Medicare AdvantageMedicaidSeptember 1, 2023

September 2023 Provider Newsletter

Featured Articles

AdministrativeCommercialMedicaidJuly 27, 2023

Help your patients continue their care and navigate Medicaid renewal


Administrative

Digital SolutionsCommercialSeptember 1, 2023

Improvements to Digital RFAI Attachment filtering and reporting

Digital SolutionsMedicare AdvantageSeptember 1, 2023

Personalized match phase 1: Specialist provider overview

Digital SolutionsCommercialMedicare AdvantageMedicaidAugust 14, 2023

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

Education & Training

Education & TrainingCommercialMedicare AdvantageMedicaidJuly 7, 2023

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

Policy Updates

Policy UpdatesMedicaidAugust 7, 2023

Clinical Criteria updates - May 2023

Policy UpdatesMedicare AdvantageAugust 4, 2023

Clinical Criteria updates - May 2023

Prior AuthorizationMedicaidAugust 9, 2023

Prior authorization requirement changes effective December 1, 2023

Prior AuthorizationMedicare AdvantageAugust 7, 2023

Prior authorization requirement changes effective December 1, 2023

Products & Programs

PharmacyCommercialSeptember 1, 2023

Sublocade® update

PharmacyMedicare AdvantageAugust 3, 2023

Specialty pharmacy medical step therapy for hyaluronan injections

PharmacyMedicaidAugust 1, 2023

PA update - Altuviiio

Quality Management

Quality ManagementMedicare AdvantageSeptember 1, 2023

Medication reconciliation post inpatient discharge

CABC-CDCRCM-035536-23

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.