The June edition of the Healthy Blue Medicaid Provider News is available by following the link below.

Healthy Blue Medicaid June 2022 Newsletter

A brief overview of the topics covered

  • COVID-19 updates
  • Effective 09/01/2022 Healthy Blue will start reviewing selected claims for COVID-19 visits when billed with E&M service to ensure they align with CMS reporting guidelines. Please review with your clinics and billers.
  • There are several provider coding classes being offered and a link is included to review and register.
  • Updates to AIM Specialty Health Clinical Appropriateness Guidelines for Advanced Imaging, Sleep Disorder Management and Musculoskeletal
  • Updated list of DME codes that will require prior authorization effective 07/01/2022.


East Direct Contract – Epworth Children & Family Services

October 14, 2022

Please click the link for details regarding Mercy and Epworth Children & Family Services direct contract in place.

Epworth Direct to Employer memo 10-10-22

Mercy Clinic Managed Care Bulletin April 2022 East Community PHO

April 18, 2022

Effective 4/18/22, Mercy Managed Care will no longer send PHO health plan updates (Administrative, Reimbursement, Clinical, Pharmacy and/or Authorization policy changes, and provider newsletters via email.

Mercy Managed Care Bulletin April 2022 Mercy Network LLC

April 18, 2022

Effective 4/18/22, Mercy Managed Care will no longer send health plan updates  (Administrative, Reimbursement, Clinical, Pharmacy and/or Authorization policy changes, and provider newsletters via email. Instead, Mercy Managed Care will be posting these health plan updates to Managed Care Contract News.