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PROVIDER FORMS AND RESOURCES

Important Notices for Providers

Important Resources

  • Opioid- Related Educational Resources (Free CME)
    • The National Committee for Quality Assurance (NCQA) and Boston University School of Medicine have developed two new opioid related CME opportunities that address how to treat opioid misuse disorder in the primary care setting. The CME are provide free of charge.

    • GlobalHealth supports safe, effective treatment with various activities, such as provider and member education, Provider Behavioral Health toolkits and behavioral health and substance abuse treatment. GlobalHealth collects and reports annual data on two HEDIS opioid related measures. Our pharmacy team monitors opioid prescriptions for high dosages, multiple fills, multiple providers and/or pharmacies. When these are identified, we work with the provider(s) and member to ensure clear communication and coordination of care.  

    • While the programs are developed for Primary Care, GlobalHealth encourages all of our network providers to review the information.

    • Additional resources:
  • Prescribing Biosimilars
    • With the increasingly complex usage of biologic medications and biosimilars it is important to provide provider based education and methods for encouraging the use of biosimilars.
    • Additional Resources: Biosimilar Product Regulatory Review and Approval

Provider Policies and Training

Prior Authorization

Claims

Behavioral Health Coordination of Care

Quality