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June 2025
June marks Pride Month — a time to celebrate the resilience, diversity, and contributions of LGBTQ+ communities across the country. This month, to honor the progress made and recognize the work being done to ensure systems that support dignity, safety, and health for everyone, regardless of sexual orientation, gender identity, or expression, are accessible to all Illinoisans, the following resources are available from the Managed Care Organizations (MCO) in Illinois:
Upcoming TrainingsMolina Healthcare of Illinois invites you to join the upcoming live webinar in June:
Looking for something else? Explore our 2025 schedule of live webinars exclusively for Illinois providers. Meanwhile, register for provider updates to receive notices for upcoming sessions. Blue Cross Blue Shield of Illinois encourages contracted providers serving our members in Blue Cross Community Health PlansSM and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM are invited to register for a webinar series led by Merck & Co., Inc. on vaccine confidence and strategies.
BlueCross BlueShield of Illinois The June issue of Blue Review is available here. If you have not already subscribed to receive this publication, you may sign up here. To contact your Provider Network Consultant, visit Provider Network Consultant Assignments for more information. The Q2 2025 issue of Humana Physician News is available here. The Humana Gold-Plus Integrated provider manual, effective June 15, 2025, can be found here. Humana’s Resource Sheet for Healthcare Providers is a one-stop resource containing essential information on a variety of important topics for providers. May’s Monthly Provider Check-In can be found here. Meridian town halls are back! Meridian is hosting in-person, town hall meetings throughout the state. This is an excellent opportunity to connect with Provider Relations, Claims, and Utilization Management teams; get questions answered, and forge stronger relationships. Find the Townhall nearest you here. Meridian recently updated Resolving Common Claims Rejections, a resource that provides tips on resolving and avoiding rejected claims. Contact your organization's assigned Provider Engagement Administrator or representative for seamless support. For those without an assigned representative, please complete our intake form or contact them using the information below here. MolinaPalooza is back and better than before! Providers and staff are invited for a day packed with learning and laughs, featuring your dedicated provider relations manager. Details and event registration can be found here. Molina published the latest rate and fee updates on May 27, 2025, in the June 2025 Rate/Fee Schedule Updates, MHIL Provider Memo, Molina Healthcare of Illinois. The Second Quarter Provider Newsletter can be found here. Contact your dedicated Provider Relations Manager or email the Provider Relations team at MHILProviderNetworkManagement@MolinaHealthcare.com. To help identify your dedicated provider relations manager, visit Molina's Service Area map. The June issue of Network News contains important notifications and updates for healthcare providers. The News Your Way feature allows you to customize your subscription to receive information and updates specific to your role, specialty, and state. Click here to subscribe or update your preferences.
The Centers for Medicare and Medicaid Services (CMS) Medicare Learning Network (MLN) has issued an important notification pertaining to Part B preventive vaccine updates that will be going into effect as of July 1, 2025 for Rural Health Clinics and FQHCs. You can view the notification here. On June 6, 2025, Illinois Department of Healthcare and Family Services (HFS) issued a Media Alert communicating a February 2025 phishing campaign targeting HFS employees and attempting to gain access to usernames and passwords. As a result of these actions, some customers’ personal and financial information may have been compromised. Potentially affected individuals with questions about this incident can email HFS.Privacy.Officer@illinois.gov HFS has recently issued several important Provider Notices:
A complete list of HFS Provider Notices can be found here. If you have not already subscribed to receive email notifications from HFS when new Provider Notices are posted, you may subscribe here. To learn more about the many helpful resources available to healthcare providers, please visit the HFS Provider website.
If you have any questions or suggestions for topics that you would like to see covered in future issues of the IPHA Billing Digest, please email your suggestions and/or requests to insurancebilling@ipha.com. Thank you! |