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We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.

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News

Missouri: Prepare for new Choice Plus network members

Effective Jan. 1, 2026, St. Louis Painters Welfare Fund members have access to the Choice Plus network.

Illinois, Indiana: Prepare for new Choice Plus network members

Effective Jan. 1, 2026, NECA-IBEW Welfare Trust Fund members have access to the Choice Plus network.

New York Medicaid: Dialysis treatment reimbursements include phosphate binders

As of Jan. 1, 2026, the cost of phosphate binders used in APG dialysis sessions is included in the claim reimbursement.

Maryland Medicaid: Cell and gene therapy covered for sickle cell disease

Now you can treat members with sickle cell disease through the CMS Cell and Gene Therapy Access Model. Learn more.

Idaho Medicaid: New billing changes for diabetes equipment and supplies

On April 1, 2026, the billing of diabetes equipment and supplies will shift from medical to pharmacy benefits.

Control how you get paid from members

Health care providers now have more visibility and control over how they receive payments from members.