Notices, News, and Updates
All News and Updates
January 2026
Zynteglo (betibeglogene autotemcel): Coverage Information for SelectHealth Members
The SelectHealth health plan can assist providers and members in obtaining approval for the medication through a few simple steps.
January 2026
Casgevy and Lyfgenia: Coverage Information for SelectHealth Members
Patients enrolled in SelectHealth may be eligible for coverage for Casgevy and Lyfgenia through NYRx, the Medicaid Pharmacy Program, when certain criteria are met.
December 2025
Cancer Screening: Partnering for Early Detection
Cancer is the second leading cause of death in the U.S. Because many cancers show no early symptoms, routine screening is critical for early detection and better outcomes.
December 2025
STI Screening: Addressing Rising Rates Together
STI rates have increased since COVID-19, making routine screening essential. SelectHealth can provide member rosters for those due for STI screenings to help integrate this into preventive care.
December 2025
Gaps in Care Platform: Actionable Insights for Better Outcomes
Managing quality measures just got easier. The enhanced Gaps in Care tool is now available through the existing provider portal. Identify and close gaps efficiently, supporting better outcomes and your 2025 quality performance goals. What’s new? Every closed care gap makes a difference and contributes to improving patient care and helping your practice perform better in quality programs. Not enrolled in the portal? Sign up now to access gaps in care, […]
October 2025
2025 Diagnoses Coding Tip Sheet for Quick Reference
The 2025 Coding Tip Sheet provides guidance for services rendered during the 2025 calendar year. To support accurate and compliant coding, providers are encouraged to use this resource as a quick-reference tool. Designed to help navigate the nuances of medical coding, the tip sheet serves as both a directional guide and a practical aid for […]
October 2025
Did You Know? Coding Diabetes with Complications
In accordance with the ICD-10-CM guidelines, a causal relationship is assumed between diabetes mellitus (DM) and a documented condition when the term “with” is used. This terminology implies that the condition is associated with or due to diabetes. Example: Assumed Linkage When a provider documents treatment and support in the assessment and plan section of […]
October 2025
Make Every Visit Count: Annual Wellness Checklist
Annual Wellness Visits (AWVs) are more than a compliance requirement—they’re an opportunity to deliver proactive, personalized care that supports better outcomes and accurate documentation. To streamline your workflow, use the Annual Wellness Checklist to ensure key health activities are completed and properly recorded. It’s a simple way to stay aligned with quality measures while keeping […]
October 2025
[VIDEO] Provider Webinar: Medicare Insights
If you are navigating changes in health care guidance and policy, this webinar will discuss documentation and coding standards for closing gaps in care. It provides a special focus on ICD10 validation issues that impact Risk Adjustment accuracy, and HEDIS priority measures. The webinar can help providers avoid common documentation and coding errors. The information […]
August 2025
[VIDEO] Provider Webinar: Elevating Medicare Excellence
Documentation and Coding Mastery for CMS Risk Adjustment and Star Ratings Improvement.