CommercialMedicare AdvantageMay 2, 2023

May 2023 Provider News

Administrative

AdministrativeCommercialMay 1, 2023

Moving Toward Equity in Asthma Care

AdministrativeCommercialMedicare AdvantageMay 1, 2023

Looking to earn CME credits? Check out the CME Engagement Hub!

AdministrativeCommercialMedicare AdvantageMay 1, 2023

You are invited! Skilled Nursing Facility (SNF) providers: Fall prevention and patient safety

AdministrativeCommercialMay 1, 2023

Consolidated Appropriations Act: Review your online provider directory information regularly

Digital SolutionsCommercialMay 1, 2023

Submit Prior Authorizations Digitally through ICR Webcast

Digital SolutionsCommercialMedicare AdvantageMay 1, 2023

Enhanced Provider News website and email communications launching May 1, 2023

Digital SolutionsCommercialMay 1, 2023

Important information for providers registered to use Medical Attachments on Availity.com

Digital SolutionsCommercialMedicare AdvantageMay 1, 2023

Provider Data Management capability on Availity coming for Anthem Blue Cross and Blue Shield

Policy Updates

Medical Policy & Clinical GuidelinesCommercialMay 1, 2023

Georgia Medical Policy and Clinical Guideline updates April 1, 2023

Medical Policy & Clinical GuidelinesCommercialMay 1, 2023

Clinical Guideline update August 1, 2023

Medical Policy & Clinical GuidelinesCommercialMay 1, 2023

Transition to Carelon Medical Benefits Management, Inc.* MRI Breast Clinical Appropriateness Guidelines

Reimbursement PoliciesCommercialMay 1, 2023

Reimbursement policy update: Robotic Assisted Surgery – Professional

Reimbursement PoliciesCommercialMay 1, 2023

New Reimbursement policy: Bundled Supplies and Services - Facility

Reimbursement PoliciesCommercialMay 1, 2023

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Products & Programs

PharmacyCommercialMay 1, 2023

Specialty pharmacy updates - May 2023

PharmacyCommercialMay 1, 2023

Clinical Criteria updates for specialty pharmacy are available

State & Federal

State & FederalMedicare AdvantageMay 1, 2023

Update: Authorizations for DMEPOS services for Medicare Advantage Individual, Group Retiree Solutions, and Dual-Eligible plan members

State & FederalMedicare AdvantageMay 1, 2023

Did your patient have a recent fracture?

State & FederalMedicare AdvantageMay 1, 2023

Genetic testing

State & FederalMedicare AdvantageMay 1, 2023

Keep up with Medicare news
Medicare Advantage

GABCBS-CRCM-023170-23

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

* Availity, LLC is an independent company providing administrative support services on behalf of the health plan.

* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.