CommercialMedicare AdvantageMedicaidFebruary 1, 2024

February 2024 Provider Newsletter

Administrative

AdministrativeCommercialFebruary 1, 2024

Appropriate 911/emergency care procedures

Education & Training

Education & TrainingCommercialJanuary 12, 2024

Resources to support diverse patients and communities

Education & TrainingMedicaidJanuary 9, 2024

Rescheduling missed appointments

Policy Updates

Policy UpdatesMedicaidJanuary 12, 2024

Lab testing reminder

Policy UpdatesMedicare AdvantageJanuary 18, 2024

Clinical Criteria updates — September 2023

Policy UpdatesMedicaidJanuary 17, 2024

Clinical Criteria updates — September 2023

Medical Policy & Clinical GuidelinesMedicaidJanuary 3, 2024

Carelon Medical Benefits Management, Inc. updates

Prior AuthorizationMedicare AdvantageNovember 15, 2023

Prior authorization requirement changes effective May 1, 2024 


Codes 0738T and 0739T

Prior AuthorizationMedicare AdvantageNovember 15, 2023

Prior authorization requirement changes effective May 1, 2024 

Codes Q4272 - Q4284

Prior AuthorizationMedicare AdvantageNovember 8, 2023

Prior authorization requirement changes effective May 1, 2024 

Code E0761

Products & Programs

PharmacyMedicare AdvantageJanuary 18, 2024

RETRACTED: Expansion of specialty pharmacy precertification list

Quality Management

Quality ManagementMedicaidFebruary 1, 2024

Improving Hispanic heart health

Quality ManagementCommercialFebruary 1, 2024

Improving Hispanic heart health

Quality ManagementMedicare AdvantageFebruary 1, 2024

Improving Hispanic heart health

CABC-CDCRCM-048960-24