Payment Integrity Policies

07/16/2025

The EmblemHealth (CMS and Medicaid) and ConnectiCare (CMS) Annual Fee Schedule Update payment integrity policies were updated to reflect single company branding. In addition, the EmblemHealth policy added clarification to the Medicaid section regarding retroactive adjustments. See their revision histories for effective dates and the detail on applicable changes.

 

JP69647

Provider Update