High impact
Provider News - July 2026
Security Health Plan·Effective Jul 1, 2026
Security Health Plan issued a July 2026 provider news bulletin with multiple billing and operational changes. Key changes include: (1) SSI Medicaid coverage ending Jan. 1, 2027; (2) pharmacy prior authorizations now submitted online via CoverMyMeds effective July 1, 2026; (3) maternity care billing transitioning from global codes to itemized structure effective Jan. 1, 2027; (4) sterilization procedures requiring new DMS-1000 form; and (5) cancer diagnosis documentation requiring active vs. historical status clarification for risk adjustment.