Provider E-News

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

November 2025 (PDF)

  • SNF Quality Reporting
  • Action required for some Medicare Advantage members
  • Send appeals to us as soon as possible
  • Introducing nutrition e-visits
  • Safe Dispensing of Opioid + CNS Depressant Medications
  • Medical necessity review criteria change for mental health and eating disorder services

October 2025 (PDF)

  • Attestation Updates
  • Action required for some Medicare Advantage members
  • Take our practitioner satisfaction survey this month

September 2025 (PDF)

  • Outside records viewable in Affiliate Link
  • Claims Supporting Documentation form update
  • Improve your credentialing processing times
  • Attestation training video available
  • COVID-19 vaccines covered in full for all plans

August 2025 (PDF)

  • Use SAM to submit inquiries to Provider Services
  • Remote programs are effective to address chronic pain

July 2025 (PDF)

  • Kaiser Permanente Attestation Portal Now Live for Q3
  • Use specific authorization code ranges for timely referrals
  • Appointment Accessibility Survey coming soon
  • Use SAM for the fastest response to your questions
  • Reminder regarding Associate Level Mental Health Care reimbursements

June 2025 (PDF)

  • New Smartsheet Auto-Reply Messenger (SAM) Inquiry Tool
  • Care Connectors - Wellness Visit innovation for Medicare members
  • Mental Health & Wellness provider network support transitioning back to Kaiser Permanente
  • Promoting Safer Use of Benzodiazepines
  • Enhancing Safety: Prior Authorization Criteria for Zolpidem 10mg

May 2025 (PDF)

  • Upgrade to claims form submission on Kaiser Permanente’s provider site
  • Kaiser Permanente Attestation Portal for Contracted Medical Organizations
  • Expanded Everett Medical Center opens June 3
  • Updated prior authorization criteria for Stelara

April 2025 (PDF)

  • Kaiser Permanente discontinuing PT/OT services at Riverfront Medical Center
  • Consider vitamin K2 supplementation for nocturnal leg cramps
  • Researchers begin trial of combined COVID-19 and flu vaccine
  • Researchers have a proven prescription for reducing suicide rates

March 2025 (PDF)

  • New Federal No Surprises Act requirements regarding balance billing
  • Statin therapy for patients with cardiovascular disease
  • Study measures risks of screening colonoscopies for older adults
  • Provider resources

February 2025 (PDF)

  • New Portal For Optum Post Adjudication Prepay Medical Records Upload
  • Changes to medical necessity review criteria for hip arthroscopy
  • Reframing how we speak about dying
  • Updated provider notices

January 2025 (PDF)

  • Appointment accessibility survey
  • HEDIS medical record review season: February - May 2025
  • Gestational diabetes guideline updates
  • Top research highlights in 2024

December 2024 (PDF)

  • New provider manual format launching in January, 2025
  • New KP Plus product offers members flexibility in care options
  • Kaiser Permanente Washington Medicare Advantage program updates
  • Updated provider notices