CommercialMedicare AdvantageMedicaidOctober 1, 2024

October 2024 Provider Newsletter

Featured Articles

AdministrativeCommercialMedicare AdvantageMedicaidSeptember 6, 2024

California DxF provider participation

Digital SolutionsMedicare AdvantageOctober 1, 2024

Introducing the Care Provider Recognition Program from Anthem

Digital SolutionsCommercialMedicare AdvantageMedicaidSeptember 12, 2024

Roster Automation updates effective November 15, 2024: enhanced reporting to increase data accuracy

AdministrativeCommercialOctober 1, 2024

Change in claims administration for Butte County schools

Prior AuthorizationMedicare AdvantageSeptember 6, 2024

Changes to special supplemental benefits for the chronically ill eligibility requirements

Administrative

AdministrativeCommercialOctober 1, 2024

Get ready to make a difference in healthcare: Participate in our 2024 Provider Satisfaction Survey

AdministrativeCommercialOctober 1, 2024

National Accounts 2025 precertification list

AdministrativeCommercialOctober 1, 2024

Updated provider manual effective January 1, 2025

AdministrativeMedicaidOctober 1, 2024

Enhanced Care Management — a benefit providing a whole-person approach to care

Digital SolutionsCommercialMedicare AdvantageMedicaidSeptember 4, 2024

Digital Provider Enrollment now available for additional provider types in Availity Essentials

Education & Training

Education & TrainingMedicare AdvantageSeptember 16, 2024

Seamless advance care: MyDirectives digital tool for D-SNP members

Education & TrainingMedicaidOctober 1, 2024

Enhancing health: tobacco cessation requirements for Medi-Cal Managed Care providers

Policy Updates

Policy UpdatesMedicare AdvantageSeptember 3, 2024

Clinical Criteria updates

Effective October 4, 2024

Policy UpdatesMedicaidSeptember 3, 2024

Clinical Criteria updates

Effective December 6, 2024

Medical Policy & Clinical GuidelinesMedicare AdvantageSeptember 10, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective October 10, 2024

Prior AuthorizationMedicare AdvantageSeptember 23, 2024

Prior authorization requirement changes

Effective January 1, 2025

Reimbursement PoliciesCommercialOctober 1, 2024

Reimbursement policy reminder: Multiple Surgery — Facility

Reimbursement PoliciesMedicare AdvantageOctober 1, 2024

Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant Services

Products & Programs

PharmacyMedicare AdvantageOctober 1, 2024

Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?

PharmacyCommercialOctober 1, 2024

Pharmacy information available on our provider website

Quality Management

Quality ManagementCommercialMedicare AdvantageMedicaidOctober 1, 2024

Prevent flu and COVID-19: drive the change through vaccination

Quality ManagementCommercialMedicare AdvantageMedicaidOctober 1, 2024

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

CABC-CDCRCM-067855-24

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