Coordination of care

Cigna Healthcare Medicare Advantage – Enhanced benefits for 2025

January 1, 2025

Cigna Healthcare Medicare Advantage – Enhanced benefits for 2025 In 2025, Cigna Healthcare℠ Medicare Advantage will offer strong medically-focused plans with competitive cost-sharing benefits to […]

Behavioral health and medication adherence in primary care guide

January 1, 2025

Primary care providers play a more important role than ever before in the behavioral health diagnosis and treatment of patients. Incorporating behavioral health interventions into […]

Adoption of LOCUS and CALOCUS-CASII Criteria in New York

December 25, 2024

Effective April 19, 2025, Evernorth® Behavioral Health (Evernorth) will adopt the Level of Care Utilization System (LOCUS) for adults and the Child and Adolescent Level […]

A message to behavioral health providers this National Physicians Week

December 25, 2024

This National Physicians Week is a time to recognize the invaluable role you play in the health and well-being of the people and communities you […]

A message to physicians this National Physicians Week

December 25, 2024

This National Physicians Week, I want to take a moment to recognize and thank you for the unwavering dedication, expertise, and compassion you bring to […]

Reminder: Centers for Medicare & Medicaid Services prohibition on billing Qualified Medicare Beneficiaries

December 23, 2024

Federal law prohibits all Medicare providers and suppliers, including pharmacies, from billing Medicare beneficiaries in the Qualified Medicare Beneficiary (QMB) eligibility group for Medicare Part […]

Changes for Part D Measures to 2025 Measurement Year for the 2027 Star Ratings

December 11, 2024

The Centers for Medicare and Medicaid Services (CMS) finalized the addition of two new Part D measures for the 2025 measurement year. Both were developed […]

Update to prior authorization requirements for partial hospitalization level of care effective January 1, 2025

December 10, 2024

Evernorth® Behavioral Health (Evernorth) is committed to helping health care providers deliver timely care to patients by reducing the administrative burden. Therefore, effective January 1, […]

Policy and coverage updates

December 9, 2024

Cigna Healthcare coverage policies can help you to interpret standard health coverage plan provisions. Access the latest updates. 

NALC Health Benefit Plan AMIs to change in January

December 8, 2024

Effective January 1, 2025, the alternate member identifiers (AMIs) for your patients with health care coverage under the National Association of Letter Carriers Health Benefit […]

New guest access to HealthPartners provider portal

December 6, 2024

HealthPartners, a Cigna HealthcareSM strategic partner, has implemented a simplified way for providers to verify customer eligibility on their portal without registering for an account. […]

Follow-Up Care for Children Prescribed ADHD Medication HEDIS measure (ADD)

December 4, 2024

Attention deficit hyperactivity disorder (ADHD) is one of the most common behavioral health disorders affecting children. The main features include hyperactivity, impulsiveness, and an inability […]

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