CommercialMedicare AdvantageDecember 1, 2024

December 2024 Provider Newsletter

Featured Articles

Digital SolutionsCommercialMedicare AdvantageNovember 1, 2024

Roster Automation updates: roster download functionality

Administrative

AdministrativeCommercialDecember 1, 2024

Case Management program

AdministrativeCommercialDecember 1, 2024

PCP after‑hours access requirements

AdministrativeCommercialDecember 1, 2024

Coordination of care

AdministrativeCommercialDecember 1, 2024

Clinical practice and preventive health guidelines available online

AdministrativeCommercialDecember 1, 2024

Important information about utilization management

AdministrativeMedicare AdvantageNovember 18, 2024

Georgia 2025 Medicare Advantage plan changes

AdministrativeMedicare AdvantageNovember 15, 2024

Skilled nursing facility — vaccine serum compensation

AdministrativeCommercialDecember 1, 2024

Quest Diagnostics is joining our network on January 1

AdministrativeCommercialDecember 1, 2024

Members’ Rights and Responsibilities

AdministrativeMedicare AdvantageDecember 1, 2024

Streamlined medical services for SHBP retirees — Medicare Advantage plan from Anthem

Digital SolutionsMedicare AdvantageNovember 18, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Behavioral Health

Behavioral HealthCommercialMedicare AdvantageDecember 1, 2024

Comprehensive, holistic care for obstructive sleep apnea

Education & Training

Education & TrainingCommercialDecember 1, 2024

Important update: Blue High Performance Network claims submission guidelines and provider information

Education & TrainingCommercialDecember 1, 2024

Detect peripheral artery disease earlier with an ankle‑brachial index screening

Education & TrainingMedicare AdvantageNovember 18, 2024

Notice of change: Part D Rx HCCs

Policy Updates

Policy UpdatesMedicare AdvantageOctober 30, 2024

Clinical Criteria updates

Effective December 2, 2024

Reimbursement PoliciesCommercialDecember 1, 2024

New reimbursement policy: Trauma Activation — Facility

Products & Programs

Products & ProgramsCommercialNovember 21, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Federal Employee Program (FEP)CommercialDecember 1, 2024

FEP excited to join PSHB program in 2025

PharmacyCommercialNovember 18, 2024

Specialty pharmacy updates — December 2024

PharmacyCommercialDecember 1, 2024

Pharmacy information available online

PharmacyCommercialDecember 1, 2024

Kroger Specialty Pharmacy acquisition

PharmacyCommercialDecember 1, 2024

Paragon Healthcare joins our medical specialty pharmacy provider network in 2025

PharmacyMedicare AdvantageNovember 14, 2024

Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?

PharmacyCommercialDecember 1, 2024

Anthem’s Clinical Criteria updates for specialty pharmacy are available

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