CommercialMedicare AdvantageMay 2, 2023
May 2023 Provider News
Administrative
CommercialMay 1, 2023
Moving Toward Equity in Asthma CareCommercialMedicare AdvantageMay 1, 2023
New strategic provider system coming in August 2023CommercialMay 1, 2023
Consolidated Appropriations Act: Review your online provider directory information regularlyCommercialMedicare AdvantageMay 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!CommercialMedicare AdvantageMay 1, 2023
You are invited! Skilled Nursing Facility (SNF) providers: Fall prevention and patient safetyCommercialMedicare AdvantageMay 1, 2023
Enhanced Provider News website and email communications launching May 1, 2023Policy Updates
CommercialMay 1, 2023
Transition to Carelon Medical Benefits Management, Inc.* MRI Breast Clinical Appropriateness Guidelines (MAC)Material Adverse Change (MAC)
CommercialMay 1, 2023
Multiple and Bilateral Surgery Processing - Professional update (MAC)Material Adverse Change (MAC)
CommercialMay 1, 2023
Reimbursement policy update: Robotic Assisted Surgery - Professional (MAC)Material Adverse Change (MAC)
CommercialMay 1, 2023
New Reimbursement Policy: Bundled Supplies and Services - FacilityMaterial Adverse Change (MAC)
Products & Programs
State & Federal
Medicare AdvantageMay 1, 2023
Genetic testingMedicare AdvantageMay 1, 2023
Did your patient have a recent fracture?Medicare AdvantageMay 1, 2023
Update: Authorizations for DMEPOS services for Medicare Advantage Individual, Group Retiree Solutions, and Dual-Eligible plan membersMedicare AdvantageMay 1, 2023
Keep up with Medicare news - May 2023- Home health, claims payment, and provider network services for Anthem Blue Cross and Blue Shield individual members delegated to Carelon Post Acute Solutions
- Itemized bill review program
- Medical Policiesand Clinical Utilization Management Guidelines update
COBCBS-CRCM-023168-23
* Material Adverse Change (MAC)
* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
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