers as of 10/1/11 (PDF)
08/31/2011 - Possible Electronic Transaction Downtime, Night of 8-31 (PDF)
08/09/2011 - Compliance Requirement: Disclosure Statement Forms Due (PDF)
08/05/2011 - Limited Availability of Medica Electronic Transactions 8/5-8/7 & 8/12-8/14 (PDF)
06/02/2011 - MNCare Basic+1 Hospital Billing Change for July 1, 2011 (PDF)
06/01/2011 - Medica to Reward Care Innovation With Awards Worth Up to $25,000 Each (PDF)
05/23/2011 - EPS Capability Expands; Providers Can Discontinue Paper Checks, Statements (PDF)
05/12/2011 - Limited Availability of Medica Electronic Transactions 5/13-16 (PDF)
04/25/2011 - Medica Expands Coverage for Zostavax Vaccine (PDF)
02/23/2011 - System Error Causes Inappropriate Denials for Claims Processed on 2/10/11 (Paid Dates 2/10-2/17) – (PDF)
02/07/2011 - Medica to Expand Provider Numbers from 7 to 11 Digits (PDF)
01/27/2011 - Medica Delays Venous-Procedure UM Policy Update (PDF)

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