CommercialMedicare AdvantageJuly 1, 2024

July 2024 Provider Newsletter

Featured Articles

AdministrativeCommercialJuly 1, 2024

Connecticut fee schedule revision October 2024

AdministrativeCommercialJuly 1, 2024

Important changes to payment structure for PT, OT, and ST


Administrative

AdministrativeCommercialJuly 1, 2024

Drugs and biologic

AdministrativeCommercialJuly 1, 2024

Recovery room — facility editing update

AdministrativeCommercialMedicare AdvantageJune 12, 2024

Phoenix Sepsis Criteria for coding and billing pediatric sepsis

AdministrativeCommercialJuly 1, 2024

CAA: Maintain your online provider directory information

Digital SolutionsCommercialJune 20, 2024

Digital-only authorization case status notification coming to you

Education & Training

Education & TrainingCommercialMedicare AdvantageJuly 1, 2024

July is Disability Awareness Month

Education & TrainingCommercialJune 13, 2024

Faster notification of EDI corrected claims errors

Policy Updates

Policy UpdatesMedicare AdvantageJune 3, 2024

Clinical Criteria updates — November 2023

Policy UpdatesMedicare AdvantageJune 4, 2024

Clinical Criteria updates

Effective September 5, 2024

Policy UpdatesMedicare AdvantageMay 29, 2024

Carelon Medical Benefits Management, Inc. updates

Medical Policy & Clinical GuidelinesCommercialMedicare AdvantageJune 27, 2024

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesCommercialJuly 1, 2024

Medical Policy and Clinical Guideline updates

Medical Policy & Clinical GuidelinesMedicare AdvantageMay 30, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective August 30, 2024

Products & Programs

Federal Employee Program (FEP)CommercialJuly 1, 2024

Antidepressant Medication Management (AMM)

PharmacyCommercialJuly 1, 2024

Correction: Specialty pharmacy updates — July 2024

PharmacyMedicare AdvantageJune 20, 2024

Anthem expands specialty pharmacy precertification list

Quality Management

Quality ManagementMedicare AdvantageJuly 1, 2024

Understanding your role in the Health Outcomes Survey

CTBCBS-CRCM-061267-24