Provider E-News

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

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

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