Medicare/Medicaid - New York State Chiropractic Association

Prohibition on Billing Qualified Medicare Beneficiaries

by Insurance Committee | Nov 20, 2024 | Insurance Updates, Medicare/Medicaid, Public

All Medicare providers and suppliers, including pharmacies, must not bill Medicare beneficiaries in the Qualified Medicare Beneficiary (QMB) eligibility group for Medicare Part A or Part B cost-sharing. This includes Medicare Part A and Part B deductibles,...

Humana’s Prior Authorization Program Update

by Insurance Committee | Sep 6, 2024 | Humana, Insurance Updates, Medicare/Medicaid, Members Only

As many of you are aware, the NYSCA Insurance Committee (The NIC) has been working with Humana’s Executive Resolution and Utilization Review Department over the past week. Those conversations were professional, meaningful, and results driven – all too rare...

Medicare Advantage Prior Authorization Program Updates for UHC / AARP members

by Insurance Committee | Aug 26, 2024 | Insurance Updates, Medicare Advantage, Medicare/Medicaid, Members Only, UHC

The NYSCA continues to communicate with Optum regarding the implementation of the new prior authorization program for AARP and UnitedHealthcare’s Medicare Advantage members. We understand many of you have been attempting to determine the impact of this...

Prior Authorization Required for UHC’s Medicare Advantage Insured Effective September 1, 2024

by Insurance Committee | Aug 6, 2024 | Insurance Updates, Medicare Advantage, Medicare/Medicaid, Members Only, UHC

On Thursday August 1st many of you received UnitedHealthcare’s Provider News email. That edition of Provider News included a section titled ‘Outpatient therapy and chiropractic prior authorization required starting Sept. 1’. Due to the...

Humana implements Prior Authorization for Medicare Advantage members

by Insurance Committee | Aug 2, 2024 | Humana, Insurance Updates, Medicare Advantage, Medicare/Medicaid, Members Only

Effective August 29, 2024, Humana is requiring prior authorization of certain Medicare Advantage members for chiropractic manipulative therapy rendered on or after August 29, 2024. Humana advised that notice was posted on their website last month; however,...

HR1610: The Chiropractic Medicare Coverage Modernization Act of 2023

by Staff Writer | Jul 1, 2024 | ACA, Chiropractic in the News, Legislative Updates, Medicare/Medicaid, Public

Legislation championed by ACA to increase Medicare coverage of chiropractic services is attracting cosponsors faster than ever in the U.S. House of Representatives and the U.S. Senate. Dear colleagues, I am encouraging you each to contact your Member of...