CommercialMedicare AdvantageMedicaidJanuary 1, 2024

January 2024 Provider Newsletter

Featured Articles

Digital SolutionsCommercialDecember 26, 2023

Training for digital requests for additional information (Digital RFAI)

Products & ProgramsCommercialDecember 1, 2023

Benefit enhancements for CalPERS PPO members

Quality ManagementCommercialNovember 20, 2023

Annual preventive care visits


Administrative

AdministrativeCommercialJanuary 1, 2024

Using and billing air ambulance services appropriately

AdministrativeMedicare AdvantageJanuary 1, 2024

Orange Unified School District offers new Anthem Blue Cross plan

Behavioral Health

Behavioral HealthCommercialJanuary 1, 2024

CAA: Maintain your online provider directory information

Education & Training

Education & TrainingMedicaidJanuary 1, 2024

Provider Pathways — Learn all about it

Education & TrainingMedicaidMarch 31, 2023

Ready, set, renew!

Policy Updates

Medical Policy & Clinical GuidelinesMedicaidDecember 4, 2023

Clinical Criteria updates — August 2023

Medical Policy & Clinical GuidelinesMedicare AdvantageDecember 1, 2023

Clinical Criteria updates — August 2023

Medical Policy & Clinical GuidelinesMedicaidDecember 4, 2023

Carelon Medical Benefits Management, Inc. updates — November 2023

Medical Policy & Clinical GuidelinesMedicare AdvantageJanuary 1, 2024

Genetic testing code list update

Medical Policy & Clinical GuidelinesMedicaidDecember 1, 2023

Timely access reminders

Prior AuthorizationMedicaidDecember 18, 2023

Prior authorization requirement changes effective April 1, 2024

Code 20979

Prior AuthorizationMedicaidDecember 13, 2023

Prior authorization requirement changes effective April 1, 2024

Code J1411

Reimbursement PoliciesCommercialJanuary 1, 2024

Reimbursement policy updates for facilities

Products & Programs

DentalCommercialJanuary 1, 2024

January Dental newsletter communications

Quality Management

Quality ManagementMedicare AdvantageJanuary 1, 2024

Boost annual planned visit rates

Quality ManagementCommercialMedicare AdvantageMedicaidJanuary 1, 2024

HEDIS diabetes documentation

CABC-CDCRCM-047198-23

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