Provider E-News

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

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

November 2024 (PDF)

  • Faxes no longer accepted for non-authorization reconsideration
  • Coming in December: Introduction to the new Kaiser Permanente Attestation Portal
  • Medicare Stars Tip Sheet: Statin use in patients with diabetes (SUPD)
  • Researchers begin trial for high-dose flu vaccine

October 2024 (PDF)

  • Affiliate Link forced logout issue
  • DME alignment with CMS Final Rule
  • Take our annual practitioner satisfaction survey
  • Labeling your expedited/urgent appeal requests
  • Type 2 diabetes guideline update

September 2024 (PDF)

  • Changes to medical necessity review criteria: Treatments for Sleep Studies
  • Referral change for external audiology services
  • Advising your Kaiser Permanente members where to get their vaccines
  • Annual Practitioner Satisfaction Survey coming October 1
  • Wellness recommendations by age

August 2024 (PDF)

  • Prior authorization requirement update
  • Durable Medical Equipment providers - credentialing update
  • HBV screening recommendations
  • Upcoming physician talk (in Chinese): How to nourish your body and gut
  • News from Kaiser Permanente Washington Health Research Institute

July 2024 (PDF)

  • Procedural update for reconsideration requests for claims denied due to lack of pre-authorization
  • Pharmacy location changes
  • Tobacco & nicotine cessation guideline updated
  • Provider notices

June 2024 (PDF)

  • Patient FMLA and Washington PFML requests
  • Processing times for reconsideration requests
  • Depression guidelines reviewed and updated
  • Provider notices

May 2024 (PDF)

  • Celebrating Mental Health Awareness Month
  • 2024 Provider Manual available online
  • Clinical updates
  • Kaiser Permanente Washington Health Research Institute News

April 2024 (PDF)

  • How to refer to a Kaiser Permanente specialist
  • SHARP program showing positive early results
  • Type 1 and Type 2 Diabetes guidelines updates
  • Provider Resources

March 2024 (PDF)

  • 60-day notice change
  • Specialty and High-Cost Medication Advanced Review Partnership (SHARP)
  • Updates to Opioid Use Disorder Guideline
  • EFT deposit and check mail dates

February 2024 (PDF)

  • Prior authorization pilot update
  • Billing news
  • Clinical updates
  • Provider notices

January 2024 (PDF)

  • Kaiser Permanente is piloting the removal of prior authorization requirements for some in-network specialty office visits
  • Free specialty consultation for network primary care providers
  • EFT deposit & check mailing dates
  • CME calendar

November 2023 (PDF)

  • Prior authorization reduction news
  • New tool for evaluating emergency department professional claims
  • Electronic claims submissions
  • Updates to our payment policies page
  • Clinical updates

October 2023 (PDF)

  • Know where to send your members for vaccines this season
  • No action required: 60-Day notice CoreSelect network discontinuation notice
  • Provider notices
  • Kaiser Permanente Washington Health Research Institute news
  • Provider demographic updates
  • CME and workshop opportunities

August 2023 (PDF)

  • Claims address change for select self-funded plans
  • MAC prior authorization requirements to be removed
  • Better Choice, Better Health program discontinued
  • Clinical news
  • EFT deposit & check mailing dates
  • CME calendar

July 2023 (PDF)

  • Credentialing online applications required
  • Clinical Review fax number
  • Claims address change for select self-funded plans
  • Durable Medical Equipment orders to be placed with Apria
  • Provider notices
  • CME calendar

May 2023 (PDF)

  • Affiliate Link in-basket view change
  • Kaiser Foundation Hospitals and Geisinger Health launch Risant Health
  • Provider notices
  • Mental health awareness month
  • CME calendar

April 2023 (PDF)

  • The top-ranked medical group in Washington state
  • Emergency medical services for Kaiser Permanente members
  • Changes to medical necessity review criteria for Total Hip Arthroplasty
  • Updates to fax numbers
  • CME calendar

February 2023 (PDF)

  • Interpretive services for our members
  • Authorization code range updates
  • Chemo denervation update
  • Reminder regarding high-end imaging authorization requests
  • Viewing contracts in Eligibility & Inquiry tool on Affiliate Link
  • HEDIS® Medical Record Review Season: February – May 2023

January 2023 (PDF)

  • Updated visiting member process
  • Kaiser Permanente’s first-fill plan expansion in place
  • New fax number for DME
  • Clinical updates
  • Continuing education opportunities