CommercialMedicare AdvantageMedicaidMay 31, 2023

June 2023 Provider Newsletter

Administrative

AdministrativeMedicaidMay 24, 2023

Help your patients stay covered

AdministrativeCommercialMay 31, 2023

CA Encounter Report

AdministrativeCommercialMedicaidMay 31, 2023

Expedited Grievances

Digital SolutionsCommercialMay 31, 2023

Digital notifications are coming June 1, 2023

Education & Training

Education & TrainingCommercialMedicaidMay 31, 2023

Building Vaccine Confidence – A webinar hosted by Pfizer

Policy Updates

Policy UpdatesMedicaidMay 2, 2023

MCG Care Guidelines 27th Edition

Policy UpdatesMedicare AdvantageMay 11, 2023

Clinical Criteria Updates February 2023

Policy UpdatesMedicare AdvantageMay 31, 2023

MCG Care Guidelines 27th Edition

Policy UpdatesMedicare AdvantageMay 4, 2023

Clinical Criteria Updates December 2022

Prior AuthorizationMedicaidMay 31, 2023

Prior authorization update for select DME

Prior AuthorizationMedicare AdvantageMay 31, 2023

Medicare Part B Precertification Expansion Briumvi and Leqembi

Products & Programs

Products & ProgramsCommercialMay 31, 2023

Expansion of Back Pain Guide Program effective July 1, 2023

PharmacyMedicare AdvantageMay 31, 2023

Medicare Part B Step Therapy Vegzelma

PharmacyCommercialMay 31, 2023

Pharmacy information available on our provider website

PharmacyCommercialMay 31, 2023

BioPlus provider FAQ

Quality Management

Quality ManagementMedicare AdvantageMay 22, 2023

SPC Exclusions

Quality ManagementCommercialMedicare AdvantageMay 31, 2023

Skilled Nursing Facilities (SNF) Survey - Patient Safety

CABC-CDCRCM-024887-23

* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan. Availity, LLC is an independent company providing administrative support services on behalf of the health plan.