CommercialMedicare AdvantageMedicaidJune 1, 2024

June 2024 Provider Newsletter

Featured Articles

AdministrativeCommercialMedicaidMarch 4, 2024

Access to care standards

AdministrativeCommercialMedicaidMay 16, 2024

Health Equity and Quality Measure Set reporting


Administrative

AdministrativeMedicaidJune 1, 2024

Reminder: Balance billing prohibited

AdministrativeCommercialMedicare AdvantageMedicaidJune 1, 2024

Availity Essentials single claim submission response reports

AdministrativeCommercialJune 1, 2024

CAA: Review your online provider directory information

Digital SolutionsCommercialMedicare AdvantageMedicaidMay 23, 2024

Digital RFAI Availity training

Digital SolutionsMedicare AdvantageApril 24, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Education & Training

Education & TrainingCommercialMedicare AdvantageMedicaidJune 1, 2024

June is LGBTQIA+ Pride Month

Education & TrainingCommercialMedicare AdvantageMedicaidMay 21, 2024

You are invited: Thriving, not just surviving: navigating challenging times as a clinician

Education & TrainingCommercialMedicare AdvantageMedicaidJune 1, 2024

Introducing advanced eLearning features for MyDiversePatients.com

Policy Updates

Policy UpdatesMedicare AdvantageMay 10, 2024

Carelon Medical Benefits Management, Inc updates

Medical Policy & Clinical GuidelinesMedicare AdvantageMay 2, 2024

Carelon Medical Benefits Management, Inc. genetic testing code updates

Medical Policy & Clinical GuidelinesMedicaidMay 13, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Medical Policy & Clinical GuidelinesMedicare AdvantageApril 26, 2024

MCG Care Guidelines 28th edition

Medical Policy & Clinical GuidelinesMedicare AdvantageMay 7, 2024

Clinical Criteria updates

Effective June 10, 2024

Products & Programs

PharmacyMedicare AdvantageJune 1, 2024

Addressing medication adherence gaps

PharmacyCommercialJune 1, 2024

Pharmacy information available on our provider website

PharmacyMedicare AdvantageJune 1, 2024

Improving patient outcomes with statin therapy in diabetes

Quality Management

Quality ManagementCommercialMay 6, 2024

Enhance patient access to digital health resources

Quality ManagementMedicaidJune 1, 2024

Important information about utilization management

Quality ManagementMedicaidJune 1, 2024

Members’ Rights and Responsibilities section

Quality ManagementMedicaidJune 1, 2024

Complex Case Management program

Quality ManagementCommercialApril 19, 2024

Improving patient health and digital literacies

Quality ManagementCommercialMedicaidApril 23, 2024

Tips to Improve Adolescent Immunization (IMA) Rates

Quality ManagementCommercialMedicare AdvantageMedicaidJune 1, 2024

New resources to improve your HEDIS® and CAHPS® quality rates

CABC-CDCRCM-059350-24

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).