CommercialMedicare AdvantageMedicaidNovember 1, 2023

November 2023 Provider Newsletter

Featured Articles

Digital SolutionsCommercialNovember 1, 2023

Digital RFAI process improvements

Education & TrainingCommercialMedicaidNovember 1, 2023

Practitioners’ rights during credentialing process


Administrative

AdministrativeCommercialNovember 1, 2023

Medical practices: Keeping something from us?

AdministrativeMedicare AdvantageNovember 1, 2023

Usage of liability modifiers

AdministrativeCommercialNovember 1, 2023

CAA: Maintain your online provider directory information

Digital SolutionsCommercialMedicare AdvantageMedicaidNovember 1, 2023

Changes to our data management system help streamline your demographic update process

Policy Updates

Medical Policy & Clinical GuidelinesMedicare AdvantageNovember 1, 2023

Carelon Medical Benefits Management, Inc. updates - November 2023

Prior AuthorizationMedicaidOctober 24, 2023

Prior authorization update - Lamzede, Lunsumio, Rebyota, etc.

Prior AuthorizationMedicare AdvantageOctober 19, 2023

Expansion of Carelon Medical Benefits Management, Inc. programs

Prior AuthorizationMedicare AdvantageOctober 13, 2023

RETRACTION: Prior authorization requirement changes effective February 1, 2024 

Codes 32274 and 32275

Prior AuthorizationMedicare AdvantageOctober 3, 2023

Prior authorization requirement changes effective February 1, 2024 - code J1411

Products & Programs

PharmacyCommercialNovember 1, 2023

Pharmacy information available on our provider website

Quality Management

Quality ManagementCommercialMedicare AdvantageMedicaidOctober 25, 2023

HEDIS measurement year 2023 documentation for Childhood Immunization Status (CIS)

Quality ManagementCommercialMedicare AdvantageMedicaidSeptember 27, 2023

Be Antibiotics Aware: Protect your Patients

Quality ManagementCommercialMedicare AdvantageMedicaidNovember 1, 2023

Controlling high blood pressure and HEDIS

Quality ManagementCommercialMedicare AdvantageMedicaidNovember 1, 2023

HEDIS measurement year 2023 documentation for Transitions of Care (TRC)

Quality ManagementCommercialMedicare AdvantageMedicaidOctober 15, 2023

HEDIS medical record submission made easier with our Remote EMR Access Service

Quality ManagementMedicare AdvantageNovember 1, 2023

Statin therapy end of year best practices

CABC-CDCRCM-041558-23

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