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Provider news & alerts

Stay up to date.

We send out fax publications to inform our providers on our operations. Here are the most recent alerts we’ve published, as well as an archive of alerts from past years.

2025

January

Prescription Post: Commercial Formulary Changes effective 1-1-2025 January 1, 2025
Prescription Post: Exchange Formulary Changes effective 1-1-2025 January 1, 2025

2024

December

Doula Services available for eligible members effective Jan. 1, 2025 December 17, 2024

November

After Hours Survey Launches November 23, 2024 November 22, 2024
2024 Fee Schedule Notice to Providers November 15, 2024
Provider Appointment Availability Survey (PAAS) Wave 2 has officially begun November 13, 2024
Sharp Health Plan’s Department of Managed Health Care PSLAP Reminder November 8, 2024

October

Provider Appointment Availability Survey (PAAS) Wave 2 starts on November 13, 2024 October 30, 2024
Provider Operations Manual for Commercial Update - Effective January 1, 2025 October 24, 2024
Provider Operations Manual for Sharp Direct Advantage Update - Effective January 1, 2025 October 24, 2024
Sharp Health Plan’s Department of Managed Health Care PSLAP Announcement October 22, 2024
Last chance to win movie tickets - Take the 2024 Provider Experience Survey today October 9, 2024
Change in Medicare coverage for HIV pre-exposure prophylaxis (PrEP) medication October 5, 2024
2024 Sharp Health Plan Provider Appointment Availability Survey (PAAS) Reminder October 2, 2024

September

Due Date Extended to October 31st for Maximum Wait Times Survey September 27, 2024
Take the 2024 Provider Experience Survey for your chance to win movie tickets September 26, 2024
MY2024 HEDIS Transitions of Care (TRC) Notification September 23, 2024
Provider Appointment Availability Survey (PAAS) has officially begun September 18, 2024
Provider Appointment Availability Survey (PAAS) starts September 18, 2024 September 16, 2024
2024 Sharp Health Plan Provider Experience Survey ReminderSeptember 11, 2024
2024 Sharp Health Plan Provider Experience Survey Launch AnnouncementSeptember 5, 2024
Prescription Post: Exchange Formulary Changes effective 10-1-2024September 1, 2024
Prescription Post: Commercial Formulary Changes effective 10-1-2024 September 1, 2024

August

July

Provider Operations Manual for Commercial Update - Effective October 1, 2024. July 25, 2024
Provider Operations Manual for Sharp Direct Advantage Update - Effective October 1, 2024. July 25, 2024
Provider Alert: Timely Access Tool Kit for Medical Providers July 19, 2024
Provider Alert: Important Timely Access to Care Annual Provider Notification - Medical July 10, 2024

June

Prescription Post: Commercial Formulary Changes effective 7-1-2024 June 28, 2024
Prescription Post: Exchange Formulary Changes effective 7-1-2024 June 28, 2024
Provider Alert: Tips on getting your credentialing applications processed faster June 10, 2024

May

Provider Alert: Policy and Procedure Update Notifications May 6, 2024

March

Prescription Post: Commercial Formulary Changes effective 4-1-2024 Mar. 1, 2024
Prescription Post: Exchange Formulary Changes effective 5-1-2024 Mar. 1, 2024

February

New: Medicare Part D outpatient pharmacy benefit allows 100-day supply Feb. 22, 2024
Provider Alert: Introducing: Sharp Health Plan’s New PPO Plan Feb. 20, 2024
Provider Alert: Magellan Healthcare Provider Portal Feb. 1, 2024

January

Provider Alert: Provider Operations Manual for Commercial Update – Effective February 1, 2024 Jan. 11, 2024