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Provider Bulletins -- Summary

It is essential that the Network Development/Provider Services Department notify and educate DMC Care Providers in reference to policies and/or procedures. The Network Development/ Provider Services Department maintains its commitment to quality customer service by informing Providers in a timely and efficient manner when changes and/or updates occur. The following table summarizes all of the 2009 Provider Bulletins.

Bulletin # Date Recipient Subject 2010.001 01/01/10 DMC Care Participating Providers Specialty Medication and Prior Authorization for DMC Care Health Plan Members Attachment: Commonly Prescribed Specialty Pharmacy Products 2009.009 12/23/09 DMC Care Participating Providers 2010 Prior Authorization Requirements List 2009.008 12/01/09 DMC Care Participating Providers New Pharmacy Benefit Manager (PBM) for DMC Care Health Plan Members Attachment: Navitus Suggested Alternatives List 2009.007 12/01/09 DMC Care Participating Providers 2010 Benefit Change for Infusion Therapy Attachment: DMC Care Outpatient Infusion Providers 2009.006 12/01/09 DMC Care Participating Providers DMC Care 2010 Medical Benefit Changes for Physical Therapy (PT), Occupational Therapy (OT) and Speech Therapy Fax Provider Alert 11/19/09 Tier 2; Tier 3; Tier 4 Hospitals Admitting/Case Management Departments Prior Notification Requirements 2009.005 09/01/09 DMC Care Participating Providers New Pharmacy Benefit Manager (PBM) for DMC Care Wayne State University (WSU) Health Plan Members 2009.004 08/01/09 DMC Care Participating Providers Blue Cross Blue Shield of Michigan Electronic Data Interchange 2009.003 05/01/09 DMC Care Participating Providers Obstetrics and Gynecology Physicians 2009.002 03/01/09 Reproductive Endocrinology Physicians Female Infertility Medications and Treatment 2009.001 03/01/09 Reproductive Endocrinology Physicians Certified Registered Nurse Anesthetist (CRNA) Services

Version:  05/12/10 REE