CommercialMedicare AdvantageOctober 1, 2024

October 2024 Provider Newsletter

Featured Articles

Digital SolutionsMedicare AdvantageOctober 1, 2024

Introducing the Care Provider Recognition Program from Anthem

Digital SolutionsCommercialMedicare AdvantageSeptember 12, 2024

Roster Automation updates effective November 15, 2024: enhanced reporting to increase data accuracy


Administrative

AdministrativeCommercialOctober 1, 2024

Provider manual update available

AdministrativeCommercialOctober 1, 2024

Drug fee schedule update

AdministrativeCommercialOctober 1, 2024

National Accounts 2025 precertification list

Digital SolutionsCommercialMedicare AdvantageSeptember 4, 2024

Digital Provider Enrollment now available for additional provider types in Availity Essentials

Education & Training

Education & TrainingMedicare AdvantageSeptember 16, 2024

Seamless advance care: MyDirectives digital tool for D-SNP members

Policy Updates

Policy UpdatesMedicare AdvantageSeptember 3, 2024

Clinical Criteria updates

Effective October 4, 2024

Medical Policy & Clinical GuidelinesMedicare AdvantageSeptember 10, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective October 10, 2024

Prior AuthorizationMedicare AdvantageSeptember 23, 2024

Prior authorization requirement changes

Effective January 1, 2025

Products & Programs

PharmacyCommercialOctober 1, 2024

Material adverse change

Prior authorization updates for specialty pharmacy — October 2024

PharmacyCommercialOctober 1, 2024

Pharmacy information available on our provider website

Quality Management

Quality ManagementCommercialMedicare AdvantageOctober 1, 2024

Prevent flu and COVID-19: drive the change through vaccination

Quality ManagementCommercialMedicare AdvantageOctober 1, 2024

HEDIS medical record submission made easier with our Remote EMR Access service

COBCBS-CRCM-067858-24

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).