Updates & Announcements

Quick References

Pharmacy information, including our Preferred Drug Lists (PDLs)

Medical, pharmacy, reimbursement and administrative policies

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.

General Updates

2026Date
Pharmacy Policy Updates June 202606/01/2026
Evolent Healthcare Advanced Radiology Policy Revision06/01/2026
June 2026 Policy Updates06/01/2026
Grievances and Appeals Changes to Provider Manual05/07/2026
Policy Updates May 202605/01/2026
Prepay Auditing Update04/28/2026
April 2026 Policy Updates04/01/2026
Prior Authorization Requirement Update03/18/2026
Avesis Dental Policy Update03/01/2026
Pharmacy Policy Updates March 202603/01/2026
Policy Updates – March 202603/01/2026
Evolent Advance Radiology Guidelines March 202603/01/2026
It’s Patient Experience Survey Season02/25/2026
Policy Updates February 202602/01/2026
Evolent Policy Updates February 202602/01/2026
TurningPoint Policy Updates February 202602/01/2026
2026 Monthly Provider Connections Series Schedule01/16/2026
Urgent Medical Device Correction – FreeStyle Libre 3 and FreeStyle Libre 3 Plus Sensors01/13/2026
Policy Updates – January 202601/01/2026
Avesis Dental Index Tool Policy01/01/2026
2025Date
Urgent Medical Device Correction – FreeStyle Libre 3 and FreeStyle Libre 3 Plus Sensors01/13/2025
Policy Updates December 202512/01/2025
Policy Updates November 202511/01/2025
Reminder – Monthly Provider Connection Series10/20/2025
Submitting Abortion, Hysterectomy and Sterilization Consent Forms10/20/2025
Claims Editing – Add-On Codes, E/M and Special Services10/15/2025
Lymphedema Compression Treatment Items Claims Editing Enhancements10/15/2025
Claim Edits for Durable Medical Equipment10/15/2025
Newborn RSV Prevention10/15/2025
October 2025 Policy Updates10/01/2025
System Error Identified and Corrected09/11/2025
Policy Updates September 202509/01/2025
Policy Updates September 202509/01/2025
Front-End Claim Rejections08/26/2025
Monthly Provider Connections Series – Claims/Operations07/22/2025
EyeMed Policy Updates07/01/2025
Avesis Policy Updates07/01/2025
TurningPoint, Cardiac, MSK Policy Updates07/01/2025
Evolent Healthcare Advanced Radiology 2025 Guideline Updates07/01/2025
TrueCare Advanced Imagining and Cardiac Services Program in Partnership with EvolentUPDATE06/27/2025
TrueCare Provider Portal Launch – Prior Authorizations Accepted June 23, 202506/20/2025
Equian Process Frequently Asked Questions06/04/2025
New Address for Refund Checks06/04/2025
Prior Authorization Requirement for Non-Emergent Neonatal Intensive Care Unit (NICU) Transfers and Transports06/03/025
TrueCare Cardiac and Musculoskeletal Surgical Quality and Safety Management Program in Partnership with TurningPoint06/03/2025
Evolent Advanced Imaging & Core Cardiac Prior Authorization Training06/03/2025
Availity Partnership05/30/2025