Updates & Announcements

We strive to make partnering with us simple. We’re aware things may change in the way we do business with you and want to communicate these changes to you in an efficient manner.

Quick References

Please note: The links below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.

General Updates

2026Date
Navigate Align Provider Network Pharmacy Termination DisclosureUPDATE04/02/2026
Navigate Pharmacy Policy Updates April 202604/01/2026
Navigate Avalon Policy Updates Q3/Q4 202504/01/2026
Navigate Policy Updates April 202604/01/2026
Navigate Prior Authorization Requirement Update03/31/2026
Navigate Evolent Advance Radiology Guidelines March 202603/04/2026
Navigate Policy Updates March 202603/01/2026
Navigate Policy Updates February 202602/01/2026
Navigate Evolent Policy Updates February 202602/01/2026
2025Date
Navigate Urgent Medical Device Correction - FreeStyle Libre 3 and FreeStyle Libre 3 Plus Sensors12/26/2025
Navigate Align Provider Network Pharmacy Termination DisclosureThis notification has been revised. See notification dated April 2, 2026.12/02/2025
Navigate Policy Updates December 202512/01/2025
Navigate SKYGEN Policies12/01/2025
Navigate Prior Authorization Requirement Update12/01/2025
Navigate Telehealth and Remote Patient Monitoring 12/01/2025
Navigate Lymphedema Compression Treatment Items Claims Editing Enhancements11/24/2025
Navigate Policy Updates November 202511/01/2025
Navigate Launch of HealthPlanResources.com10/22/2025
Navigate Claims Editing - Add-On Codes, E/M and Special Services10/20/2025
Navigate Claim Edits for Durable Medical Equipment10/17/2025
Navigate New Claim Condition Code Requirements10/15/2025
Navigate Policy Updates October 202510/01/2025
Navigate DentaQuest Policy Updates September 202509/01/2025
Navigate September 2025 Policy Updates09/01/2025
Navigate Policy Updates August 202508/01/2025
Navigate Avalon Policy Updates - Q2 202507/01/2025
Navigate Coding Documentation Guides Available06/26/2025
Navigate ASH Acupuncture Policy Update - June 202506/01/2025
Navigate Provider Focus Group Invite05/19/2025
Navigate Policy Updates May 202505/01/2025
Navigate Prothesis and Orthosis Claims Editing Logic04/10/2025
Navigate Policy Updates April 202504/01/2025
Navigate Avalon Policy Update - April 202504/01/2025
Navigate Policy Updates March 202503/01/2025
Navigate Avalon Policy Updates - Q4 202403/01/2025
Navigate Policy Updates February 202502/01/2025
Navigate Avalon Policy Update - February 202502/01/2025
Navigate Updating Demographics01/01/2025
Navigate CMS Notice of Medicare Non-Coverage (NOMNC) Model Document Updates for Medicare Advantage Enrollees01/01/2025
Navigate Prior Authorization Requirement Update01/01/2025
Navigate Reminder - Prior Authorization Request and Appeals Process for Part B (Medical Drugs)01/01/2025