CommercialMedicare AdvantageNovember 1, 2024

November 2024 Provider Newsletter

Featured Articles

Education & TrainingMedicare AdvantageOctober 15, 2024

Model of Care training reminder

AdministrativeCommercialOctober 23, 2024

Do you offer telehealth services? Let us know!

Quality ManagementCommercialMedicare AdvantageOctober 24, 2024

Time to prepare for HEDIS medical record review


Administrative

Digital SolutionsCommercialNovember 1, 2024

Adopting digital member ID cards

Policy Updates

Policy UpdatesMedicare AdvantageSeptember 25, 2024

Carelon Medical Benefits Management, Inc. updates

Effective October 26, 2024

Prior AuthorizationCommercialNovember 1, 2024

Material adverse change

Precertification List Change Notification — November 1, 2024

Codes J3393 and J3394

Prior AuthorizationCommercialNovember 1, 2024

Material adverse change

Precertification List Change Notification — November 1, 2024

Prior AuthorizationMedicare AdvantageSeptember 24, 2024

Prior authorization requirement changes

Effective February 1, 2025

Reimbursement PoliciesCommercialNovember 1, 2024

Material adverse change

Reimbursement policy update: Nurse Practitioner and Physician Assistant Services

Reimbursement PoliciesCommercialNovember 1, 2024

Reimbursement policy reminder: Multiple Surgery — Facility

Products & Programs

PharmacyMedicare AdvantageNovember 1, 2024

Improving patient outcomes: back to the basics

PharmacyCommercialNovember 1, 2024

Material adverse change

Prior authorization updates for specialty pharmacy

COBCBS-CRCM-070442-24

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