Provider News
For providers who deliver care in partnership with Martin’s Point—across our Health Care Centers & network.
Stay informed with the latest health plan updates, coding and claims guidance, quality initiatives, & policy changes.
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Coding and Records
Claims Enhancements
Enhancements to our claims editing processes for Generations Advantage that promotes correct coding.
Clinical Guidelines
Measles: prevention and detection.
US Family Health Plan, Generations Advantage: Measles cases are resurging...
Clinical Guidelines
Antibiotics for pharyngitis?
US Family Health Plan: Antibiotics for pharyngitis should follow testing...
Prescriptions
Opioids and benzodiazepines.
Generations Advantage: Concurrent opioid and benzodiazepine use increases risks...
Preventive Care
Start the conversation. Make a difference.
Generations Advantage: Encouraging conversations about fall risk, activity, &...
Prescriptions
Prescribing biosimilars.
Generations Advantage: Biosimilars are safe, effective, and may offer lower-cost...
Prescriptions
2026 TRICARE copay changes.
US Family Health Plan: TRICARE prescription copays increase January 1, 2026. Members...
Plan Operations
Continuity of care reminder.
Generations Advantage: CMS requires a 90-day transition period for members in active...
Prescriptions
100-day RX supply.
Generations Advantage: Members can fill 100-day supplies of Tier 1 and Tier 6...
Coding and Records
ED coding policy.
US Family Health Plan, Generations Advantage: New ED coding policy uses Optum’s...
Preventive Care
Chlamydia screening.
US Family Health Plan: Routine chlamydia screening prevents complications...
Plan Operations
Provider directory accuracy matters.
US Family Health Plan, Generations Advantage: Keeping provider information...
Prescriptions
Transition fill.
Generations Advantage: Transition fills provide a one-time 30-day supply...
Prescriptions
Smart prior authorization.
US Family Health Plan, Generations Advantage: Smart prior authorizations...
Plan Operations
Credentialing exceptions.
US Family Health Plan, Generations Advantage: Some providers do not require...
Coding and Records
Accurate diagnosis and coding.
US Family Health Plan, Generations Advantage: Accurate diagnosis...
Chronic Conditions
Supporting our members with diabetes.
US Family Health Plan, Generations Advantage: Supporting members with...
Clinical Guidelines
Delaying imaging for low back pain.
US Family Health Plan: Delaying imaging for acute low back pain supports recovery...
Chronic Conditions
Osteoporosis management in women.
Generations Advantage: Timely follow-up with bone density scans or treatment...
Clinical Guidelines
Shared-decision-making aids.
US Family Health Plan, Generations Advantage: Shared-decision-making aids...