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Revisions have been made to the Peoples Health Provider Reference Guide.

Be assured that Peoples Health makes decisions about coverage for health care services as such: Utilization management decision-making is based only on medical necessity, appropriateness of care and services, and existence of coverage.

Optum Behavioral Health, our network behavioral health provider, is seeking your feedback about the identification, treatment and referrals of patients with behavioral health disorders who are seen in the primary care setting.

  Provider Portal HomeWe’re pleased to launch key company initiatives around activities that can help facilitate optimal health outcomes for your Peoples Health patients. Primary care physicians can work with us on: Qualifying as a 4-star or higher provider for...

Reminder: The standard 2% sequestration payment adjustment is re-effective for dates of service starting July 1, 2022.

The suspension of sequestration payment ends March 31, 2022.

View a list of services no longer requiring authorization.

We’re quite proud that CMS rated our Peoples Health HMO plans and D-SNPs as 5-star plans for 2022.* The star rating, on a scale of 1 to 5, serves as a measure of each plan’s performance and of the quality and service the plan provides its members.

CMS’ annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey mails in March to a random selection of Medicare beneficiaries and the Health Outcomes Survey (HOS) mails in the fall. These surveys help provide feedback on patients’ experiences with your office and with us.

Peoples Health is pleased to announce the availability of the OptumHealth Education training module, Substance-Use Disorders in Primary Care. The course qualifies for one CME credit and is available to take on-demand at no cost.