Information for providers

For Providers

HealthSpring Review

August 2026

August spotlight

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Look for Your Access and Availability Survey

We’re contacting providers to participate in our appointment wait times and after‑hours access survey in accordance with Centers for Medicare & Medicaid Services guidelines.

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Working with us

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Watch for New Online Form To Add Practitioners and Locations

Beginning Aug. 13, 2026, participating providers will be able to add practitioners and service locations to their practice information through our new Provider Data Intake form.

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Complete Your Annual Special Needs Plan Model of Care Training

Our online course provides information on the types of SNPs, care coordination and more. You must complete it by Dec. 31, 2026.

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Coverage and claims

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Review Steps for Direct Admission to Postacute Settings

See the requirements and documentation needed before submitting a prior authorization request.

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Use Updated Hospital Forms for Medicare Members

CMS has updated its Important Message from Medicare and Detailed Notice of Discharge.

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Caring for patients

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Quality Measures Track Diabetes Care

Regular screenings, tests and office visits can play an important role in helping our members manage diabetes.

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Post‑Visit Surveys Support Member Experiences

Our members may receive a survey about their experiences with their primary care providers after routine or sick visits. See what topics the survey covers.

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Stay Informed

Watch our News page and this newsletter for the latest information. If someone in your practice would like to receive the HealthSpring Review, share the News page with the subscription link.

Our provider website has resources and information about the Availity® Essentials provider self-service portal, prior authorization, eligibility and benefits, medical policies and more.

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