Legislation and Regulation

Ambulatory medical record reviews

April 1, 2024

Providers with good clinical documentation processes know how vital this can be to delivering quality health care services. It not only helps their patients to […] Read more >

California provider directory update requirement

April 1, 2024

California Senate Bill (SB) 137 requires health plans to contact all contracted providers to verify the accuracy of the information they have in their provider […] Read more >

Adverse childhood experiences training for California providers

April 1, 2024

Understanding the toxic stress response* Multiple research studies report that when people repeatedly experience a high amount of trauma, it changes their body’s entire ability […] Read more >

CA HMO providers arranging for medically necessary network exception requests

April 1, 2024

Providers in California that participate in a health maintenance organization (HMO) network are required to arrange and deliver medically necessary services in a timely manner […] Read more >

Arkansas prior authorization exemption legislation

April 1, 2024

Arkansas House Bill 1271 became effective on January 1, 2024. Under this legislation, prior authorization may not be required for certain health care services if […] Read more >

Quarterly notification of Maryland nonparticipating specialists

April 1, 2024

Each quarter, we notify all primary care providers (PCPs) in Maryland of specialty providers whose participation in the Cigna Healthcare network ended the previous quarter. […] Read more >

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