October 1, 2023
October 2023 Provider Newsletter
Filter By: AllCommercialMedicare Advantage
Featured Articles
CommercialMedicare AdvantageOctober 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!
CommercialMedicare AdvantageOctober 1, 2023
Availity PDM application is now the intake channel for all demographic change requests, including roster uploads
Administrative
CommercialOctober 1, 2023
Enhanced outpatient facility editing for National Correct Coding Initiative: Medically Unlikely Edits (MUEs)CommercialOctober 1, 2023
Evaluation and management services correct coding reminder —professionalCommercialOctober 1, 2023
Change to New England Health Plan prior authorization requirements for certain Carelon Medical Benefits Management, Inc. programsCommercialSeptember 7, 2023
Who is Quantum Health — State of Connecticut Employer Group and Connecticut Partnership Plans?CommercialOctober 1, 2023
National Accounts 2024 Pre-certification listCommercialOctober 1, 2023
CAA: Maintain your online provider directory informationCommercialMedicare AdvantageOctober 1, 2023
A way to help lower-income patients pay for internet serviceCommercialMedicare AdvantageOctober 1, 2023
Introducing Claims Status enhancements for claim inquiriesMedicare AdvantageOctober 1, 2023
Availity: Medicare provider-facing talking points and FAQMedicare AdvantageOctober 1, 2023
Personalized Match Phase 1Behavioral Health
CommercialMedicare AdvantageSeptember 27, 2023
Anthem Blue Cross and Blue Shield will begin reimbursing for services provided by unlicensed clinical behavioral health providers actively seeking licensure in ConnecticutEducation & Training
CommercialOctober 1, 2023
New website for cancer caregiversMedicare AdvantageJune 30, 2023
Required training - Model of CareCommercialMedicare AdvantageSeptember 22, 2023
You're invited: Thriving, not just surviving: Youth mental health in today's worldPolicy Updates
Medicare AdvantageSeptember 13, 2023
Clinical Criteria updates - June 2023CommercialOctober 1, 2023
Transition to Carelon Medical Benefits Management, Inc. site of care guidelinesCommercialOctober 1, 2023
Medical Policy and Clinical Guideline updatesCommercialOctober 1, 2023
Reimbursement policy update: Virtual Visits – Professional and FacilityCommercialOctober 1, 2023
Reimbursement policy update: After-Hours, Emergency, and Miscellaneous E/M Services – ProfessionalMedicare AdvantageOctober 1, 2023
Genetic Tests: Once per LifetimeProducts & Programs
CommercialOctober 1, 2023
Clinical Criteria updates for specialty pharmacyCommercialOctober 1, 2023
Specialty pharmacy updates — October 2023Medicare AdvantageSeptember 19, 2023
Medicare Part B precert expansion: Adstiladrin, Altuviiio, Idacio, Lamzede, Lunsumio, Rebyota, Signifor LAR, Syfovre, and VivimustaMedicare AdvantageSeptember 22, 2023
Medicare Part B precert expansion: Elfabrio, Epkinly, Qalsody, Vyjuvek, and ZynyzCTBCBS-CRCM-038797-23-CPN38706
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