Stay informed with important Provider Manual and benefit changes, plus the latest news — including Devoted Health’s expansion to 9 new states. These network additions add up to a total of 999 counties across 29 states.

Need a quick reference for your office?

For access to key contacts and information, bookmark and share our 2026 Quick Provider Reference Guide.

Key benefit and partner changes 

• • Dental:* Dental models based on member needs, including allowance-based or direct member reimbursement, network-based benefits, or card-based benefits. See dental details or view our Delegated Partner Guide.
• • Vision and eyewear: Most plans include an annual eyewear allowance for glasses and contacts. Benefits may be provided by Premier Eye or EyeMed, depending on the state. Providers should check coverage through Availity, the EOC, or our Delegated Partner Guide.
• • Behavioral health: Member benefits will now be administered by Devoted Health and not through Magellan Healthcare. Use the standard process for verifying eligibility and benefits and claims submission for behavioral health services.
• • DME, home health, and home infusion: Vendors vary by state. View our partners and services for your area.
• • OTC: The quarterly allowance used at CVS is eligible for over-the-counter items like toothpaste, vitamins, pain relievers, and more. See OTC information.
• • Food & Home Card:** Qualified members will receive a monthly food and home allowance for healthy food, housing and utilities. See Food & Home Card information.
• • Chronic Special Needs Plans (C-SNP): Providers must verify chronic conditions for C-SNP members within 60 days. Learn more about how to verify a member’s chronic condition.

Provider Manual updates

Each year, we share our annual changes to help you continue to treat Devoted Health members. These updates are published online on October 1 and become effective on January 1.

Access the 2026 Provider Manual

Formulary changes

We’ve made changes to our drug list that could impact the medications your patients take.
View our 2026 Formulary

Explore new updates to the following areas:

• • Devoted Health plans: Updated to reflect plan offerings in 9 new states
• • Notification of important changes: Added language requiring notification if a provider termination is related to an exclusion list or if the provider opts out of Medicare
• • Special Needs Plan (SNP) model of care: Included “out-of-network providers” as recipients of the Model of Care training
• • Identification of members and eligibility: Updated ID card image
• • Prior authorization timeframes: Added 24-hour notification requirement for D-SNP members in Pennsylvania
• • Utilization determination timeframe: Clarified that determinations and notifications will be completed within 7 days for services that require prior authorization
• • Appealing a decision: Clarified that in-network providers can also submit appeals or requests for reconsideration
• • Behavioral health: Updated to reflect that the behavioral health network will be directly contracted
• • Quality program activities: Updated to reflect that Devoted monitors performance based on Pharmacy Quality Alliance (PQA) Measures
• • Star ratings: Added language to highlight the importance of Star ratings and outlined Devoted’s supporting activities
• • Credentialing: Updated and clarified credentialing procedures
• • Member cost sharing: Clarified deductible collection requirements and process
• • Balance billing of members: Added clarifying language regarding submitting an organization determination request
• • Coordination of Benefits (COB): Added information on coordinating benefits for D-SNP members
• • Delegated entity compliance oversight: Clarified oversight activities for FDRs
• • Medical records: Clarified record requirements for medical history where applicable and clarified documentation for medical encounters
• • Medical records documentation: Clarified signatory requirements for medical records
• • Maintenance, storage, and access to medical records: Specified that medical records access must be provided within seven (7) calendar days of request or as otherwise specified in the provider agreement
• • Provider and Devoted co-branding: Added additional information about submission of marketing materials to CMS

*Benefits, premiums, and cost sharing may vary by plan. Dental limitations may apply. Dental coverage may be in the form of a card, allowance, or reimbursement-based benefit.

**The Food & Home Card is a special supplemental benefit offered on certain plans and available only to chronically ill members with conditions like diabetes, high blood pressure, high cholesterol, heart problems, stroke. All applicable plan coverage criteria must be met and other conditions are eligible. Not all members qualify.

For broker or provider use only. Not for distribution to Medicare beneficiaries.