Provider E-News

Monthly newsletter with information about clinical practice and business updates. Newsletters are in print-friendly PDF format.

February 2019 (PDF)

  • New provider website introduced this week
  • Did you know we offer a Fax Back program to submit evidence of cancer screenings?
  • HEDIS® medical record review season: February-May 2019
  • Upcoming changes

November 2018 (PDF)

  • Better Choices, Better Health® self-management workshops available for your Kaiser Permanente members
  • Did a Kaiser Permanente member select you as their new primary care provider?
  • Kaiser Permanente announces its new Gig Harbor location
  • New requirements in opioid prescribing
  • Medicare Part D formulary changes
  • Understanding the type and scope of an authorization

October 2018 (PDF)

  • Provider directory search improvements
  • Referral process improvement
  • Provider reconsideration address reminder
  • Avoid unnecessarily exhausting your appeal rights
  • Post-service provider appeals process update

August 2018 (PDF)

  • Prior authorization to ensure safe use of chronic opioids
  • Updated prior authorization grid available
  • Provider directory search improvements on the way
  • Kaiser Permanente's claims P.O. Box has been updated to a new address
  • Updated prior authorization for Darbepoetin alfa
  • CME & workshop opportunities

July 2018 (PDF)

  • Kaiser Permanente's claims P.O. Box has been updated to a new address
  • Effective June 1, the criteria for infliximab (Remicade) prior authorization will be updated
  • Changes to medical necessity review criteria for Kaiser Permanente implantable loop recorders
  • Services incidental will now be applied to inpatient hospital stay payment policy

June 2018 (PDF)

  • Genetic testing and Kaiser Permanente's preferred relationship with Invitae
  • Importance of responding to information requests
  • KP Washington's Enterprise Home Infusion Therapy Service Line
  • Changes to medical necessity review criteria for implantable loop recorders
  • CME & workshop opportunities

May 2018 (PDF)

  • New process for collecting appointment access information
  • Updated facility charges for evaluation and management services payment policy
  • KP's Diabetes Prevention Program launches
  • Access to KPWA patient records
  • Updated 2018 quality plan available
  • New quantity limit on all short-acting opioids

April 2018 (PDF)

  • ABA (Applied Behavioral Analysis) providers
  • Referring unique services
  • Pointers for provider reconsideration requests
  • Kaiser Permanente occupational health available to all
  • Clarification on some self-referred services

March 2018 (PDF)

  • Change in coverage for 3D mammography (breast tomosynthesis)
  • Important changes in pre-authorization requirements for Kaiser Permanente Washington’s Access PPO, Elect PPO or Omni PPO plans
  • Updated injectable drugs payment policy