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OfficeLink Updates™

June 2024

Find updates on important changes to plans and procedures, behavioral health topics, drug lists, Medicare information and state-specific details.

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Attention North Carolina providers

Aetna® will be the new third-party administrator for the North Carolina (NC) State Health Plan beginning January 1, 2025.

For updates and information about the transition, visit the NC State Health Plan page.

Featured this quarter

Help seniors overcome common challenges to exercise


Pain, fear of injury and cost all contribute to a reluctance to get more active.


We all know exercise is good for us. It helps us live longer, healthier lives. This is especially true for seniors. In fact, it is one of the most important things seniors can do for their health. It can help prevent or delay many chronic conditions, help improve balance and prevent falls, and so much more.*


Your patients can get active with SilverSneakers


SilverSneakers is more than a traditional fitness program. It’s designed specifically for seniors to help them get started and achieve their health and fitness goals. And it may be included with their Medicare Advantage plan.


Members get access to things like:


  • Community classes offered in neighborhood locations
  • Online classes and workshops taught daily by instructors trained in senior fitness
  • A supportive virtual community and thousands of classes for all interests and abilities


How your patients can get started


Have members go to to get their SilverSneakers member ID number.


Read the help seniors overcome common challenges to exercise article (PDF)

90-day notices and related reminders

Includes pharmacy updates


We regularly adjust our clinical, payment and coding policy positions as part of our ongoing policy review processes. Our standard payment policies identify services that may be incidental to other services and, therefore, ineligible for payment.


We’re required to notify you of any change that could affect you either financially or administratively at least 90 days before the effective date of the change. These changes may not be considered material changes in all states. Unless otherwise stated, policy changes apply to both Commercial and Medicare lines of business.


Use the drop-down box below to get a glimpse of the policy-related information you’ll need to know about this quarter.

Reminder: Be sure your profile information is up to date


Help members find you by making sure that your information is correct and available to them when they need care.


Have an Availity® account? You can use our quick reference guide (PDF) to make essential updates in the Provider Data Management (PDM) tool on our provider portal on Availity.


New to Availity? This portal is available to providers in the U.S. and its territories. You can register to set up your account. If you’re unable to use Availity, find options to update your provider data.

State-specific updates

State-specific updates

Find updates on state policies and regulations that matter to your practice. This quarter, you will find information regarding the following states:

Behavioral health updates

Behavioral health updates

A majority of patients treated in a primary care setting have a physical ailment that’s affected by anxiety, depression or another psychological issue. Without the right support, these issues are often underdiagnosed.


We help you stay informed about behavioral health topics so that you can deliver the best possible treatment to your patients.


Use the drop-down box below to read summaries of a few of the behavioral health articles you’ll find in this issue.

News for you

Find general information — like new services, tools and reminders — to help your office comply with regulations and administer plans.

Medicare updates

Get information, including timely reminders and guidelines, to help treat your Medicare patients.

Looking for previous updates?

OLU newsletters


Browse past editions in the OLU library.


OLU newsletter library

Special topics newsletters


Find previous editions of our behavioral health and FDR newsletters.


Special topics archive

Legal notices

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

SilverSneakers is a registered trademark of Tivity Health, Inc. © 2024 Tivity Health, Inc. All rights reserved.

Health benefits and health insurance plans contain exclusions and limitations.

Also of interest: