Notices, News, and Updates
All News and Updates
December 2024
Key Tips on Ensuring Quality Care
We’d like to take a few minutes of your time to remind you of the importance of closing gaps in care and ensuring all eligible patients complete their Annual Wellness Visits (AWVs).
December 2024
2025 Prior Authorization Guidelines for Certain Medications
As of 1/1/2025, some medically administered drugs like injectables may require utilization management such as a prior authorization to determine appropriateness of care, while ensuring safe and effective use.
December 2024
Complete this SelectHealth Provider Survey to Help Increase Cancer Screenings
We would like to work with you to improve the rate of cancer screenings among SelectHealth members. To that end, we are asking about any barriers you’ve experienced in coordinating screenings as well as about any onsite screening services your practice may provide.
October 2024
2025 Medicare Plans: More Benefits and Support For Your Patients
VNS Health Medicare Advantage plans are designed to meet the needs of people facing complex health and financial challenges. Our plans include extra benefits to make health care more affordable and easier to access for this population as well as allowances to help members buy health items they need. We’re pleased to introduce our benefits for 2025.
August 2024
Provider Portal: Fastest, Easiest Way to Manage Authorizations
Our Health Plans provider portal gives you easy access to submit authorization requests and check the status of existing authorizations. This guide will help you request new authorizations on our portal. Our provider portal offers you 24/7 access to claims, eligibility, and more — without picking up the phone. Perform key functions and get the information you need, all in one place.
August 2024
Medicare Patients May Be Surveyed About the Care You Provide
From July to November, the Centers for Medicare and Medicaid Services (CMS) mails the Health Outcomes Survey (HOS) to some members of VNS Health Medicare plans. The HOS asks about the member’s mental and physical health, physical activity, incontinence, and falls risk and prevention. The survey is used by CMS to assess health plan performance in […]
August 2024
Help Us Enhance Patient Access
VNS Health Medicare is actively growing our membership across New York State. As part of this effort, if you have service locations that are not currently in your provider profile, please notify us so we can update our provider directory. This will help members access your services.
August 2024
Document Depression Screenings for Your Patients
For those with moderate to severe depression, please schedule follow-up appointments and/or provide behavioral health referrals.
July 2024
Real-Time Prescription Benefits from Our Partner, MedImpact
Real-Time Prescription Benefits provides member-specific cost and coverage details at the point of care to help improve outcomes and prescriber efficiency. This tool allows you to discuss personalized benefit information with members, including lower-cost therapeutic alternatives and preferred pharmacies, to make better care decisions right at the doctor’s office.
May 2024
SelectHealth: Enhance STI Awareness With Screenings and Education
We need your assistance to best help those at risk for sexually transmitted infections (STIs). When you complete an STI screening, especially with a patient in SelectHealth from VNS Health, we ask that you document both screening and treatments in their medical records.