January/February 2010 Hot Topics
- Complaint resolution by providers (Policy 11.218)
- Access to specialty care and outreach referrals - HMO products (Policy 11.200)
November/December 2009 Hot Topics
- 2010 State and Federal Mandates
- Consumer Involved Medical Plan
- Policy Updates
- GLHP Criteria for DME
September/October 2009 Hot Topics
- Claim submission for H1NI vaccine and administration
- Surgical treatment of Obstructive Sleep Apnea
- Communication among network providers
- Medical policy: Pillar Palatal Implants
July/August 2009 Hot Topics
- Member rights and responsibilities
- Surgical treatment of hyperhidrosis
- Gundersen Lutheran Health Plan policies & criteria for DME items/services
- 2009 Criteria-Most requested DME reference sheet
May/June 2009 Hot Topics
- Gundersen Lutheran Health Plan unveils new Web site
- Drug prior authorization
- Referral authorization and prior authorization forms
April 2009 Hot Topics
- Assurant Health
- Discrimination against members prohibited
March 2009 Hot Topics
- CMS documentation signature requirements for medical records
- Annual facility operations forms
February 2009 Hot Topics
- Complaint resolution by providers
- Access to specialty care and outreach referrals
February 2009 News Flash
- Vagus nerve stimulation (VNS) device
January 2009 Hot Topics
- New self-funded employer groups
- Marketing
- New provider to the network
- Voluntary data sharing agreement
- Effexor ER
- Diabetic supply changes (reminder)
December 2008 Hot Topics
- Durable medical equipment (DME)
- Prior authorization pre-certification and prior authorization
- Diabetic supply changes - effective January 1, 2009
November 2008 Hot Topics
- NCQA accreditation
- Notification of complaints or concerns
- Reporting to state and federal authorities
October 2008 Hot Topics
- Specialty providers
- 2009 benefit changes for Gundersen Lutheran Health Plan fully insured line of business only
September 2008 Hot Topics
- Provider directory
- Practitioner credentialing and notification of practitioner/provider changes
August 2008 Hot Topics
- BadgerCare Plus effective 9/1/08
- Cass Street Pharmacy
- NCQA accreditation
July 2008 Hot Topics
- Services no longer requiring prior authorization
- Commercial plans-formulary updates
June 2008 Hot Topics
- Mailing address
- BadgerCare Plus approval
- Services no longer requiring prior authorization
May 2008 Hot Topics
- Mailing address
- Gundersen Lutheran Health Plan Medicaid addendums
- Services no longer requiring prior authorization (PA)
- Health plans taking steps to make out-of-pocket cost information more transparent
April 2008 Hot Topics
- Provider Network Management contacts
- Combined prior authorization grid for Commercial and Senior Preferred
- Member rights and responsibilities