CommercialMedicare AdvantageMedicaidOctober 1, 2023

October 2023 Provider Newsletter

Featured Articles

WebinarsCommercialMedicare AdvantageOctober 1, 2023

Looking to earn CME credits? Check out the CME Engagement Hub!

Administrative

AdministrativeCommercialOctober 1, 2023

Cost transparency

AdministrativeCommercialOctober 1, 2023

CAA: Maintain your online provider directory information

AdministrativeCommercialOctober 1, 2023

National Accounts 2024 Pre-certification list

AdministrativeCommercialOctober 1, 2023

2023 Provider Satisfaction Survey  

AdministrativeCommercialOctober 1, 2023

Provider transparency update

Digital SolutionsCommercialMedicare AdvantageMedicaidOctober 1, 2023

A way to help lower-income patients pay for internet service

Digital SolutionsMedicare AdvantageOctober 1, 2023

Availity: Medicare provider-facing talking points and FAQ

Digital SolutionsMedicare AdvantageMedicaidOctober 1, 2023

PDM capability available on Symphony Provider Directory and Availity Essentials — retirement of previous intake channels January 1, 2024

Digital SolutionsMedicare AdvantageOctober 1, 2023

Personalized Match Phase 1

Digital SolutionsCommercialMedicare AdvantageMedicaidOctober 1, 2023

Improvements to Secure Messaging through Claims Status and Payer Spaces

Education & Training

Education & TrainingCommercialOctober 1, 2023

New website for cancer caregivers

Education & TrainingMedicare AdvantageJune 30, 2023

Required training - Model of Care

WebinarsCommercialMedicare AdvantageMedicaidSeptember 22, 2023

You're invited: Thriving, not just surviving: Youth mental health in today's world

Policy Updates

Policy UpdatesMedicaidSeptember 21, 2023

Clinical Criteria updates - June 2023

Policy UpdatesMedicare AdvantageSeptember 13, 2023

Clinical Criteria updates - June 2023

Reimbursement PoliciesMedicare AdvantageOctober 1, 2023

Genetic Tests: Once per Lifetime 

Products & Programs

PharmacyMedicare AdvantageSeptember 22, 2023

Medicare Part B precert expansion: Elfabrio, Epkinly, Qalsody, Vyjuvek, and Zynyz

PharmacyMedicare AdvantageSeptember 19, 2023

Medicare Part B precert expansion: Adstiladrin, Altuviiio, Idacio, Lamzede, Lunsumio, Rebyota, Signifor LAR, Syfovre, and Vivimusta

PharmacyMedicaidAugust 31, 2023

Notice of Material Amendment to Healthcare Contract: Prior authorization updates for medications billed under the medical benefit

Quality Management

Quality ManagementMedicaidOctober 1, 2023

Complex Case Management program

Quality ManagementMedicaidOctober 1, 2023

Important information about utilization management

Quality ManagementMedicaidOctober 1, 2023

Members’ Rights and Responsibilities

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