CommercialMedicare AdvantageMedicaidAugust 1, 2023
August 2023 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageAugust 1, 2023
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Administrative
Medicare AdvantageMedicaidAugust 1, 2023
CareMore Health is becoming Carelon Health on January 1, 2024CommercialAugust 1, 2023
Anthem Blue Cross appropriate coding helps provide a comprehensive picture of patients’ health and services providedMedicaidAugust 1, 2023
Clinical Laboratory Improvement AmendmentsCommercialMedicare AdvantageMedicaidAugust 1, 2023
Clinical Laboratory Improvement AmendmentsMedicare AdvantageJuly 18, 2023
Urinary tract infection tool kits are on the wayCommercialAugust 1, 2023
Federal Consolidated Appropriations Act (CAA) Gag ClauseCommercialAugust 1, 2023
CAA: Review your online provider directory information regularlyMedicaidJuly 11, 2023
Transitional Care Services – new requirementsMedicaidJune 28, 2023
Updated process for submitting service and utilization information and copies of paid invoices related to third party liabilityCommercialMedicare AdvantageMedicaidAugust 1, 2023
We’re enhancing our data management system to streamline your demographic update processPolicy Updates
MedicaidJuly 21, 2023
Clinical Criteria Updates - March 2023Medicare AdvantageJune 29, 2023
Clinical Criteria Updates - March 2023CommercialJuly 18, 2023
Expansion of Carelon Medical Benefits Management, Inc. cardiology programs effective October 1, 2023Medicare AdvantageJuly 25, 2023
Prior authorization requirement changes effective November 1, 2023MedicaidAugust 1, 2023
Fylnetra, Stimufend, and Rolvedon Medical Step Therapy NoticeMedicaidAugust 1, 2023
Technology Assisted Surgical ProceduresMedicare AdvantageAugust 1, 2023
Technology Assisted Surgical ProceduresProducts & Programs
CommercialAugust 1, 2023
Pharmacy information available on our provider websiteMedicare AdvantageAugust 1, 2023
Medication adherence: Back to the basicsMedicare AdvantageAugust 1, 2023
Why statin therapy is important in your patients with diabetesQuality Management
CommercialMedicare AdvantageMedicaidJuly 14, 2023
Pharmacotherapy Management of COPD Exacerbation (PCE) HEDIS® MeasureCommercialAugust 1, 2023
Update - Anthem Blue Cross Facility and Professional Provider Manual - Effective ImmediatelyCommercialMedicaidAugust 1, 2023
Congenital syphilis is a sentinel health eventMedicare AdvantageMedicaidAugust 1, 2023
Healthy blood pressure recheck initiativeCommercialAugust 1, 2023
Update: HMO Provider Manual — effective immediatelyCABC-CDCRCM-030296-23
Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
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