CommercialMedicare AdvantageMay 2, 2023

May 2023 Provider News

Administrative

AdministrativeCommercialMay 1, 2023

Moving Toward Equity in Asthma Care

AdministrativeCommercialMedicare AdvantageMay 1, 2023

New strategic provider system coming in August 2023

AdministrativeCommercialMedicare AdvantageMay 1, 2023

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

AdministrativeCommercialMedicare AdvantageMay 1, 2023

You are invited! Skilled Nursing Facility (SNF) providers: Fall prevention and patient safety

Policy Updates

Medical Policy & Clinical GuidelinesCommercialMay 1, 2023

Transition to Carelon Medical Benefits Management, Inc.* MRI Breast Clinical Appropriateness Guidelines (MAC)
Material Adverse Change (MAC)


Reimbursement PoliciesCommercialMay 1, 2023

Multiple and Bilateral Surgery Processing - Professional update (MAC)
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialMay 1, 2023

Reimbursement policy update: Robotic Assisted Surgery - Professional (MAC)
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialMay 1, 2023

New Reimbursement Policy: Bundled Supplies and Services - Facility
Material Adverse Change (MAC)

Products & Programs

PharmacyCommercialMay 1, 2023

Specialty pharmacy updates - May 2023 (MAC)
Material Adverse Change (MAC)

State & Federal

State & FederalMedicare AdvantageMay 1, 2023

Genetic testing

State & FederalMedicare AdvantageMay 1, 2023

Did your patient have a recent fracture?

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.

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