CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2024

April 2024 Provider Newsletter

Featured Articles

Education & TrainingCommercialApril 1, 2024

Blue High Performance Network

Administrative

AdministrativeCommercialApril 1, 2024

HCPCS to revenue code alignment for behavioral health

AdministrativeCommercialApril 1, 2024

Review your online provider directory information

AdministrativeCommercialApril 1, 2024

Emergency department protocol for Special Investigation Unit review

Digital SolutionsCommercialApril 1, 2024

Home Health Agency Capabilities Survey

Digital SolutionsCommercialMarch 22, 2024

Coming soon — digital-only authorization case status notifications

Education & Training

Education & TrainingCommercialMedicare AdvantageApril 1, 2024

April is National Minority Health Month and Stress Awareness Month

Education & TrainingCommercialMarch 12, 2024

Important reminder: The correct original claim number must be included if submitting a corrected claim

Policy Updates

Policy UpdatesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 6, 2024

MCG Care Guidelines 28th edition

Medical Policy & Clinical GuidelinesCommercialApril 1, 2024

Change to Prior Authorization Requirements

Medical Policies and Clinical Guidelines updates — April 2024

Medical Policy & Clinical GuidelinesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 7, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Medical Policy & Clinical GuidelinesMedicare AdvantageMarch 4, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Prior AuthorizationCommercialMarch 27, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Prior AuthorizationCommercialMedicare AdvantageMarch 20, 2024

Change to Prior Authorization Requirements

Carelon Medical Benefits Management, Inc. genetic testing code updates

Prior AuthorizationHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingFebruary 27, 2024

Prior authorization update

Prior AuthorizationMedicare AdvantageMarch 11, 2024

Prior authorization requirement changes effective July 1, 2024

Reimbursement PoliciesCommercialApril 1, 2024

Change to Prior Authorization Requirements

Reimbursement policy update: Virtual Visits — Professional and Facility

Products & Programs

PharmacyMedicare AdvantageMarch 22, 2024

Expansion of specialty pharmacy precertification list

Quality Management

Quality ManagementHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 15, 2024

HEDIS® 2024 documentation for Colorectal Cancer Screening (COL-E)

Quality ManagementCommercialMedicare AdvantageMarch 8, 2024

HEDIS® 2024 documentation for Colorectal Cancer Screening (COL-E)

INBCBS-CDCRCM-053366-24

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