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CommercialMedicare AdvantageMedicaidJuly 1, 2025
Benefits of utilization management attestations: a guide for care providersMedicare AdvantageJune 17, 2025
2025 Medicare Advantage California EAE D‑SNP Fact SheetMedicaidJune 16, 2025
Policy update for transcranial magnetic stimulation codes — CPT 90867, 90868, 90869CommercialMay 1, 2025
Streamline your prior authorizations with our digital toolsMedicare AdvantageApril 11, 2025
Submit preapproval requests for post‑acute care services for Medicare group retiree members to Carelon Post Acute SolutionsMedicaidApril 4, 2025
Precertification/prior authorization requirement changesEffective August 1, 2025
Medicare AdvantageMarch 28, 2025
Outpatient preapproval update from Carelon Medical Benefits Management, Inc.CommercialJanuary 16, 2025
Submitting authorization for NICU services facilitates accurate and timely claims processingMedicare AdvantageSeptember 24, 2024
Prior authorization requirement changesEffective February 1, 2025
Medicare AdvantageSeptember 23, 2024
Prior authorization requirement changesEffective January 1, 2025
Medicare AdvantageSeptember 6, 2024
Changes to special supplemental benefits for the chronically ill eligibility requirementsMedicaidAugust 5, 2024
Prior authorization requirement changesEffective December 1, 2024
Codes:
33263, 64582, and C2616
MedicaidJune 20, 2024
Prior authorization requirement changes effective October 1, 2024Codes L7510 and L7520
MedicaidJune 11, 2024
Prior authorization requirement changesEffective October 1, 2024
Codes 81173, 81247, 81249, 81307, 81336, 81403, 81405, and 81440
Medicare AdvantageMay 2, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicare AdvantageMarch 27, 2024
Requesting authorizations for post-acute care servicesMedicare AdvantageMarch 19, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicare AdvantageMarch 11, 2024
Prior authorization requirement changes effective July 1, 2024Medicare AdvantageMarch 1, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicaidFebruary 29, 2024
Prior authorization requirement changes effective June 1, 2024Medicare AdvantageFebruary 1, 2024
Prior authorization requirement changes effective May 1, 2024Codes G0481 - G0483
Medicare AdvantageFebruary 1, 2024
2024 Medicare Advantage California EAE DSNP changesMedicare AdvantageJanuary 24, 2024
Prior authorization requirement changes effective May 1, 2024Code C1825
Medicare AdvantageJanuary 4, 2024
Long Term Acute Care (LTAC) Precertification WorksheetMedicare AdvantageJanuary 1, 2024
Genetic testing code list updateMedicare AdvantageDecember 1, 2023
Glucagon-Like Peptide-1 prior authorization changesMedicare AdvantageNovember 17, 2023
Transition to Carelon Medical Benefits Management, Inc. Genetic Testing GuidelinesMedicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes 0738T and 0739T
Medicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes Q4272 - Q4284
Medicare AdvantageNovember 8, 2023
Prior authorization requirement changes effective May 1, 2024Code E0761
Medicare AdvantageOctober 31, 2023
Prior authorization requirement changes effective March 1, 2024Codes 33275 and 33274
MedicaidOctober 24, 2023
Prior authorization update - Lamzede, Lunsumio, Rebyota, etc.Medicare AdvantageOctober 19, 2023
Expansion of Carelon Medical Benefits Management, Inc. programsMedicare AdvantageOctober 3, 2023
Prior authorization requirement changes effective February 1, 2024 - code J1411MedicaidAugust 9, 2023
Prior authorization requirement changes effective December 1, 2023Medicare AdvantageAugust 7, 2023
Prior authorization requirement changes effective December 1, 2023MedicaidAugust 1, 2023
PA update - AltuviiioMedicaidAugust 1, 2023
Fylnetra, Stimufend, and Rolvedon Medical Step Therapy Notice