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12/11/2024
Florida Blue D-SNP Program Sunset January 1, 2025
To notify providers that effective January 1, 2025 Florida Blue will no longer offer Medicare D-SNP plans and to notify of impacts to processes related to service registration and authorization requests, claims and coordination of services with CareCentrix for Florida Blue..

12/11/2024
FDA Recall - Fresenius Kabi USA, LLC
We are writing to inform you that Fresenius Kabi USA reports that a subset of pneumatic valves installed in some Ivenix LVPs have an increased chance of issuing a non-recoverable pump problem alarm...

11/22/2024
Florida Blue MA PPO Blood Glucose Monitors and Medical Supplies Carve-out
To notify providers that blood glucose monitors and supplies for Florida Blue Medicare Advantage PPO members will no longer be coordinated by CareCentrix...

11/20/2024
FDA Recall - Smiths Medical
We are writing to inform you that the FDA has issued notice of a Class I recall by Smiths Medical for update of use instructions for all Lots of their CADD-Solis Rechargeable Battery Packs that are used with CADD-Solis ambulatory infusion pumps used for treatments that req..

11/18/2024
Notice of Changes to Prior Authorization/Registration Requirements
To provide information on CareCentrix's prior authorization/registration requirements and changes to those requirements...

11/01/2024
Reminder: Per Diem HCPCS Codes
The purpose of this communication is to remind Home Infusion Therapy (HIT) providers of the services that are included in the per diem reimbursement and are not separately reimbursable ..

10/31/2024
Reminder: Out-of-State Blues Plan Process (BlueCard)
The purpose of this communication is to provide helpful reminders and tools to DME and HIT providers who service out-of-state Blues Plan members..

10/28/2024
FDA Recall - Smiths Medical
We are writing to inform you that Smiths Medical is recalling specific lots of the BLUSelect, BLUgriggs, and BLUperc products due to a manufacturing defect that may cause the pilot balloon to disconnect from the tracheostomy inflation line..

10/25/2024
FDA Recall - Baxter Healthcare
We are writing to inform you that effective immediately the FDA has issued a Class I recall notice of Baxter Healthcare updates to the use instructions for all lots of Life2000 ventilation systems with software version 06.08.00 ..

10/21/2024
Member Out-of-Pocket Estimate
To provide information on where to direct patients who request an out-of-pocket cost (OOP) estimate. ..

10/18/2024
FDA Recall - Medtronic
We are writing to inform you that the FDA has posted a Class 1 recall notice issued by Medtronics with an addition to the actions outlined in the Urgent Medical Device Correction letter sent to all users of MiniMed 600 and 700 series insulin pumps on October 4, 2024 ..

10/18/2024
FDA Recall - Staska Pharmaceuticals, Inc.
We are writing to inform you the FDA has published notice of a voluntary recall by Staska Pharmaceuticals, Inc. of lot number SP2400058 of Ascorbic Acid Solution for injection 500 mg ..

10/15/2024
Notice of Changes to Prior Authorization/Registration Requirements
To provide information on CareCentrix's prior authorization/registration requirements and changes to those requirements..

10/11/2024
FDA Recall - Zyno Medical
We are writing to inform you that effective immediately the FDA has issued notice of a Class I recall by Zyno Medical of certain their Zyno Medical Z..

10/10/2024
Medical Coverage Policies Resources
To remind providers that the links to health plan medical coverage policies are available through both the Provider Manual and the medical coverage policy links on the Homebridge provider portal under the "For Providers" section...

10/09/2024
FDA Recall - Philips Respironics, Inc.
We are writing to inform you that the FDA has posted notice of a voluntary urgent medical device correction by Phillips Respironics, Inc. with instructions for additional user action and guidance regarding the use of in line nebulizers with Trilogy Evo, Trilogy Evo O2..

10/08/2024
Notice of Medicare Non-Coverage (NOMNC) Instructions and Forms
To remind CareCentrix Network Home Health Agencies that provide services to Florida Blue, Wellcare, or Blue Cross Blue Shield of Michigan (BCBSM) Medicare Advantage (MA) members of the Notice of Medicare Non-Coverage (NOMNC) process...

10/08/2024
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

10/07/2024
ALERT: Hurricane Milton
To alert contracted providers in Florida and surrounding states of CareCentrix's response to Hurricane Milton...

10/04/2024
ALERT - Hurricane Helene Update
To provide information and support to our providers and your patients in relation to challengescaused by Hurricane Helene...

09/30/2024
Provider Satisfaction Survey 15 Day Reminder
To encourage providers to complete the Provider Satisfaction Survey that will be released onOctober 14, 2024...

09/25/2024
FDA Recall - Gilead Sciences, Inc.
We are writing to inform you that Gilead Sciences, Inc. Nasdaq: GILD) announced it is issuing a voluntary recall of lot 47035CFA of Veklury (remdesivir)..

09/25/2024
ALERT: Hurricane Helene
To alert contracted providers in Florida, Georgia, and surrounding states of CareCentrix's response to Hurricane Helene...

09/18/2024
Registration Open! Provider Forum October 2024
As a valued member of the CareCentrix provider network community, we are inviting you to a special event on Wednesday, October 16, 2024, at 12:00 pm ET...

09/16/2024
Notice of Changes to Prior Authorization/Registration Requirements
To provide information on CareCentrix's prior authorization/registration requirements and changes to those requirements...

09/05/2024
FDA Recall - Abbott Diabetes Care Inc.
We are writing to inform you that the FDA has issued notice of a voluntary recall by Abbott Diabetes Care, Inc. their FreeStyle Libre 3 sensors after finding that a small number of FreeStyle Libre 3 sensors ..

09/05/2024
FDA Recall - Breas Medical
We are writing to inform you that effective immediately the FDA has posted a Class I recall notice of a recall by Breas Medical for an update to the use instructions for their newly manufactured Vivo 45 LS ventilators ..

09/04/2024
FDA Recall - Baxter Healthcare Corporation
We are writing to inform you that effective immediately, the FDA has issued a Class I recall of Baxter Healthcare Corporation's Volara System Single Patient Use Circuits (codes M08473 and M08474)..

08/22/2024
Notice of NEW Rejection for Non-Standard Paper Claim Forms
To inform providers that effective December 1, 2024, a rejection will be applied to your paper claims if they are NOT submitted on official, standard red and white paper CMS-1500 and UB-04 ..

08/15/2024
Notice of Changes to Prior Authorization/Registration Requirements
To provide information on CareCentrix's prior authorization/registration requirements and changes to those requirements...

08/09/2024
Reminder: CGM Codes and Usage
To remind providers of guidelines regarding billing and usage of CGM (Continuous Glucose Monitors) and supply codes for Medicare Advantage and commercial members...

08/09/2024
FDA Recall - B. Braun Medical
We are writing to inform you that effective immediately the FDA has posted notice of a voluntary nationwide recall issued by B. Braun Medical, Inc. of two lots (J2L763 and J2L764) of ..

08/07/2024
FDA Recall - Smiths Medical
We are writing to inform you that the FDA has issued notice of a Class I Recall by Smiths Medical for correction of the software for their CADD-Solis and CADD-Solis VIP Ambulatory Infusion Pumps due to multiple issues that may occur when using pumps with software versions ..

08/07/2024
FDA Recall - Baxter International
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary recall by Baxter International, Inc. of Lot number N008235 Heparin Sodium ..

07/29/2024
CareCentrix Direct Updates and Improvements
To notify providers about improvements to CareCentrix Direct...

07/15/2024
Notice of Changes to Prior Authorization/Registration Requirements
To provide information on CareCentrix's prior authorization/registration requirements and changes to those requirements...

07/11/2024
FDA Recall - Baxter International, Inc.
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary urgent recall of the Life2000 ventilator with an attached battery charger dongle...

07/01/2024
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

07/01/2024
Notice of Medicare Non-Coverage (NOMNC) Instructions and Forms
To remind CareCentrix Network Home Health Agencies that provide services to Florida Blue, Wellcare, or Blue Cross Blue Shield of Michigan (BCBSM) Medicare Advantage (MA) members of the Notice of Medicare Non-Coverage (NOMNC) process...

06/20/2024
HIPPS Codes and Medicare Advantage Home Health Claims
To remind home health providers servicing Medicare Advantage members to bill home health claims with an accurate HIPPS code to prevent an A6:513 rejection...

06/03/2024
Notice of Changes to Prior Authorization/Registration Requirements
To provide information on CareCentrix's prior authorization/registration requirements and changes to those requirements...

05/30/2024
FDA Recall - Dairy Manufacturers, Inc.
We are writing to inform you that effective immediately the FDA has published notice of a voluntary recall issued by Dairy Manufacturers, Inc. of all lot codes of their Crecelac Infant 0-12, Farmalac 0-12 and Farmalac 0-12 Low Lactose formulas...

05/30/2024
FDA Recall - OptumHealth Care Solutions, LLC
We are writing to inform you that effective immediately the FDA has issued a Class I recall of the Optum Nimbus II Plus (also known as the Nimbus II - Optum Homecare Infusion) ambulatory Infusion System distributed from 8/19/2020 to April 20, 2024...

05/28/2024
FDA Recall - Hospira, Inc.
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary recall initiated by Hospira, Inc., a Pfizer company (Pfizer) of lot number HJ3965 and lot number HJ8546 of Buprenorphine Hydrochloride injection ..

05/17/2024
Change Healthcare Security Incident: CareCentrix Reconnection Update
To inform providers that CareCentrix has re-established connection with Change Healthcare...

05/14/2024
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

05/14/2024
FDA Recall - Philips Respironics, Inc.
We are writing to inform you that effective immediately the FDA has issued a Class I recall of all Philips Respironics Trilogy Evo Ventilators..

05/10/2024
Important Reminder: Home Health Code Substitutions
To remind providers of the rules for home health code substitutions...

05/08/2024
New: Fallon Health and Mass General Brigham Health Plan Payor Codes
To notify contracted providers that CareCentrix has added a new electronic claim submission payor ID for Fallon Health and Mass General Brigham Health Plans (MGBHP)...

04/25/2024
FDA Recall - InfuTronix, LLC
We are writing to inform you that effective immediately the FDA has issued a Class I recall of InfuTronix, LLC¿s Nimbus and Nimbus II Infusion Pump Shystems. On February 21, 2024, the firm initiated a voluntary recall of the Nimbus Administration Set, Nimbus Flex, N..

04/22/2024
Reminder: FLBL HIT Out of State Ordering Physicians Newsflash
To remind CareCentrix contracted Home Infusion Therapy (HIT) providers that any Florida Blue member receiving HIT services, both drugs and nursing, must now have those services ordered or prescribed by a physician licensed or dually licensed by the state of Florida effecti..

04/18/2024
FDA Recall - Fresenius Kabi USA, LLC
We are writing to inform you that effective immediately the FDA has posted notice of a Class I recall by Fresenius Kabi USA, LLC of the Ivenix Infusion System..

04/15/2024
Horizon BCBSNJ and Braven Health Provider Portal Migration
To notify providers Horizon Blue Cross Blue Shield of New Jersey and Braven Health (¿Horizon¿) will be migrating their provider portal services from Navinet to Availity...

04/15/2024
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

04/12/2024
Reminder: Overnight Delivery of Overpayment Refund Checks
To remind providers that CareCentrix has updated its address for overnight delivery of overpayment refund checks...

04/08/2024
Blue Cross Blue Shield of Michigan HIT Services
The purpose of this communication is to inform providers that an Authorization Identification (ID) Number must be included on all claims transactions for Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network of Michigan Home Infusion Therapy (HIT) services when ..

04/01/2024
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

04/01/2024
Notice of Medicare Non-Coverage (NOMNC) Instructions and Forms
To remind CareCentrix Network Home Health Agencies that provide services to Florida Blue, Wellcare, or Blue Cross Blue Shield of Michigan (BCBSM) Medicare Advantage (MA) members of the Notice of Medicare Non-Coverage (NOMNC) process...

03/29/2024
FDA Recall - Eugia US, LLC
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary recall initiated by Eugia US, LLC ..

03/26/2024
FDA Recall - Medline Industries
We are writing to inform you that effective immediately the FDA has issued a Class 1 recall of Medline Kits and Trays...

03/22/2024
FDA Recall - InfuTronix, LLC
We are writing to inform you that effective immediately the FDA has posted notice of a voluntary recall by InfuTronix, LLC of the Nimbus Ambulatory Infusion Pump System, including Nimbus II PainPro, Nimbus II Flex, Nimbus II Plus, Nimbus II EpiD and Nimbus II EMS distribut..

03/22/2024
FDA Recall - Vyaire Medical, Inc.
We are writing to inform you that effective immediately, the FDA has issued a Class I recall notice of AirLife Manual Resuscitators manufactured by Vyaire Medical, Inc. in 2017 or earlier and products without a manufacturing date due to a manufacturing defect...

03/20/2024
Registration Open! Provider Forum April 2024
CareCentrix hosts two provider forums each year for all contracted providers. Joining a provider forum will provide you with useful information about things happening within CareCentix that may impact you and an opportunity to ask questions live...

03/19/2024
FDA Recall - Sleepnet Corportation CPAP and BiPAP Masks with Magnets
We are writing to inform you that effective immediately the FDA has issued a notice of a voluntary recall by Sleepnet Corporation of their Mojo, Mojo 2, iQ 2, and Phantom 2 CPAP and BiPAP Masks ..

03/15/2024
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

03/15/2024
Change Healthcare Security Incident Update: New Waystar Update
To provide an update to providers about the Change Healthcare cybersecurity incident and how it may impact your claims with CareCentrix. Waystar has implemented an accelerated enrollment process. Further information is listed in the included FAQ...

03/15/2024
FDA Recall - Avanos MIC Gastric-Jejunal Feeding Tube Kits
We are writing to inform you that effective immediately the FDA has issued a Class 1 recall of Avanos MIC Gastric-Jejunal feeding tube kits containing Nurse Assist, LLC sterile water pre-filled syringes, distributed from January 31, 2022 to December 7, 2023...

03/14/2024
FDA Recall - Treprostinil injection by Par Pharmaceutical
We are writing to inform you that effective immediately the FDA has posted notice of a voluntary nationwide recall of Treprostinil by Par Pharmaceutical, lot 57014 of Treprostinil Injection 20 mg/20mL ..

03/12/2024
FDA Recall - HeartMate Touch Communication System
We are writing to inform you that effective immediately the FDA has issued a Class 1 recall of HeartMate Touch Communication System that monitors patients who have an implantable HeartMate 3 Left Ventricular Assist Device (LVAD)..

03/11/2024
HomeBridge Provider Portal Browser Change
To inform providers that effective March 16, 2024, HomeBridge provider portal users will only be able to access the provider portal on one tab at a time in the same browser...

03/07/2024
FDA Recall - Ventec Life Systems
We are writing to inform you that effective immediately the FDA has issued a Class 1 recall of Ventec Life Systems VOCSN Patient Breathing Package Model No. 220922 distributed from December 14, 2022 to September 20, 2023...

02/15/2024
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

01/31/2024
FLBL HIT Out of State Ordering Physicians
To inform CareCentrix contracted Home Infusion Therapy (HIT) providers that any Florida Bluemember receiving HIT services, both drugs and nursing, must now have those services ordered orprescribed by a physician licensed or dually licensed by the state of Florida effective..

01/16/2024
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changesto those requirements...

01/15/2024
Registration and Prior Authorization Tool Improvements
To notify DME and HIT providers of improvements to our registration and prior authorization requirements for certain DME and HIT HCPCS codes and fax request forms. ..

01/12/2024
FDA Recall - ResMed, Ltd.
We are writing to inform you that effective immediately the FDA has issued notice of a Class I recall of ResMed's AirFit and AirTouch Continuous Positive Airway Pressure (CPAP) Masks with magnets distributed from January 2020 to November 20, 2023...

01/02/2024
FDA Recall - Reckitt/Mead Johnson Nutrition
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary recall from the U.S. market of select batches of 12.6 ounce and 19.8 ounce Nutramigen Hypoallergenic Infant Formula Powder..

01/02/2024
Notice of Medicare Non-Coverage (NOMNC) Instructions and Forms
To remind CareCentrix Network Home Health Agencies that provide services to Florida Blue, Wellcare, or Blue Cross Blue Shield of Michigan (BCBSM) Medicare Advantage (MA) members of the Notice of Medicare Non-Coverage (NOMNC) process...

01/02/2024
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

12/22/2023
FDA Recall - Medline Industries, LP. Tracheostomy Care and Cleaning Trays
We are writing to inform you Medline Industries, LP. announced a voluntary nationwide recall on October 10th, 2023, of several lots and SKUs of Tracheostomy Care and Cleaning Trays...

12/19/2023
BCBSM Arrangement with EXL
To inform providers that Blue Cross Blue Shield of Michigan has engaged ExlService.com, LLC ("EXL") as their claims payment integrity vendor for Blue Cross Blue Shield of Michigan and Blue Care Network (collectively "BCBSM") Home Infusion Therapy (HIT) ..

12/19/2023
FLBL New Product Offerings
To inform CareCentrix providers of new Florida Blue product offerings in Polk and Hillsborough counties beginning January 1, 2024...

12/08/2023
FDA Recall - Cardinal Health
The FDA has published a voluntary recall issued by Cardinal Health of their Covidien and Cardinal Health Urology and OR room specific kits and trays that contain Nurse Assist Products (sterile normal saline and sterile water) which were previously recalled for lack of ster..

12/08/2023
CGM Supplies Best Billing Practices
To remind DME providers servicing Horizon and Florida Blue Medicare Advantage members and Horizon commercial members of their ability to bill in 90-day increments for Continuous Glucose Monitor (CGM) supplies...

12/05/2023
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements..

12/05/2023
Optima Health Becomes Sentara Health Plans
To communicate that Optima Health is changing its name to "Sentara Health Plans" effective January 1, 2024...

12/01/2023
FDA Recall - Eitan Medical, Ltd
We are writing to inform you that effective immediately the FDA has issued a Class I recall notice of Eitan Medical Ltd's Sapphire Infusion Pumps running software version Rev 16.10. Product Models include the Sapphire Multi-Therapy Infusion Pump..

12/01/2023
One Year Service Registrations for CGM Supplies Newsflash
To inform contracted DME providers that CareCentrix now supports one-year service registrations for Continuous Glucose Monitor (CGM) supplies...

11/27/2023
FDA Recall - Unomedical VariSoft Infusion Sets
We are writing to inform you that the FDA has issued notice of a Class I recall of certain VariSoft Infusion Sets manufactured by Unomedical A/S from April 1, 2022 to August 1, 2022 and distributed October 25, 2022 to September 15, 2023..

11/15/2023
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

11/13/2023
CareCentrix Direct SMS Text Sunset
To notify providers that CareCentrix will be sunsetting CareCentrix Direct SMS Texting capabilities throughout the entire CareCentrix Direct platform...

11/08/2023
Florida Blue Web TPA - Group Exceptions
To inform providers of the authorization process to follow for patients under WebTPA designated group prefixes...

11/07/2023
FDA Recall - Nurse Assist, LLC
We are writing to inform you that the FDA has issued notice of a voluntary recall by Nurse Assist, LLC of their 0.9 percent sodium chloride irrigation USP and sterile water for irrigation USP distributed with ..

10/26/2023
FDA Recall - Exela Pharma Sciences, LLC
We are writing to inform you that effective immediately the FDA has published notice of a voluntary nationwide recall by Exela Pharma Sciences, LLC (Exela) ..

10/16/2023
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

10/03/2023
FDA Recall - Hospira, Inc.
We are writing to inform you that the FDA has issued notice of voluntary recall by Hospira, Inc. aPfizer company of their 4.2 percent Sodium Bicarbonate Injection.....

10/02/2023
Notice of Medicare Non-Coverage (NOMNC) Instructions and Forms
To remind CareCentrix Network Home Health Agencies that provide services to Florida Blue, Wellcare, or Blue Cross Blue Shield of Michigan (BCBSM) Medicare Advantage (MA) members of the Notice of Medicare Non-Coverage (NOMNC) process...

10/02/2023
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

09/29/2023
Provider Satisfaction Survey: 15 Day Reminder
To encourage providers to complete the Provider Satisfaction Survey that will be released on October 16, 2023...

09/22/2023
Informational and Required Modifiers
To inform providers of an expanded list of informational modifiers as well as plan required modifiers that should be included on claims..

09/21/2023
FDA Recall - Medline Industries
We are writing to inform you effective immediately, the FDA has posted a Class I recall notice of Medline Industries recall on July 24, 2023 of their Hudson RCI Addipak Unit Dose Vial ..

09/20/2023
Registration Open! Provider Forum October 2023
As a valued member of the CareCentrix provider network community, we are inviting you to a special event on Wednesday, October 18, 2023, at 12:00 pm ET. Attendance at this event is highly recommended in order to remain up to date with CareCentrix processes and resources...

09/19/2023
BCBSM HCPCS Code Changes
To inform providers contracted to provide home infusion services to Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN) commercial members of HCPCS code changes...

09/15/2023
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

08/29/2023
Hurricane Idalia
Purpose of this communication?To alert contracted providers in the state of Florida of CareCentrix¿s response to Hurricane Idalia. What do I need to know?CareCentrix does not expect disruption in our operations. We expect to operate with normal business hours and o..

08/15/2023
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

08/01/2023
FDA Recall - Baxter Healthcare Corporation
We are writing to inform you that the FDA has issued a Class 1 recall of Baxter Healthcare Corporation¿s SIGMA Spectrum Infusion Pumps with Master Drug Library (Version 8) and Spectrum IQ Infusion Systems with Dose IQ Safety Software (Version 9) due to increased rep..

07/13/2023
Update: Adjunctive CGM's Medical Benefit for Florida Blue Medicare Members Only
As previously communicated, effective June 15 ,2023, adjunctive Continuous Glucose Monitors (CGM) (E2102) ordered for Florida Blue Medicare Advantage members by their physician will be coordinated by CareCentrix under the member's medical benefit only if requested at the s..

07/07/2023
Reasonable Useful Lifetime for Durable Medical Equipment
To provide information regarding Reasonable Useful Lifetime for Durable Medical Equipment (DME)...

07/03/2023
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) for Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

07/03/2023
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application. ..

06/30/2023
Aetna Transition Contact and Claims Information
To provide additional support and claims information for providers servicing members impacted by the Aetna (including formerly Coventry) transition effective July 1, 2023...

06/23/2023
Telehealth Requirements for Florida Blue Commercial and Medicare Advantage Members
To provide home health agencies with updated telehealth requirements for Florida Blue Commercialand Medicare Advantage members...

06/15/2023
Adjunctive CGM's Medical Benefit for Florida Blue Medicare Members Only
Effective June 15, 2023, adjunctive Continuous Glucose Monitors (CGM) (E2102) ordered for Florida Blue Medicare Advantage members by their physician will be coordinated by CareCentrix under the member's medical benefit only if requested at the same time as an insulin pump ..

06/15/2023
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..

05/26/2023
Federal Employee Program (FEP) Advance Benefit Determination
To inform providers that they can help Federal Employee Program (FEP) patients avoid unexpected expenses for non-urgent services or durable medical equipment (DME) prior to delivery by requesting an advance benefit determination...

05/24/2023
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

05/22/2023
Changes to CareCentrix's Agreement with Aetna and Coventry
To notify participating providers contracted to service Aetna and formerly Coventry (Aetna) members of changes to processes related to service registration, authorizations, claims and coordination of services with CareCentrix for Aetna members...

05/19/2023
CGM Process for Florida Blue Medicare Members
To inform providers how to handle CGM services for Florida Blue Medicare members...

05/15/2023
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

05/05/2023
FDA Recall - Akorn Drug Products
We are writing to inform you that effective immediately the FDA has posted notice of a voluntary nationwide recall by Akorn Operating Company, LLC of various human and animal drug products within expiration date due to the company shut down..

05/05/2023
Update - FDA Decision to Withdraw FDA-Approval of Makena
Effective April 6, 2023, the U.S. Food and Drug Administration (FDA) announced the final decision to withdraw approval of Makena and its generics (hydroxyprogesterone caproate). These drugs were previously approved under the FDA accelerated approval pathway. The decision w..

04/27/2023
FDA Decision to Withdraw FDA-Approval of Makena
Effective April 6, 2023, the U.S. Food and Drug Administration (FDA) announced the final decision to withdraw approval of Makena and its generics (hydroxyprogesterone caproate). These drugs were previously approved under the FDA accelerated approval pathway. The decision w..

04/26/2023
FDA Recall - Covidien-Shiley Tracheostomy Tubes
We are writing to inform you effective immediately, the FDA has issued notice of a Class 1 recall by Covidien of Shiley Adult Flexible Tracheostomy Tubes with TaperGuard Cuff and Cuffless with disposable Inner cannula or reusable inner cannula..

04/18/2023
Notice of Prior Authorization and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

04/07/2023
FDA Recall - Abbott Freestyle Glucose Monitoring Systems
We are writing to inform you that the FDA has issued notice of a Class 1 recall by Abbott of all FreeStyle Libre, FreeStyle Libre 14 day and FreeStyle Libre 2 Flash glucose monitoring systems because the Reader device for these systems use rechargeable lithium-ion batteri..

04/07/2023
FDA Recall - Philips Respironics Reworked DreamStation CPAP, BiPAP Machines
We are writing to inform you that effective immediately the FDA has issued a Class 1 recall notice of certain reworked Philips Respironics DreamStation CPAP, BiPAP machines distributed from December 1, 2021 to October 31, 2022 due to the risk they may deliver inaccurate or..

04/03/2023
Notice of Medicare Non Coverage Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

03/28/2023
Mass General Brigham Health Plan Member Transition
To communicate that Mass General Brigham Health Plan (MGBHP) will be transitioning a segment of their current Merrimack Valley ACO (MVACO) members to a new ACO plan effective April 1, 2023. ..

03/24/2023
UPDATE Office of Inspector General Investigation Regarding Fake Nursing Degrees
To share updated information about an Office of Inspector General (OIG) investigation regarding fake nursing degrees and remind providers of their obligation to ensure that all clinical staff maintains appropriate clinical licensure...

03/22/2023
CareCentrix Direct - Technical Issue Resolved
To alert providers of the resolution of an intermittent CareCentrix Direct issue impacting providers...

03/20/2023
CareCentrix Direct - Technical Issue
To alert providers of an intermittent CareCentrix Direct issue impacting providers with multiple locations...

03/17/2023
Registration Open! Provider Forum April 2023
As a valued member of the CareCentrix Provider Network Community, we are inviting you to a special event on Wednesday, April 19 at 12:00 pm ET. Attendance at this event is highly recommended in order to remain up-to-date with CareCentrix processes and resources. There will..

03/15/2023
Notice of Prior Authorization and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

03/03/2023
Office of Inspector General Investigation Regarding Fake Nursing Degrees
To share information about an Office of Inspector General (OIG) investigation regarding fake nursing degrees and remind providers of their obligation to ensure that all clinical staff maintains appropriate clinical licensure...

03/02/2023
We Are Live with Performant Recovery, Inc.
To inform providers that CareCentrix will be utilizing Performant Recovery, Inc. (Performant) as our claims payment integrity vendor effective March 1, 2023. ..

02/22/2023
FDA Recall - Reckitt Enfamil ProSobee Formula
We are writing to inform you that effective immediately the FDA has posted notice of a voluntary recall issued by Reckitt of two lots of their Enfamil ProSobee 12.9 oz. Simply Plant-Based Infant Formula manufactured between August, 2022 and September, 2022 due to a possibi..

02/15/2023
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..

02/03/2023
FDA Recall - Smiths Medical CADD Pump System
We are writing to inform you that effective immediately the FDA has issued a Class I recall issued by Smiths Medical of certain CADD Administration Sets and Medication Cassette Reservoirs for the following two potential issues delay, interruption or under-delivery of infus..

01/17/2023
Notice of Prior Authorization and Changes to Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

01/13/2023
Provider Experience Email Name Change
The Provider Experience Team will begin utilizing a new email address to send provider communications from CareCentrix effective January 13, 2023...

01/03/2023
Notice of Medicare Non Coverage Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

01/03/2023
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

12/30/2022
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..

12/28/2022
FDA Recall - Hospira, Inc. Vancomycin HCL Injection
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary nationwide recall by Hospira, Inc., a Pfizer company, of one lot (33045BA) of Vancomycin Hydrochloride Injection, USP 1.5 g/vial single dose flip top vial, expiration date Sept..

12/28/2022
FDA Recall - Accord Healthcare Daptomycin Injection
We are writing to inform you effective immediately the FDA has posted notice of a voluntary recall of a single lot of Daptomycin for Injection 500 mg/vial and Daptomycin for Injection 350 mg/vial product contained in cartons imprinted with lot R2200232, Expiration date 1/2..

12/27/2022
New CMS Remote Patient Monitoring Codes
To inform providers of new Centers for Medicare and Medicaid Services (CMS) voluntary remote patient monitoring codes effective January 1, 2023...

12/23/2022
FDA Recall - Philips Respironics Trilogy Reworked Ventilators
We are writing to inform you that effective immediately, the FDA has issued a Safety Communication to provide additional information on two recent issues that have resulted in a recall by Philips of certain reworked Philips Respironics Trilogy 100 and Trilogy 200 ventilato..

12/16/2022
Reminder: Variable Rate DME Items (MSRP)
To provide CareCentrix network providers with information on how to properly obtain authorization and submit claims for items reimbursed at a discount off the Manufacturer's Suggested Retail Price (MSRP). ..

12/09/2022
Horizon Medicare Advantage Members Move to Braven
To communicate that Horizon Blue Cross ..

12/08/2022
2023 Benefits Reminders
To remind providers about the importance of confirming member eligibility, benefits, and related items as we approach a period where member insurance plan coverage may change...

12/05/2022
Allways Health Plan (AHP) becomes Mass General Brigham Health Plan
To communicate that Allways Health Partners (AHP) has announced that the company will be known as "Mass General Brigham Health Plan" effective January 1, 2023...

12/05/2022
Aetna Update Effective July 1, 2023
To notify providers contracted to service Aetna and Coventry (Aetna) members of changes to processes related to service registrations and authorizations, claims, and coordination of services with CareCentrix. ..

11/18/2022
FDA Recall - Insulet Omnipod DASH
We are writing to inform you that the FDA has issued a Class I recall of the Insulet Omnipod DASH Insulin Management System Personal Diabetes Manager (PDM) after receiving reports of PDM battery issues, including battery swelling, fluid leakage from the battery and extreme..

11/15/2022
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements.....

11/09/2022
Alert: Tropical Storm Nicole
To alert contracted providers that service the state of Florida of CareCentrix's response to Tropical Storm Nicole. ..

11/07/2022
Hurricane Ian Updates
To provide information and support to our providers and your patients in relation to the challenges caused by Hurricane Ian. ..

10/27/2022
FDA Recall - Mylan Institutional, LLC Octreotide Acetate Injection
We are writing to inform you that the FDA has issued notice of a voluntary recall by Mylan Institutional, LLC of Octreotide Acetate Injection, 500 mcg/mL, lot AJ21002, expiry March, 2024, distributed in the US between January 11, 2022 and June 21, 2022 to the user level (h..

10/26/2022
Hurricane Ian Updates
To provide additional information and support to our providers and your patients in relation to the challenges caused by Hurricane Ian. ..

10/20/2022
FDA Recall - Abbott Ready-to-Feed Liquid Products
We are writing to inform you that the FDA has issued notice of a voluntary recall by Abbott of certain lots of 2 fluid ounce/59 milliliters bottles of Ready-to-Feed liquid products for infants and children, including the brands Similac Pro-Total Comfort, Similac 360 Total ..

10/19/2022
Provider Satisfaction Survey: Reminder
To encourage providers to complete the Provider Satisfaction Survey that was released on October 3, 2022. ..

10/14/2022
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

10/04/2022
FDA Recall: Eugia US LLC - AuroMedics Acyclovir Sodium Injection
We are writing to inform you that the FDA has published notice of a voluntary recall by Eugia US LLC (formerly AuroMedics Pharma LLC) of lot number AC22006 of AuroMedics Acyclovir Sodium Injection 500 mg per 10 mL (50 mg/mL), 10 mL single dose vials labeled with NDC 55150-..

10/01/2022
Changes to Provider Demographic Information - Q4
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

10/01/2022
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms - Q4
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

09/27/2022
FDA Recall Update - Phillips BiPaP Machines
We are writing to inform you that we have updated information related to to the Newsflash sent on August 31, 2022 regarding recalled BiPAP machines. ..

09/26/2022
CareCentrix Important Information: Hurricane Ian
To alert contracted providers that service the state of Florida of CareCentrix's response to Hurricane Ian...

09/23/2022
Registration Open: Provider Forum October 2022
As a valued member of the CareCentrix Provider Network Community, you are invited to a special event on Wednesday, October 19, 2022 at 12:00 pm ET...

09/19/2022
Provider Satisfaction Survey: 15 Day Reminder
To encourage providers to complete the Provider Satisfaction Survey that will be released on October 3, 2022...

09/16/2022
FDA Recall - Clearlink Basic Solution Set with Duovent
We are writing to inform you that Baxter Healthcare Corporation is recalling Clearlink Basic Solution Set with Duovent after increased customer reports of leaks...

09/15/2022
Notice of Prior Authorization Requirements
To provide information on CareCentrix¿s prior authorization requirements and changes to those requirements. ..

09/15/2022
Annual Model of Care (MOC) Training Requirement
To notify providers that provide services to Special Needs Plan (SNP) members of therequirement to complete annual Model of Care (MOC) training and to attest to the completionof this training...

09/12/2022
CNOA Term for Wellcare Changed to Registration
The purpose of this communication is to inform Wellcare Home Health providers of a terminology change related to initial requests...

09/07/2022
FDA Recall - Philips Respironics Masks
We are writing to inform you that the FDA has announced a recall by Philips Respironics for certain masks used with bilevel positive airway pressure (also known as Bilevel PAP, BiPAP, or BPAP) machines and continuous positive airway pressure (CPAP) machines due to a seriou..

09/02/2022
Provider Satisfaction Survey: 30 Day Reminder
To encourage providers to complete the Provider Satisfaction Survey that will be released on October 3, 2022...

09/02/2022
Change to Supported Web Browsers
To notify home health providers of a change to web browsers supported by CareCentrix when accessing HomeBridge¿ Provider Portal. ..

08/31/2022
FDA Recall - Phillips BiPaP Machines
We are writing to inform you that the FDA has announced a recall by Philips Respironics of their ASeries bi-level positive airway pressure (BiPAP) machines...

08/16/2022
August 2022 Newsflash Notice and Changes To Prior Auth Requirements
To provide information on CareCentrix¿s prior authorization requirements and changes to those requirements. ..

08/04/2022
HCPCS Code Updates for Home Health Care Services
To notify home health providers that services associated with a subset of S and T codes must be registered and billed with the new respective HCPCS for dates of service on or after July 1, 2022...

07/26/2022
KX/KS Modifiers for BlueCard Durable Medical Equipment Claims
To inform providers that CareCentrix accepts informational modifiers that may be required by BlueCard home plans. Providers are responsible for determining when billing informational modifiers is appropriate and necessary. CareCentrix passes these informational modifiers..

07/25/2022
Wellcare Extension Letter
To advise providers the mutual decision to postpone the effective date for home health services for Wellcare Medicare members in Florida (regions 1-7) from 7/1/2022 to 10/1/2022...

07/15/2022
Notice of Prior Auth Requirements
To provide information on CareCentrix¿s prior authorization requirements and changes to those requirements. ..

07/11/2022
BCBS MI and BCN Infusion Medication Reimbursement Reminder
To remind independent Home Infusion and Ambulatory Infusion Suite (AIS) providers that provide services to Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network commercial members in Michigan of the importance of using a conversion tool to convert NDC units to H..

07/01/2022
Changes to Provider Demographic Information - Q3
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

07/01/2022
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms - Q3
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

05/06/2022
Provider Forum Invitation
Invitation for providers on Wednesday, June 8, 2022 at 12:00 pm ET for a Q..

04/15/2022
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to thoserequirements...

04/01/2022
Changes to Provider Demographic Information - Q2
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

04/01/2022
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms - Q2
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

03/23/2022
Company Announcement/Recall - Adamis Pharmaceuticals Corp
We are writing to inform you that the FDA has published notice of a voluntary recall issued by Adamis Pharmaceuticals, Corp. ..

03/14/2022
Company Announcement/Recall - Baxter Infusion Pumps
We are writing to inform you that the FDA has published a Class I recall by Baxter of their SIGMASpectrum Infusion Pumps with Master Drug Library (Version 8), Product Code 35700BAX2 and their Spectrum IQ Infusion System with Dose IQ Safety Software (Version 9), Product Cod..

03/14/2022
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to thoserequirements. ..

03/11/2022
Horizon Commercial Coverage Change for CGM
To notify you of a change to the Horizon BCBS New Jersey (Horizon) commercial clinical coveragepolicy applicable to intermittently scanned (flash) Continuous Glucose Monitors (CGM). ..

03/10/2022
Company Announcement/Recall - Abbott Powder Infant Formula - Expanded
We are writing to inform you that the FDA has published notice that Abbott has expanded their2/17/2022 voluntary recall of Similac, Alimentum, and EleCare powder infant formulas manufactured in their Sturgis, MI facility due to consumer complaints regarding Cronobacter sak..

03/08/2022
Company Announcement/Recall - Fresenius Kabi Sodium Acetate
We are writing to inform you that the FDA has issued notice of a voluntary recall by Fresenius Kabi, USA of seven lots of their Sodium Acetate Injection, USP 400 mEq/100 ml (4 mEq/ml), 100 ml fill in a 100 ml vial to the user level due to the presence of particulate matter..

03/04/2022
Announcement / Recall - B Braun Medical Sodium Chloride
FDA has issued notice of a nationwide voluntary recall by B. Braun Medical, Inc...

02/18/2022
Company Announcement/Recall - Abbott Infant Formulas
We are writing to inform you that the FDA has issued notice of a voluntary recall initiated by Abbott of powder formulas including Similac, Alimentum and EleCare manufactured in their Sturgis, MI facility. The recall is due to four consumer complaints related to Cronobacte..

02/14/2022
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to thoserequirements. ..

01/31/2022
Company Announcement/Recall - AuroMedics Pharma, LLC
We are writing to inform you that the FDA has posted a voluntary recall by AuroMedics Pharma, LLC of Polymyxin B for Injection USP, 500,000 Units/Vial, lot number CPB200013 due to the presence of particulate matter, identified as hair, being discovered in a vial within thi..

01/28/2022
Company Announcement/Recall - Phillips Trilogy Evo Ventilator
We are writing to inform you that the FDA has posted a Class I recall issued by Philips Respironics of certain serial numbers of their Trilogy Evo Ventilators, model numbers DS2110X11B. They are also recalling Repair Kits for Trilogy Evo muffler assembly, Part number 11352..

01/28/2022
Accessing Excel Tools on HomeBridge Provider Portal
To inform providers how to access Excel tools on HomeBridge Provider Portal when using Chrome as a web browser...

01/25/2022
Continuous Glucose Monitor (CGM) Systems and Sensors
To inform providers of the appropriate process in HomeBridge¿ Provider Portal (www.carecentrixportal.com) when submitting an initial request for CGM therapy equipment versus requests for additional or replacement parts to existing equipment...

01/14/2022
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to thoserequirements. ..

01/05/2022
Changes to Provider Demographic Information - Q1
To remind providers that they must timely notify CareCentrix of any changes in their demographicinformation or changes to the information submitted in their CareCentrix credentialing application...

01/05/2022
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms - Q1
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

12/15/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to thoserequirements. ..

12/09/2021
Company Announcement/Recall - Edge Pharma Compounded Drugs
We are writing to inform you that the FDA has posted a voluntary recall of all lots of all drugscompounded by Edge Pharma, LLC due to process issues that could lead to a lack of sterility assurance for their products intended to be sterile and could impact the safety and q..

12/03/2021
Company Announcement/Recall - Sandoz, Inc. Enoxaparin
We are writing to inform you that the FDA has posted a nationwide voluntary recall initiated by Sandoz, Inc. of their Enoxaparin Sodium Injection, USP 40 mg/0.4 ml single-dose syringes, Lot SAB06761A distributed to the consumer in September and October, 2021. A portion of ..

11/16/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to thoserequirements. ..

10/28/2021
Company Announcement/Recall - Aligned Medical Solutions/Cardinal Health Monoject Syringes
We are writing to inform you that the FDA has posted a voluntary nationwide recall by Windstone Medical Packaging dba Aligned Medical Solutions of Cardinal Health¿s Monoject Flush Prefilled Saline Syringes part #8881570121 that was placed into their convenience kits..

10/22/2021
Company Announcement/Recall - Merck Cubicin
We are writing to inform you that the FDA has issued notice of a voluntary recall by Merck of one lot of Cubicin (Daptomycin for Injection) 500 mg for IV use, Lot 934778, Exp June 2022 due to the presence of particulate matter (glass) found in the vials...

10/18/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..

10/07/2021
Company Announcement/Recall - MiniMed 600 Insulin Pumps
We are writing to inform you that the FDA has posted notice of an update to the Class I recall previously issued by Medtronic on November 21, 2019 of their MiniMed 600 Series Insulin Pumps. Medtronic has now expanded the recall to replace all of the MiniMed 600 series insu..

10/01/2021
Changes to Provider Demographic Information - Q4
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

10/01/2021
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms - Q4
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

09/23/2021
FDA Recall - IntegraDose Cefazolin
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary nationwide recall by IntegraDose Compounding Services, LLC of 9 lots of Cefazolin 2 gram in 20 ml syringe for Injection and 2 lots of Cefazolin 3 gram in 100 mL 0.9% sodium chl..

09/15/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix¿s prior authorization requirements and changes to those requirements. ..

09/09/2021
FDA Recall - ICU Medical Aminosyn II
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary recall by ICU Medical, Inc. of Aminosyn II, 15% , an Amino Acid Injection, Sulfite Free intravenous (IV) solution, lot #4989094, Expiration date April 1, 2022 distributed Janua..

08/23/2021
FDA Recall - Cardinal Monoject Saline Syringes
We are writing to inform you that effective immediately the FDA has published a voluntary recall issued by Cardinal Health of all lots of their Monoject Flush Prefilled Saline Syringes (0.9 % Sodium Chloride). The products have been found to reintroduce air into the syring..

08/17/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to thoserequirements...

07/22/2021
CareCentrix and Aetna Georgia Medicare Advantage Home Health Services Changes
To notify participating home health providers of changes impacting Aetna Georgia (GA) Medicare Advantage home health services...

07/16/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to thoserequirements...

07/02/2021
Changes to Provider Demographic Information - Q3
To remind providers that they must timely notify CareCentrix of any changes in their demographicinformation or changes to the information submitted in their CareCentrix credentialing application...

07/02/2021
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms - Q3
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) orCoventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

06/22/2021
FDA Recall - Smith Medical Insulin Syringes
We are writing to inform you that effective immediately the FDA has issued notice of a Class 1 recall by Smiths Medical of specific models and lots of Jelco Hypodermic Needle-Pro Fixed Needle Insulin Syringes due to identification of skewed odd number line graduation marki..

06/21/2021
HomeBridge Provider Portal Clinical Information
The purpose of this communication is to provide guidance on responding to the clinical questions posed in the CareCentrix HomeBridge¿ Provider Portal to be eligible to receive an immediate approval. ..

06/18/2021
FDA Recall - Infusion Pump Repair - Alaris Bezel
We are writing to inform you that effective immediately the FDA has issued notice of a Class 1 recall of the Alaris Infusion Pump Module Model 8100 Bezel, Product Number TIPA-8100-4410, Lot number 20200608 distributed from January 15, 2021 to March 14, 2021 that where purc..

06/18/2021
FDA Recall - Phillips Sleep and Resp Care Devices
We are writing to inform you that effective immediately the FDA has issued notice of a voluntarynationwide recall by Philips for specific Bi-Level Positive Airway Pressure (Bi-Level PAP), Continuous Positive Airway Pressure (CPAP), and mechanical ventilator devices to addr..

06/15/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

06/01/2021
CareCentrix and PEIA Member Services
To notify participating providers contracted to service West Virginia Public Employees Insurance Agency (PEIA) members of changes to processes related to service registration and authorizations, claims, and coordination of DME and Home Sleep services with CareCentrix for P..

05/12/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..

05/06/2021
FDA Recall - Hospira Sterile Water
We are writing to inform you that effective immediately the FDA has issued notice of a voluntarynationwide recall issued by Hospira, Inc. of Lot DN9185 of their Sterile Water for Injection, USP, 100 ml single dose glass fliptop vial due to a confirmed customer report of a ..

04/30/2021
FDA Recall - Pacifica Group BD Alaris 8100 Pump
We are writing to inform you that effective immediately, the FDA has issued notice of a Class 1 recall by Pacific Medical Group (Avante Health Solutions) of their Alaris Infusion Pump Module, Model 8100 Front Bezel distributed from 7/10/2020 to 2/18/2021. This recall was i..

04/29/2021
CareCentrix and Cigna - Claims Reminder
To remind providers to timely submit claims for Cigna members to the appropriate party to avoid claimdenials...

04/22/2021
CareCentrix and PEIA Partnership Update
To notify providers that effective July 1, 2021, CareCentrix will no longer be contracted withWest Virginia Public Employees Insurance Agency (PEIA)...

04/19/2021
CareFusion 303 BD Alaris 8100 Pump
We are writing to inform you that effective immediately, the FDA has issued notice of a Class 1 recall by CareFusion 303, Inc. of their BD Alaris Infusion Pump Module, model 8100 manufactured 1/15/2019 to 12/5/2019 and distributed 1/23/2019 to 12/5/2019. This recall was is..

04/16/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

04/01/2021
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM)or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC)process...

04/01/2021
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in theirdemographic information or changes to the information submitted in their CareCentrixcredentialing application...

03/26/2021
FDA Recall - Zydus Acyclovir
We are writing to inform you that effective immediately the FDA has posted notice of a voluntary recall issued by Zydus Pharmaceuticals, Inc. of 4 lots of their Acyclovir Sodium Injection 50 mg/ml, 10 ml and 20 ml vials after receiving several complaints of crystallization..

03/19/2021
Provider Portal: HomeBridge Enhancement Notification
To inform providers of changes and enhancements to the Provider Portal: HomeBridge beginningMarch 21, 2021...

03/19/2021
New Florida BlueCard Home Health Care Training Guide
To inform providers CareCentrix is introducing a new Florida BlueCard Home Health CareTraining Guide that will provide information on the CareCentrix BlueCard elevationprocess for prior authorization...

03/15/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix¿s prior authorization requirements and changes to those requirements. ..

02/15/2021
CareCentrix and Cigna Claims Reminder
To remind providers to timely submit claims for Cigna members to the appropriate party to avoid claimdenials...

02/15/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

02/11/2021
FDA Recall - Smiths Medical Medfusion 3500 and 4000 Pumps
We are writing to inform you that effective immediately the FDA has issued notice of a Class I Recall by Smiths Medical of specific software versions of their Medfusion 3500 and 4000 Syringe Pumps due to a software error that may lead to over-delivery or under-delivery of ..

02/04/2021
FDA Recall - Apotex Enoxaparin Sodium
We are writing to inform you that effective immediately the FDA has issued a notice of a Voluntary recall by Apotex Corp. of 2 batches of Enoxaparin Sodium Injection, USP to the consumer level. This is due to packaging errors resulting in some syringes containing 100 mg/ml..

01/29/2021
Notice to Our Valued Provider Network - Cigna Termination
As you are aware, CareCentrix is ending its agreement with Cigna effective February 1, 2021. CareCentrix is receiving questions from providers regarding this change, particularly around continuation of services. In an effort to support our provider network, we are proactiv..

01/28/2021
Portal Automated BOT Requests - Update
To alert providers of a temporary change for portal requests during peak processing portal timeperiods...

01/15/2021
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements..

01/13/2021
FDA Recall - Fresenius Kabi Ketorolac
We are writing to inform you that effective immediately the FDA has issued a notice of a voluntarynationwide recall by Fesenius Kabi of one lot of their Ketorolac Tromethamine Injection, USP, 30 mg/ml, 1 ml fill in a 2 ml amber vial due to the presence of particulate matte..

01/08/2021
HMO and PPO Health Plan: Braven Health
To remind providers that effective 01/01/2021, CareCentrix began supporting a new MedicareAdvantage HMO and PPO Health Plan, Braven Health, in New Jersey...

01/04/2021
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM)or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC)process. ..

01/04/2021
Changes to Provider Demographic Information - Q1 2021
To remind providers that they must timely notify CareCentrix of any changes in theirdemographic information or changes to the information submitted in their CareCentrixcredentialing application...

12/21/2020
Telehealth Requirements for Florida Blue Medicare Advantage Members
To provide home health agencies with telehealth requirements for Florida Blue MedicareAdvantage members effective January 1, 2021. ..

12/18/2020
Portal Automated BOT Requests
To alert providers of a temporary change for portal requests during peak processing portal timeperiods..

12/15/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..

12/09/2020
2021 Benefit Reminders
To remind providers about the importance of confirming a member¿s proof of eligibility andcoverage as the year draws to a close, to ensure authorizations are current, and to provideguidance for successful claims submission..

12/07/2020
Compliance Attestation
To notify CareCentrix network providers of a compliance attestation that they are required tocomplete by Friday, December 18, 2020...

12/02/2020
FDA Recall - Baxter SIGMA Spectrum Pumps
We are writing to inform you that effective immediately the FDA has issued a Class I recall of BaxterHealthcare¿s SIGMA Spectrum Infusion Pumps with Master Drug Library (Versions 6 ..

11/13/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..

11/03/2020
CareCentrix and Cigna Partnership
To notify participating providers contracted to service Cigna members of changes to processes related to service registration andauthorizations, claims, and coordination of services with CareCentrix for Cigna members...

10/29/2020
Charging Patients for Personal Protective Equipment
To notify CareCentrix network providers of a State of New York mandate prohibiting charging patientsfees for personal protective equipment. ..

10/15/2020
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements ¿ October 2020
To provide information on CareCentrix¿s prior authorization requirements and changes to those requirements...

10/14/2020
Changes to Provider Demographic Information ¿ Q4
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application. ..

10/14/2020
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms ¿ Q4
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

10/07/2020
FDA Recall - BD Module 8100 and Module Door Kits
We are writing to inform you that effective immediately the FDA has issued a Class I recallof BD CareFusion 303¿s Alaris Pump Module model 8100 and Pump Module Door AssemblyReplacement Kits, part numbers 49000346, 49000239, 49000438 and 49000439manufactured 12/1/201..

09/22/2020
FDA Recall - BD Carefusion Alaris System Hardware
We are writing to inform you that effective immediately FDA has posted an announcementby BD (Becton, Dickinson and Company) of an update to their previously announcedvoluntary recalls issued on August 4, 2020. The recalls have now been updated to FDAClass I and II designat..

09/18/2020
FDA Recall - BD ALaris Syringe and PCA Pumps
To notify providers that effective immediately the FDA has issued a Class I recall of BD CareFusion 303, Inc. Alaris Syringe Module-model 8110, Alaris PCA Module-model 8120, and Syringe/PCA Sizer Sensor Replacement Kit-P/N 122786 manufactured from March 1, 2010 to present ..

09/15/2020
FDA Recall - BD Alaris PC Unit
To inform providers that that effective immediately the FDA has issued a Class I recall of BD CareFusion 303, Inc.¿s Alaris System PC unit and PC unit front case keypad replacement kits manufactured from April 7, 2017 to June 15, 2020 and distributed from April 12, ..

09/15/2020
Changes To Prior Authorization Requirements
To provide information on CareCentrix¿s prior authorization requirements and changes to those requirements...

09/03/2020
FDA Recall - BD Alaris Pumps Recall
We are writing to inform you that effective immediately the FDA has announced a Class I recall as an update to their previously announced voluntary recall on June 30, 2020 of BD Alaris System Hardware. The hardware issues may cause the infusion pump to not operate as expec..

08/17/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..

07/18/2020
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix¿s prior authorization requirements and changes to those requirements. ..

07/17/2020
Supported Web Browsers
To notify providers of a change to the web browsers supported by CareCentrix when accessing HomeBridge¿ (www.carecentrixportal.com). ..

07/15/2020
FDA Recall - CME America Infusion Sets
We are writing to inform you that effective immediately the FDA has issued notice of avoluntary recall by CME America of all BodyGuard Infusion System Administration Sets foruse with their BodyGuard Infusion Pumps distributed beginning in May, 2016. This recallannouncement..

07/09/2020
FDA Recall - Daptomycin for Injection
We are writing to inform you that effective immediately, the FDA has issued a voluntarynationwide recall to the consumer level of one lot of Daptomycin for Injection, 500 mg/vialdue to the presence of particulate matter found in one single-dose vial manufactured byMylan La..

07/01/2020
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM)or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC)process. ..

07/01/2020
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in theirdemographic information or changes to the information submitted in their CareCentrixcredentialing application...

06/15/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..

06/01/2020
Enhanced HomeBridge Functionality and Updated Warning Code Tool
To inform providers rendering PAP and PAP supplies to Cigna and Florida Blue members of an update to HomeBridge¿ to proactively notify users of a patient¿s suspension status when registering services...

05/22/2020
COVID-19 Related Policy Update Applicable to Recoupment Disputes
To support our providers during these exceptional circumstances, CareCentrix is working onproviding an alternate means for submitting recoupment disputes. The below policy change issubject to change as the COVID-19 pandemic evolves. ..

05/21/2020
New Florida FEP Tool for Providers
To notify providers servicing FLBL FEP members of a new tool available on HomeBridge¿ toprovide helpful coverage information related to home health and durable medical equipmentservices...

05/21/2020
Aetna Provider Platform Changing From Navinet to Availity
To inform CareCentrix providers servicing Aetna members that effective 6/1/2020, Aetna willsunset the use of Navinet and will utilize Availity only for eligibility and benefit verification. ..

05/14/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..

05/01/2020
FDA Recall - CME America Pumps and Sets
We are writing to inform you that effective immediately the FDA has issued an update by CME America on 2 previously announced voluntary recalls related to ambulatory infusion pumps and sets...

04/22/2020
Update: COVID-19 Related Policy Updates Applicable to Durable Medical Equipment (DME) Providers
To support our providers in these exceptional circumstances, CareCentrix is working with our health plan clients to facilitate policy updates during the COVID-19 pandemic. The below policy changes apply to durable medical equipment (DME) providers through 5/31/2020 and are..

04/21/2020
FDA Recall - B. Braun Medical Ceftazidime Injection
We are writing to inform you that effective immediately the FDA has posted notice of a voluntary recall by B. Braun Medical, Inc. of one (1) lot of 2g Ceftazidime for Injection USP (2g) and Dextrose for Injection USP (50 ml) in Duplex¿ Container to the hospital/user..

04/20/2020
FDA Recall - Fresenius Kabi Ketorolac Tromethamine
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary recall issued by Fresenius Kabi USA, LLC of 13 lots of their Ketorolac Tromethamine Injection, USP, 30 mg/mL, 1 mL fill in a 2 mL amber vial and Ketorolac Tromethamine Injectio..

04/20/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

04/09/2020
COVID-19 Related Policy Updates for Home Health Providers
To support our providers in these exceptional circumstances, CareCentrix is working with ourhealth plan clients to facilitate policy updates during the COVID-19 pandemic. These policychanges apply through 5/31/2020 and are subject to extension as the COVID-19 pandemicevolv..

04/07/2020
COVID-19 Related Policy Updates Applicable to Durable Medical Equipment (DME) Providers
To support our providers in these exceptional circumstances, CareCentrix is working with our health plan clientsto facilitate policy updates during the COVID-19 pandemic. The below policy changes apply to durable medicalequipment (DME) providers through 5/31/2020 and are s..

04/06/2020
Horizon Providers ¿ Provision of Oxygen Following ER Discharge
To inform providers of process changes related to the provision of home oxygen to help hospitals treat patients efficiently and maximize inpatient capacity during the COVID-19 pandemic...

04/01/2020
Electronic Remittance Advice (ERA) and Electronic Funds
To remind providers of the benefits of enrolling in Electronic Remittance Advice (ERA) andElectronic Funds Transfer (EFT)...

04/01/2020
Changes to Provider Demographic Information - Q2
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

04/01/2020
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

04/01/2020
Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) Enrollment Reminder
To remind providers of the benefits of enrolling in Electronic Remittance Advice (ERA) andElectronic Funds Transfer (EFT)...

03/30/2020
FDA Recall - CME America BodyGuard Pumps Recall
We are writing to inform you that effective immediately the FDA has posted a Class 1 recall by CME America of all serial numbers of 5 models of their BodyGuard Infusion Pump Systems manufactured from March 6, 2009 to November 26, 2019 and distributed from March 6, 2009 to ..

03/26/2020
Florida Blue GatorCare Employer Group Coverage Change: Therapeutic CGMs and Supplies
To notify providers that, effective April 1, 2020, therapeutic continuous glucose monitors(CGMs) and associated supplies will no longer be a covered benefit for patients coveredunder Florida Blue GatorCare employer group plans...

03/25/2020
HIPPS Codes and Florida Blue Medicare Advantage Home Health Agency Claims
To inform home health agency providers servicing Florida Blue Medicare Advantage patients of a claim edit change impacting claims for care that began in 2019 and continued into 2020 with dates of service through 3/2/2020...

03/17/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...

03/15/2020
Alert: COVID-19 Pandemic
To communicate to providers regarding the COVID-19 pandemic in connection with efforts to protect and support the patients that we mutually serve...

03/06/2020
FDA Recall - BD Carefusion Alaris Pump
We are writing to inform you that effective immediately the FDA has issued notice of a Class 1 recall by Becton Dickinson (BD) CareFusion 303, Inc. of all lots of the following Alaris System Infusion Pump Modules due to software and system errors..

03/05/2020
FDA Recall - Hikma Ketorolac
We are writing to inform you that effective immediately, the FDA has issued notice of a voluntary recall by Hikma Pharmaceuticals USA, Inc. of 8 lots of their Ketorolac Tromethamine Injection USP 30mg/ml, 1 ml fill/2ml vials to the medical facility and retail levels due to..

03/04/2020
Alert: Tennessee Tornado Event
- Severe storms and at least one devastating tornado impacted the state of Tennessee early morning Tuesday March 3rd 2020, resulting in loss of life, properties, power outages and road blocks within the state.- Road blockages as well as 7,000 power outages are being repor..

02/20/2020
FDA Recall - ResMed Stellar Ventilator
We are writing to inform you that effective immediately the FDA has issued a Class 1 recall of Stellar model 100 and 150 Non-invasive and Invasive Ventilators with serial numbers ranging from 20160123307 to 22171057208 manufactured from April 2016 to June 2017 and distribu..

02/12/2020
FDA Recall - Minimed 630G and 670G
We are writing to inform you that effective immediately the FDA has issued a Class 1 recall of all lots of Medtronic¿s MiniMed 630G insulin pumps distributed from September, 2016 to October, 2019 and all lots of MiniMed 670G insulin pumps distributed from June, 2017..

01/31/2020
Provider Notification for Florida Blue NextERA Energy Group Patients
To notify providers of the addition of Florida Blue NextERA Energy group patients and theapplicable utilization management process...

01/17/2020
FDA Recall AXIA Parm Sterile Products
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary recall of all unused sterile drug products within expiration date by AXIA Pharmaceutical due to a lack of sterility assurance...

01/08/2020
Process for Submitting Requests for Aetna Coventry Medicare
To provide information regarding the process for submitting requests for Aetna Coventry Medicare members in Florida with dates of service on and after 1/1/2020...

01/03/2020
Florida Blue Alignment Group Termination for BlueMedicare Preferred HMO Plan
To inform providers that Florida Blue¿s agreement with Alignment is terminating effective 12/31/19 and Florida Blue will not be offering the BlueMedicare Preferred HMO plan in 2020. Patients enrolled in the BlueMedicare Preferred HMO plan have the option to select a..

01/03/2020
Medical Coverage Policy Resources
To remind providers that links to health plan medical coverage policies are available throughboth the Provider Manual and the Medical Coverage Policies links on the Provider Portal:HomeBridgeSM at www.CareCentrixPortal.com under the ¿For Providers¿ section...

01/03/2020
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in theirdemographic information or changes to the information submitted in their CareCentrixcredentialing application...

01/03/2020
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM)or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC)process...

12/20/2019
Best Practices for Submitting Paper Claims
To remind providers of best practices for correctly billing paper claims to help avoid claim rejections...

12/20/2019
Changes to the Health Insurance Prospective Payment System (HIPPS) Codes
To notify home health agency providers that, effective January 1, 2020, the Centers forMedicare and Medicaid Services (CMS) has updated the HIPPS code set for home healthagency claims for services provided to patients covered under a Medicare plan...

12/06/2019
2020 Benefit Reminders
To remind providers about the importance of confirming a member's proof of eligibility and coverage as the year draws to a close, to ensure authorizations are current, and to provide guidance for successful claims submission..

11/14/2019
State of Arkansas Durable Medical Equipment Returns and Reimbursements
To remind DME providers in Arkansas of their obligation to comply with House Bill 1964, which allows patients to return and receive reimbursement for certain purchased DME within thirty (30) days of the purchase. ..

11/14/2019
Coming Soon: Provider Satisfaction Survey
To encourage providers to complete the Provider Satisfaction Survey that will be released on November 15, 2019...

11/05/2019
FDA Recall Medtronic Remote Control and Transmitter
We are writing to inform you that effective immediately the FDA has issued notice of a Class 1 recall by Medtronic of MiniMed Model 500 Remote Controls (MMT-500) and 503 Remote Transmitters (MMT-503) distributed August 6, 1999 to July 24, 2018 for use with MiniMed Insulin ..

11/01/2019
Best Practices to Avoid Claim Rejections
To remind providers of best practices to avoid claim rejections...

10/30/2019
Coming Soon - CareCentrix Provider Satisfaction Survey
To notify providers of the Annual Provider Satisfaction Survey that will be released in mid-November and encourage them to complete the questionnaire upon receipt. ..

10/30/2019
Alert: State of Emergency Declared for California
Governor Gavin Newsom of California has declared a statewide emergency due to the current fires and evacuations within the state. This replaces the previous mandate on Friday, October 25...

10/28/2019
BlueCard Process and Resources Reminder
To remind providers of the BlueCard process and available resources on the Provider Portal:HomeBridgeSM to ensure the correct home plan is contacted when authorization is notobtained by CareCentrix...

10/10/2019
FDA Recall - ICU Medical Infusion Sets
We are writing to inform you that effective immediately the FDA has published notice of a voluntary recall issued by ICU Medical, Inc. of certain lots of Plum and Sapphire Microbore Infusion Sets with inline filters due to the potential for small amounts of fluid leaking o..

10/03/2019
Florida Blue BlueCard Claims Update KX Modifier
To inform providers that there is an additional modifier that should be used on claims for CPAP/Bilevel devices and all related supplies for Florida Blue BlueCard patients...

10/02/2019
Notice of Medicare Non-Coverage (NOMNC) Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicare) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...

10/02/2019
Medical Coverage Policy Resources
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the Provider Portal: HomeBridge at www.CareCentrixPortal.com under the ¿For Providers¿ section...

10/02/2019
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

09/13/2019
HomeBridge Administrator Portal Responsibilities
To remind designated Provider Portal: HomeBridge administrators of their responsibility to manage portal user access and profile information on behalf of their organization...

07/26/2019
Waiver of Liability Process
To provide direction to providers on the new process for submitting Waiver of Liability claims to CareCentrix. Waiver of Liability claim is a claim that is not covered by the primary payor but may be covered by a secondary funding source. The provider is seeking to obtain ..

07/08/2019
Electronic Claim Submissions
To provide insight to the benefits of transmitting provider claims via Electronic Data Interchange (EDI) rather than submitting paper claim forms. ..

06/21/2019
Notice of Medicare Non-Coverage (NOMNC) Update
To inform network home health agencies of a change to the contact information for the Quality Improvement Organization (QIO) assigned to Florida. ..

06/20/2019
Reasonable Useful Lifetime Policy for Durable Medical Equipment
To remind providers to review Health Plan Medical Coverage Guidelines for the Reasonable Useful Lifetime (RUL) Policy for Durable Medical Equipment (DME) prior to requesting a replacement or repair...

05/15/2019
Service Facility Information
To remind providers rendering services to Florida Blue and Florida BlueCard members to send complete and accurate service facility information when appropriate. EDI claims that do not contain complete and accurate service facility information may result in denial or reject..

05/08/2019
Utilization Management Review Process for Coventry Medicare Members in Florida
To inform providers that, effective 6/1/2019. CareCentrix will be delegated to perform Utilization Management (UM) for home health services for all Coventry Medicare/DSNP members in Florida..

05/06/2019
FDA Recall - Mycophenolate Mofetil for Injection
Effective immediately the FDA has issued a voluntary recall of one lot of Mycophenolate Mofetil for Injection, USP, lot AD812 manufactured by Gland Pharma Limited and distributed nationwide by Par Pharmaceutical, Inc. between January 23, 2019 and February 11, 2019 due to t..

04/30/2019
BlueCard Reminder Newsflash
This Newsflash is to remind providers of the BlueCard process and available resources on the Provider Portal, HomeBridge to ensure the correct home plan is contacted when authorization is not obtained by CareCentrix. ..

04/30/2019
SAF Now Renamed to SRF
To notify providers that the Service Authorization Form (SAF) will be renamed to Service Registration Form (SRF)..

01/18/2019
FLBL NOMNC Requirements 01/2019
To remind network home health agencies that provide services to Florida Blue Medicare Advantage (BlueMedicare) members about the Florida Blue Notice of Medicare Non-Coverage (NOMNC) process. ..

01/18/2019
Medical Coverage Policy Links - Q1 2019 Reminder
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the Provider Portal: HomeBridge at www.CareCentrixPortal.com under the For Providers section. ..

01/08/2019
Changes to Provider Demographic 01/2019
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

12/19/2018
2019 Benefit Reminder
To remind providers about the importance of confirming a members proof of eligibility andcoverage as the year draws to a close, to ensure authorizations are current, and to provideguidance for successful claims submission...

12/18/2018
NHP becomes AllWays Health Partners
To communicate that Neighborhood Health Plan (NHP) has announced that, beginning January 1, 2019, the company will be known as AllWays Health Partners...

11/27/2018
Changes to Florida Blue Patient Intake and Authorizations Numbers
To provide information regarding a change to the intake and authorization numbers forcertain patients covered under Florida Blue plans...

11/19/2018
Parent Authorization ID
To communicate a new authorization identification type for Post-Acute Care facility authorization requests. This change reduces complexity for providers and health plans associated with reconciliation and billing...

11/02/2018
HomeBridge Enhancement: Carve Outs and Group Exception
To inform providers of a new Provider Portal: HomeBridge enhancement to preventrequests for members and/or services that are not coordinated by CareCentrix...

10/26/2018
Compliance Reminder - BayCare Health System County Coverage
To remind CareCentrix providers of their obligation to comply with the existing BayCare Health System carve out process for certain Cigna members. ..

10/19/2018
Bill for Denial
To provide direction to providers on the new process for submitting Bill for Denial claims to CareCentrix...

10/09/2018
State of Emergency: Hurricane Michael
The Governors of Florida and Alabama have declared a State of Emergency due to possible storm surges and flooding following Hurricane Michael's landfall along Florida's West Coast and Panhandle. ..

10/04/2018
Florida Blue NOMNC Process Change
To communicate a change to the NOMNC process for home health providers that render services to Florida Blue Medicare Advantage members. ..

10/03/2018
Changes to Provider Demographic Info - Q4 2018
To remind providers that they must notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application. ..

10/02/2018
Medical Coverage Policy Links
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the Provider Portal: HomeBridgeSM at www.CareCentrixPortal.com under the For Providers section...

09/28/2018
BCBS Pre-Fix Identification Tool
CareCentrix is excited to introduce the new Blue Cross Blue Shield (BCBS) Prefix Identification Tool available on our Provider Portal: HomeBridge...

09/25/2018
Chat With Us - Technical Issues
To inform providers who are using the "Chat with Us" feature on the Provider Portal: HomeBridge that the chat box may close unexpectedly due to the browser cache being full. ..

09/21/2018
Chat with Us!
You spoke we listened! CareCentrix is excited to announce upgrades and enhancements to our Provider Portal: HomeBridgeSM. Chat With Us tool!..

09/21/2018
Florida Blue Phone Menu Update
To inform providers servicing Florida Blue members that CareCentrix has recently updated our call menu and options for the Florida Blue 800 number...

08/17/2018
CA Wildfires
The State of California Department of Insurance (DOI) has extended the implementation of State of Emergency procedures to Mendocino County, in addition to Shasta and Riverside Counties, to include the necessary replacement of items inaccessible or lost in the recent and on..

07/12/2018
HomeBridge Enhancement - Chat with Us!
CareCentrix is excited to announce an enhancement to our Provider Portal: HomeBridge. The "Chat with Us" tool allows convenient, secure and real-time interactions via online instant messaging (IM) for existing authorizations. ..

07/11/2018
Florida Blue NOMNC Form and Instructions - July 2018
To remind network home health agencies that provide services to Florida Blue Medicare Advantage members about the Florida Blue Notice of Medicare Non-Coverage (NOMNC) form and how to use the Flordia Blue form. ..

07/10/2018
Changes to Provider Demographic Info - Q3 2018
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application. ..

06/28/2018
Best Practices - Claims Submission
To inform providers with multiple locations credentialed with CareCentrix under the same rendering National Provider Identifier (NPI) of potential claim rejections due to failure to obtain authorization for billed services. ..

06/22/2018
Medical Coverage Policy Links
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the Provider Portal. ..

05/25/2018
Standard vs. High Tech Hourly Private Duty Nursing
To inform PDN providers of the service codes to be used when requesting authorization and billing for standard and high tech private duty nursing services...

05/21/2018
HomeBridge Password Reset
To inform providers of a new enhancement for adding portal users and completing password resets on the Provider Portal: HomeBridge effective May 21, 2018. ..

05/11/2018
Claim Rejection Reason Reminder
A claim may be rejected if it is an exact duplicate of a previous claim submission. Failure to include the Treatment Authorization Codes (TAC) when submitting Medicare Advantage traditional home health claims will result in a rejection. ..

04/30/2018
Eligibility and Benefits for New Jersey Carpenters Fund (Horizon Healthcare Services, Inc.)
To remind providers that continuous glucose monitors (CGM) are a non-covered benefit for Horizon Healthcare Services, Inc. (Horizon) members covered under the New Jersey Carpenters Fund Employer Group (Group Number 75938). Providers are required to verify eligibility and..

04/26/2018
CMS Code Changes Effective April 1, 2018
The purpose of this communication is to notify providers of changes to the Centers for Medicare and Medicaid Services (CMS) Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS), and how these changes may impact provider billing, f..

04/26/2018
New Blue Cross Blue Shield Alphanumeric Subscriber IDs
Effective immediately, the Blue Cross and Blue Shield Association (BCBSA) is expanding the alpha prefix designation to accommodate alphanumeric values in Subscriber IDs.o Example of a new Subscriber ID: W5K123456789..

04/26/2018
Fallon Medicaid Business
To inform Fallon Health providers that, effective March 1, 2018, Fallon is supporting 3 new Accountable Care Organizations (ACOs) to manage Medicaid members:o Reliant ACO /Fallon 365 Careo Wellforce ACO/ Wellforce Care Plano Berkshire ACO/ Berkshire Fallon Health Collabora..

04/24/2018
2.Notice of Address Change Paper Claims Sent via FedEx, UPS or Certified Mail
The purpose of this communication is to notify providers using Federal Express, UPS or Certified Mail of a change to the address for submitting paper corrected claims, reconsiderations, and appeals. ..

04/07/2018
Medicare Advantage - Home Health Billing Reminder
To remind Home Health Providers of specific billing requirements for Medicare Advantage members. Claims that do not adhere to these requirements may be rejected or denied. ..

04/06/2018
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

02/26/2018
Warning Code Tool
To remind providers of the importance of resolving all error messages, specifically Overlap Errors, prior to submitting authorization requests on the Provider Portal: HomeBridge. ..

02/14/2018
Rental vs Purchase Authorization Requests
To remind durable medical equipment (DME) sleep providers of their responsibility to use the correct Unit of Measure (UOM) when submitting requests for PAP therapy devices through the Provider Portal: HomeBridgeSM...

02/02/2018
Claims Processing: Enhancements
To notify providers of a recent enhancement aimed at improving electronic and paper claim processing times. Effective immediately, providers are encouraged to include the patients health plan name on each claim submission...

01/29/2018
New Pap Therapy Set-Up Form
Effective immediately, the newly updated CareCentrix / Sleep Management Solutions (SMS) PAP therapy set-up form is required for all patients participating in the CareCentrix/ Sleep Management Solutions (SMS) iComply Therapy Adherence Program. ..

01/13/2018
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

01/11/2018
CMS Code Changes Effective 1-1-2018
The purpose of this communication is to notify providers of changes to the Centers for Medicare and Medicaid Services (CMS) Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) and how they may impact provider billing, fee schedul..

01/05/2018
LT / RT Modifier Enhancement
To advise providers of a recent system enhancement related to LT ..

12/27/2017
Medical Policy Resources Reminder
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the CareCentrix Provider Portal. ..

12/22/2017
2018 Benefit Reminders
To remind providers about the importance of confirming a members eligibility and benefits as the year draws to a close, to ensure authorizations are current, and to provide guidance for successful claims submission..

12/15/2017
Holiday Home Care Referrals
With the upcoming holiday, we are asking to submit your referrals to CareCentrix as early as possible, so that we can ensure services are coordinated timely for your discharging patient(s)...

11/27/2017
Medical Policy Resources Reminder
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the CareCentrix Provider Portal home page at www.CareCentrixPortal.com under the For Providers section...

11/18/2017
Horizon Contiguous County Rules
To clarify the Horizon contiguous county rules which define whether a service provided to aHorizon member should be billed to CareCentrix or the members home plan...

10/27/2017
Infusion Nursing Network Opportunity
The purpose of this communication is to notify home health agencies of a growing opportunity for specialty infusion nursing. CareCentrix has a network of home infusion pharmacies that dispense specialty infusion medication, pumps, and supplies directly to the patients hom..

10/27/2017
Medical Policy Resources Reminder
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the CareCentrix Provider Portal home page at www.CareCentrixPortal.com under the For Providers section.CareCe..

10/16/2017
Normal Saline Shortage
To inform providers of a supply disruption of IV solutions due to scheduled maintenance within Braun's manufacturing environment beginning in October. ..

10/13/2017
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in theirdemographic information or changes to the information submitted in their CareCentrixcredentialing application...

10/12/2017
Alert: CA Wildfires
Governor Brown Jr. has declared a State of Emergency in Solano, Napa, Sonoma and Yuba counties following the recent wildfires across the state and the high potential for increased wildfires to continue this year. ..

10/12/2017
Provider submissions of authorizations and re-authorizations
Provider education for submitting authorizations and re-authorizations and direction to the providers on how and what to communicate to the patients. ..

10/06/2017
Hurricane Nate
To alert contracted providers in selected counties currently under hurricane watch or warningsabout CareCentrixs operations in preparation for Hurricane Nate...

09/29/2017
Medical Coverage Policy Updates
To notify providers that links to health plan medical coverage policies are now available on the CareCentrix Provider Portal...

09/28/2017
Authorization Status Tracker
To inform providers of a new enhancement being implemented to our provider portal that will give providers information on the status of their authorization request...

09/27/2017
Provider Warning Code
To inform providers of a new self-service feature, called Warning Code Tool, onour provider portal to enhance the provider experience. This tool allows a providerto see the most common errors and to make corrections to improve overallefficiencies...

09/20/2017
Hurricane Jose
To alert contracted providers in selected counties currently under tropical storm or hurricane watch about CareCentrixs operations in preparation for Hurricane Jose...

09/07/2017
State of Emergency - Hurricane Irma
To alert contracted providers in Florida of CareCentrixs operations in light of Executive Order 17-235 issued by Governor Scott, which declares a State of Emergency in all counties within the state of Florida, in preparation for Hurricane Irma...

09/06/2017
Billing Changes for MED Services for Florida Blue
This communication is to notify providers that billing requirements have changed for MED (drug) services for Florida Blue members. ..

08/30/2017
Critical Reminder Regarding Provider Portal
To remind providers of the clinical information needed to help ensure timely processing of authorizations through the Provider Portal...

08/30/2017
New Precertfication Requirements
On June 1, 2017, precertification is required for Medicare Part B home health care services when the homecare requests are more than 60 consecutive days.This applies to all providers rendering home health care services for members enrolled in Aetna and Coventry Medicare A..

07/20/2017
Notice of Medicare Non-Coverage Fax Requirement
To remind all participating home health providers that they are required to fax to CareCentrix every Medicare Advantage patient's completed NOMNC form. ..

07/20/2017
Diabetic Equipment and Supplies for Lake County Board of County Commissioners
To notify providers that diabetic equipment (insulin pumps, tubing, etc.) and diabetic supplies (test strips, lancets, etc.) for Lake County Board of County Commissioners Florida Blue members are covered under both the Medical (Durable Medical Equipment "DME") an..

07/14/2017
Changes to Provider Demographic Info Q3 2017
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application. ..

06/15/2017
New PAP Therapy Set-Up Form
Effective immediately, the newly updated CareCentrix / Sleep Management Solutions (SMS) PAP therapy set-up form is required for all patients participating in the CareCentrix / Sleep Management Solutions (SMS) iComply Therapy Adherence Program...

05/31/2017
Home Sleep Test (HST) Program Reminder
To remind Home Sleep Test (HST) providers of their responsibility to update the Patient Management System (SleepUM) on a timely and accurate basis and in accordance with the terms of participation in the Specialty Program as referenced in the Provider Manual. ..

04/21/2017
Changes to Provider Demographic Info - Q2 2017
The purpose of this communication is to remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application. ..

04/18/2017
Medicare Advantage - Oxygen Authorization Requirements
The purpose of this communication is to provide additional information about changes to the CareCentrix oxygen authorization requirements for Medicare Advantage members announced in our February 2017 Newsflash and effective April 10, 2017. ..

04/14/2017
Notice of Address Change - Paper Claims Submissions
The purpose of this communication is to notify providers of a change to the address for submitting paper claims, recoupment requests, reconsiderations, and appeals to CareCentrix. ..

03/17/2017
Florida Blue Self-Administered Drugs - Update
The purpose of this communication is to notify providers of recent changes to the Florida Blue self-administered drug process and how it will impact new and existing authorizations.Note: This change applies to commercial and Medicare Advantage members. Providers should alw..

02/15/2017
CMS Code Changes
The purpose of this communication is to notify providers of recent changes to CMS CPT Codes and how they will impact provider billing, fee schedules, and existing authorizations...

02/15/2017
Provider Demographic Changes
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

02/10/2017
Oxygen Authorized Unit Change
To inform providers about a change to the CareCentrix authorization process for oxygen for patients covered under a Medicare Advantage Plan. ..

02/01/2017
Rent to Purchase
The purpose of this communication is to remind providers of the capped rental and rent-to-purchase requirements under your provider agreement. ..

12/21/2016
Provider Demographic Changes
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

12/02/2016
2017 Benefits Reminder
The purpose of this newsflash is to remind providers about the importance of confirming a members proof of eligibility and coverage as the year draws to a close, to ensure authorizations are current, and to provide guidance for successful claims submission. ..

10/11/2016
Horizon BCBSNJ Authorization Process
This document reviews the authorization process providers should follow when submitting service requests for Horizon BCBSNJ members receiving traditional home health and/or private duty nursing services on or after November 1, 2016...

08/29/2016
Provider Portal Delays/Errors with Service Requests
You may intermittently experience delays and/or errors when submitting service requests and/or viewing authorizations via the CareCentrix Provider Portal. The CareCentrix team is diligently working to resolve the issue. ..

08/10/2016
Pediatric Nursing Authorization Update
The purpose of this communication is to inform providers about a change to the CareCentrix authorization policy for pediatric nursing visits, specifically an expansion in the number of visits authorized upon initial request. This change will apply to all of the health pla..

08/08/2016
Physical Therapy Authorization Update
The purpose of this communication is to inform providers about a change to the CareCentrix authorization policy for physical therapy visits, specifically an expansion in the number of visits authorized upon initial request. This change will apply to all of the health plan..

08/05/2016
Assignment of Benefits
The purpose of this communication is to educate providers about CareCentrixs expectation that providers will obtain an assignment of benefits (AOB) from their patients and reflect that they have obtained such assignment in their claims submissions to CareCentrix...

08/01/2016
RN Skilled Nursing Authorization Update
The purpose of this communication is to inform providers about a change to the CareCentrix authorization policy for skilled nursing visits, specifically an expansion in the number of visits authorized upon initial request. This change will apply to all of the health plans..

08/01/2016
Horizon Home Health
The purpose of this communication is to inform providers that, effective November 1, 2016, the management of traditional home health for Horizon BCBSNJ members (including skilled nursing, home health aide, physical, occupational and speech therapy visits) and private duty ..

07/13/2016
Reminder: Provider Demographic Changes
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application... ..

06/17/2016
Horizon Diabetic Supplies
To inform providers about changes impacting diabetic supplies for Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) State members. .. ..

05/23/2016
Advanced Wound Care Product Coverage Changes
The purpose of this communication is to notify providers about Advanced Wound Care Products that may now be covered under the Horizon Care@Home Program for fully insured members, to review the products and services that remain excluded from the plan and to inform you about..

05/09/2016
Horizon Home Health Claim Submission
Use this quick reference guide when submitting claims for home health services...

05/05/2016
2016 NOMNC Fax Requirement and 179 NOMNC Training
Explains the NOMNC process and requirements to Medicare certified providers in FL and GA. ..

04/29/2016
Reminder: Provider Demographic Changes
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...

04/27/2016
Be Healthy-Alignment Prefix Re-education
The purpose of the newsflash is to re-educate providers on the correct Be Healthy prefixes to be used and authorization best practices...




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