CommercialMedicare AdvantageNovember 1, 2024

November 2024 Provider Newsletter

Featured Articles

Quality ManagementCommercialMedicare AdvantageOctober 24, 2024

Time to prepare for HEDIS medical record review

AdministrativeCommercialOctober 23, 2024

Do you offer telehealth services? Let us know!

Education & TrainingMedicare AdvantageOctober 15, 2024

Model of Care training reminder

Digital SolutionsCommercialOctober 21, 2024

Notification of authorization fax number changes


Administrative

AdministrativeCommercialNovember 1, 2024

Personalized Match update

Digital SolutionsCommercialNovember 1, 2024

Adopting digital member ID cards

Behavioral Health

Behavioral HealthCommercialNovember 1, 2024

Introducing a new Applied Behavior Analysis Provider Resource Guide

Policy Updates

Policy UpdatesMedicare AdvantageSeptember 25, 2024

Carelon Medical Benefits Management, Inc. updates

Effective October 26, 2024

Prior AuthorizationCommercialNovember 1, 2024

Material adverse change

Precertification List Change Notification — November 1, 2024

Codes J3393 and J3394

Prior AuthorizationCommercialNovember 1, 2024

Material adverse change

Precertification List Change Notification — November 1, 2024

Prior AuthorizationMedicare AdvantageSeptember 24, 2024

Prior authorization requirement changes

Effective February 1, 2025

Reimbursement PoliciesCommercialNovember 1, 2024

Reimbursement policy reminder: Multiple Surgery — Facility

Reimbursement PoliciesCommercialNovember 1, 2024

Material adverse change

Reimbursement policy update: Nurse Practitioner and Physician Assistant Services

Products & Programs

PharmacyCommercialJuly 1, 2024

Material adverse change

Correction: Specialty pharmacy updates — July 2024

PharmacyCommercialOctober 24, 2024

Material adverse change

Specialty pharmacy updates — November 2024

PharmacyMedicare AdvantageNovember 1, 2024

Improving patient outcomes: back to the basics

PharmacyCommercialNovember 1, 2024

Material adverse change

Clinical Criteria updates for specialty pharmacy are available

GABCBS-CRCM-070449-24

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