Network Connection Newsletter
Network Connection is our newsletter for contracted network providers and staff. It covers important information such as educational programs, policy changes and news about services.
PAST ISSUES AND COMMUNICATIONS
This archive below hosts Presbyterian's provider network communications, organized by month of distribution. If you have any questions about a communication, or need to locate an older communication, please contact your Provider Network Operations relationship executive.
March 2025
Presbyterian Shares the March 2025 Network Connection Newsletter
Verify/Update Your Provider Directory Information by April 1
You're Invited to Upcoming Behavioral Health Provider Trainings
Register for Upcoming Agency-Based Community Benefit Provider Trainings
Virtual Dermatology Services Available to Members
Help Improve Discharge Planning and Care Coordination for Members
Attention: New Claims Payment and Coding Edits
How to Prevent Claim Denials in AuthentiCare
February 2025
You're Invited to Upcoming Behavioral Health Trainings
Reminder: Complete an Important Prenatal and Perinatal Provider Survey
Medicaid Payment Rate Increases
AuthentiCare Launches a New Online Platform for Trainings
Help Improve Discharge Planning and Care Coordination for Members
Attention: New Claims Payment and Coding Edits
Meeting the HEDIS Measure for Children Prescribed ADHD Medication
Modivcare: A New Service for Non-Emergent Medical Transportation
Reminder: You're Invited to 2025 Provider Education Conferences
January 2025
Presbyterian Shares the January 2025 Network Connection Newsletter
Reminder: The 2024-2025 Presbyterian Dual Plus Provider Training Is Available and May Be Required
You're Invited to Upcoming Behavioral Health Provider Trainings
Attention: New Claims Payment and Coding Edits
Presbyterian Shares a Prenatal and Perinatal Provider Survey
Help Us Meet the Health Needs of Children in State Custody
You’re Invited to 2025 Provider Education Conferences
Meeting HEDIS Measures for Turquoise Care Members
Notice: Rate Adjustments in Response to Letter of Direction #29
Presbyterian Invites You to a Special Session of Critical Incident Reporting Training
Presbyterian Shares a Message From HCA: Federal Freeze Updates
Nursing Facility Retroactive Payment Increases: Letter of Direction 29-1
December 2024
Reminder: Stanson Health Is Replacing Evolent/NIA for Advanced Imaging Authorizations
GLP-1 Medicare Formulary Changes Effective Jan. 1, 2025
You're Invited to Upcoming Behavioral Health Provider Trainings
Verify/Update Your Provider Directory Information by Dec. 27
HCA Changes to Medicaid Provider Types and Taxonomy Code Requirements
Presbyterian Shares a Respite Care Services FAQ
Attention: New Claims Payment and Coding Edits
Help Improve Discharge Planning and Care Coordination for Members
Presbyterian Shares a Self-Directed Community Benefits Provider Qualifications Newsletter
Presbyterian Shares an Agency-Based Community Benefits Provider Qualifications Newsletter
Pharmacy Changes Going Into Effect on Jan. 1, 2025
Medicaid Payment Rate Increases for Providers in 2025
November 2024
Presbyterian Shares the November 2024 Network Connection Newsletter
You’re Invited to November’s Value-Based Programs Lunch and Learn Sessions
End-of-Year Health Checks: Screenings for Colorectal Cancer & Lab Tests for Adults With Diabetes
Help Improve Discharge Planning and Care Coordination for Members
You're Invited to 2024 Provider Education Webinars in December
October 2024
You're Invited to October’s Value-Based Programs Lunch and Learn Sessions
HCA Is Rescinding the “Unfulfilled Units” Reporting Deliverable Shared on Sept. 30
2024-2025 Presbyterian Dual Plus Training Is Available
UMC Lubbock Cybersecurity Incident
You’re Invited to Upcoming Behavioral Health Provider Trainings
In Cooperation With HCA: Ensuring Qualifications of Personal Care Services Providers
Help Improve Discharge Planning and Care Coordination for Members
Update on Cybersecurity Incident at University Medical Center in Lubbock
Primary Care Payment Reform: HCA Offers an Additional Meeting
Updates From HCA: Provider Enrollment in Medicaid and New Portal Training Opportunities
You’re Invited to Upcoming Behavioral Health Provider Trainings
Stanson Health Is Replacing Evolent/NIA for Advanced Imaging Authorizations
Attention: New Claims Payment and Coding Edits
Presbyterian Invites You to Critical Incident Reporting Training
September 2024
You’re Invited to September’s Value-Based Programs Lunch and Learn Sessions
Presbyterian Shares the September 2024 Network Connection Newsletter
Primary Care Payment Reform: HCA Meeting Requirement for Initial Bonus Payment
Update: Electronic Funds Transfer Reconnection for Magellan Claims Payments
You're Invited to 2024 Provider Education Webinars in September
You're Invited to Upcoming Behavioral Health Provider Trainings
Presbyterian Shares an Update From HCA on Primary Care Payment Reform
Reminder: Verify/Update Your Provider Directory Information by Sept. 28, 2024
Critical Incident Reporting Process Updates for Children in State Custody
Presbyterian Shares an Invitation From HCA to an Upcoming Food as Medicine Meeting
You're Invited to the 2024 New Mexico Gender-Affirming Care Symposium
Help Improve Discharge Planning and Care Coordination for Members
You're Invited to 2024 Provider Education Webinars
Attention: New Claims Payment and Coding Edits
Presbyterian Shares a Personal Care Services Directive: Unfulfilled Units Reporting Requirement
August 2024
Introducing Payment Policy Management, a Claims Initiative Launching Sept. 1
You’re Invited to August Value-Based Programs Lunch and Learn Sessions
Please Check Your HCA Eligibility to Serve Medicaid Members & Take Action if Necessary
You’re Invited to Upcoming Behavioral Health Provider Trainings
Electronic Funds Transfer Reconnection for Magellan Claims Payments
Help Improve Discharge Planning and Care Coordination for Members
Attention: New Claims Payment and Coding Edits
Please Sign Up for AuthentiCare Communications Regarding Outages and System Maintenance
Reminder: Payment Policy Management Launches on Sept. 1
Automated Authorizations for Non-Medicare and Pediatric Bariatric Surgery
July 2024
Presbyterian Shares the July 2024 Network Connection Newsletter
Presbyterian Turquoise Care Has Launched: ID Cards, Manuals and More
You’re Invited to July’s Value-Based Programs Lunch and Learn Sessions
Join Us for Upcoming Provider Education Conferences & Webinars
Presbyterian Shares Medicaid Self-Pay Guidance for Some Former Western Sky Members
Viscosupplementation Formulary Updates: Gel-One and Durolane Products
You're Invited to HCA Meetings on Long-Term Care Provider Rates
You’re Invited to Upcoming Behavioral Health Provider Trainings
Provider Assistance Resources for Long-Term Services & Supports
Presbyterian Shares Guidance on Secondary Claims Processing
Help Improve Discharge Planning and Care Coordination for Members
CrowdStrike Outage and Presbyterian Impacts
Attention: New Claims Payment and Coding Edits
Personal Care Services Authorization and Billing Guidance
June 2024
Presbyterian Shares a Message from Magellan Regarding Change Healthcare Cyber Incident
You’re Invited to Upcoming Behavioral Health Provider Trainings – June 5, 2024
You’re Invited to June’s Value-Based Programs Lunch and Learn Sessions
Presbyterian Shares a Message from HSD About Medicaid Disenrollment
Reminder: Join Us for Upcoming In-Person Provider Education Conferences
Correction: Online Registration Issue for the Provider Education Conferences Was Resolved
Presbyterian Shares a New Member Referral Portal Functionality Guide
Help Improve Discharge Planning and Care Coordination for Members
Supporting Presbyterian Members & Providers Impacted by Wildfires Near Ruidoso
AuthentiCare Updates Related to the Ruidoso Fires for Long-Term Care Providers
Request for Attestation to Receive Patient Gaps in Care List
From Human Services Department: Ruidoso Evacuation Assistance
Discontinuation of Secondary Claims Processing on Behalf of Providers
Managed Care Organizations Turquoise Care Transition Authorizations
May 2024
Presbyterian Shares the May 2024 Network Connection Newsletter
You're Invited to Upcoming Behavioral Health Trainings – May 2, 2024
Host a "Got Shots" Event for Children and Adolescents
Ascension Healthcare Incident Notification
Help Improve Discharge Planning and Care Coordination for Members
Reminder: Register by June 7 to Participate in "Got Shots"
Ascension Healthcare Cyber Incident Update
Announcing New Conference Locations: Farmington & Las Cruces
Helping Providers Prepare for the New Lab Program
April 2024
You're Invited to Youth Mental Health First Aid Training
New dates: PROVIDERConnect 2024 Trainings
Presbyterian 2024 Lunch and Learn Sessions – April
You're Invited to Upcoming Behavioral Health Trainings – April 9, 2024
Presbyterian Shares Primary Care Reform Training Hosted by New Mexico Human Services Department
New PROVIDERConnect Portal Training Opportunities
Automated Authorizations for Total Hip Replacement
Presbyterian Shares a Message from HSD Regarding the Transition to Turquoise Care
New Policies for Laboratory Services Become Effective July 1
Announcements to Personal Care and Home Health Providers about EVV Stipends
You're Invited to May Value-Based Programs Lunch and Learn Sessions
March 2024
Presbyterian Shares the March 2024 Network Connection Newsletter
You're Invited to Upcoming Behavioral Health Trainings – March 5, 2024
Reminder: Presbyterian Invites You to March 2024 Provider Education Webinars
Behavioral Health Resources: Change Healthcare Cyberattack
You're Invited to March Value-Based Programs Lunch and Learn Sessions
Help Presbyterian Improve Long-Term Care Provider Data
Change Healthcare Cyberattack and How Presbyterian Is Supporting You
PROVIDERConnect Portal Launch and Training Opportunities
Reminder: PROVIDERConnect 2024 Launch and Trainings
2024 In-Person Provider Education Conference (PEC) Invitation
February 2024
Personal Care Services Allocation Tool Format Change
Presbyterian Invites You to March 2024 Provider Education Webinars
Correction: You're Invited to 2024 Provider Education Webinars
Upcoming Behavioral Health Provider Trainings Invitation – Feb. 8, 2024
February 2024 Lunch and Learn Sessions
Reminder: Trualta Education and Support Platform Training for Family Caregivers
Botox Prior Authorization Updates
Reminder: February 2024 Lunch and Learn Sessions
Change Healthcare Data Breach and Claims Submission Alternatives
January 2024
Presbyterian Shares the January 2024 Network Connection Newsletter
Trualta Education and Support Platform Training for Family Caregivers
December 2023
Cancellation: Dec. 12 Quarterly Solutions Meeting
Final Reminder: Complete the HCBS Final Setting Rule Survey and Attestation
Annual Critical Incident Reporting Training is Required
Expanding Our Partnership with Optum Care Network of New Mexico
Help Improve Discharge Planning and Care Coordination for Members
November 2023
Presbyterian Shares the November 2023 Network Connection Newsletter
Medicaid Payment Rates Increases
Emergency Order: Protecting Access to Behavioral Health Resources
New Date: Behavioral Health Critical Incident Reporting Training
Temporary Economic Recovery Payment Increase for Home and Community Based Services
Automated Authorizations for Total Knee Replacement
Electronic Visit Verification Training for Home Health and Respite Care Providers
Help Improve Discharge Planning and Care Coordination for Members
Announcing the New PROVIDERConnect Provider Portal
Provider Survey: Tell Us about Your Practice
Upcoming Behavioral Health Provider Trainings Invitation – Nov. 30, 2023
Reminder: Presbyterian Invites You to December 2023 Provider Education Webinars
The New PROVIDERConnect Provider Portal is Delayed
2024 Medicare Advantage Formulary Updates: Adalimumab and Insulin Products
October 2023
Upcoming Behavioral Health Provider Trainings Invitation – Oct. 3, 2023
Provider Manuals and Guides Have Moved
Members May Request to Receive Fewer Personal Care Services Hours
Go-Live Update for Electronic Visit Verification Implementation for Home Health Care Services
Centennial Care Rewards Program: Baby Bonuses
Help Improve Discharge Planning and Care Coordination for Members
Upcoming Behavioral Health Provider Trainings Invitation – Oct. 30, 2023
September 2023
Presbyterian Shares the September 2023 Network Connection Newsletter
Upcoming Behavioral Health Provider Trainings Invitation – Sept. 4, 2023
Automated Authorizations for Tonsillectomies
Help Improve Discharge Planning and Care Coordination for Members
Presbyterian Invites You to December 2023 Provider Education Webinars
Last Chance: Complete the Coordinating Care Between Physical and Behavioral Health Providers Survey
Presbyterian Shares Nursing Facility Checklists
Correction: Long-Term Care Nursing Facility Checklist
August 2023
Presbyterian Announces TytoCare, a No-Cost Telehealth Tool
Upcoming Behavioral Health Provider Trainings Invitation – Aug. 7, 2023
Help Improve Discharge Planning and Care Coordination for Members
University of New Mexico Health System is In-Network for Medicare Advantage Members
Reminder: Help Improve Discharge Planning and Care Coordination for Members
Provider Survey: Coordinating Care Between Physical and Behavioral Health Providers
Medical Drug Prior Authorization Updates - Emend, Ozurdex and Prolia/Xgeva
Reminder: Presbyterian Invites You to September 2023 Provider Education Webinars
July 2023
Presbyterian Shares the July 2023 Network Connection Newsletter
Rescheduled: Aug. 1 Nursing Facility Payment Concerns and Resolution Meeting
Upcoming Behavioral Health Provider Trainings Invitation – July 11, 2023
Centennial Care Rewards Program: Baby Bonuses
Invitation to Improving Member Engagement Training for Behavioral Health Providers
Avoid Denials for Patients with Multiple Health Plan Carriers and Benefit Plans
Long-Term Services & Supports (LTSS) Provider Assistance Resources
June 2023
You’re Invited to Upcoming Behavioral Health Provider Training – June 2023
Reminder: Presbyterian Invites You to June 2023 Provider Education Webinars
Reminder: Verify/Update Your Provider Directory Information by June 30
Presbyterian Invites You to September 2023 Provider Education Webinars
Nursing Facility Payment Concerns and Resolution Meeting – Aug. 1
May 2023
Presbyterian Shares the May 2023 Network Connection Newsletter
Physical Health Provider Education Webinars Invitation – June 15 & 16 2023
Upcoming Behavioral Health Provider Trainings Invitation – May 3, 2023
Presbyterian Care Coordinators Resumed In-Person Home Visits
Personal Care Services Agency Staffing Shortages
Reminder: Ending of the COVID-19 Public Health Emergency
April 2023
Nursing Facility Payment Concerns And Resolution Meeting - May 2, 2023
Correction: Nursing Facility Payment Concerns And Resolution Meeting - May 2, 2023
Reminder: Behavioral Health Town Hall Invitation Q2
Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q2 Reminder
Reminder: Nursing Facility Payment Concerns and Resolution Meeting - May 2, 2023
Centennial Care Rewards Program: Baby Bonuses
Presbyterian Will No Longer Waive Prior Authorization Requirements for Facility Transfer Admissions
March 2023
Presbyterian Shares the March 2023 Network Connection Newsletter
Adult Protective Services (APS) Reporting through Critical Incidents Training Letter Notification
Behavioral Health Town Hall Invitation Q2
Home and Community-Based Services Final Setting Rule Trainings
Reminder: Home and Community-Based Services Final Setting Rule Trainings Are This Week
Medicaid Benefits Renewal for Centennial Care Members
February 2023
Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q1 Second Reminder
Second Reminder: Behavioral Health Town Hall Invitation Q1
Use the Correct Taxonomy Code and Provider Type to Prevent Claim Denials
Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q2
Provider Education Conference Invitation – March 31
2023 Presbyterian Individual and Family Plans and Networks
January 2023
Behavioral Health Town Hall Invitation Q1
Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q1
Nursing Facility Payment Concerns and Resolution Meeting - Feb. 7
Centennial Care Behavioral Health Critical Incident Reporting Training Invitation Q1 Reminder
How to Prevent Claim Denials in AuthentiCare
Reminder: Behavioral Health Town Hall Invitation Q1
Reminder: Nursing Facility Payment Concerns and Resolution Meeting - Feb. 7
Centennial Care Rewards Program: Baby Bonuses
Presbyterian Shares the January 2023 Network Connection Newsletter
