Medicare AdvantageAdministrativeLow impact
Provider News - February 2018
Security Health Plan·WI·Provider News
We identified it
Oct 6, 2026
Summary
This is a historical newsletter from February 2018 newly discovered in October 2026. It contains a QMB billing alert effective Current applicability review (February 2018) requiring providers to not collect Medicare cost-sharing from QMB and fully dual-eligible members, plus a future biosimilar preference change effective April 1, 2018. Both changes are now 8+ years past and require verification of current applicability rather than implementation.
Action Required
HISTORICAL MATERIAL - Already effective (February 2018 and April 1, 2018): Verify whether the practice has implemented and maintains compliance with the QMB billing prohibition (no collection of Medicare Part A/B cost-sharing from QMB enrollees or fully dual-eligible members) and the infliximab biosimilar preference policy. Confirm current applicability with Security Health Plan, as both policies are 8+ years old and may have been superseded. Check the provider portal alert system to confirm it still displays Medicaid assistance notifications for dual-eligible members. Review current medical policy documentation at www.securityhealth.org/medicalpolicies to determine if the April 1, 2018 biosimilar guidance remains in effect or has been updated.