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Resources and tools for providers and health care professionals

We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.

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Our digital solutions offer you the fastest way to find plan information, manage tasks, check statuses and decisions — all without calling.

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News

AARP Medicare Supplement: Change to overpayment reimbursement process

To simplify the repayment process for overpaid benefits, we’ll offset ACH balances with the amount due. Learn more.

MTM Health managing non-emergency transportation

Starting March 1, 2026, MTM Health will arrange non-emergency medical transportation.

Important information for Georgia commercial plan health care providers

Georgia referrals and billing rules – access the required form and review steps,

Women’s Health Month: Not all heart attacks look the same

Understanding how heart attack symptoms present in women can save lives. Learn more while earning free online credits.

Massachusetts Medicaid: What you need to know about recent dual-eligibility changes

See how recent dual-eligibility updates impact Senior Care Options and One Care enrollees.

North Carolina Medicaid: Billing guidance for cell and gene therapy treatments

CMS Cell and Gene Therapy Access Model is open for Medicaid enrollees. Learn prior authorization and billing requirements.