CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2025
April 2025 Provider Newsletter
Featured Articles
Medicare AdvantageJanuary 1, 2025
D‑SNP members can earn rewards by participating in select healthcare activities
CommercialMarch 28, 2025
Streamline your workflow: Submit BH authorizations through Availity Essentials
CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2025
Enhance billing and coding accuracy with new Payment Integrity training
Medicare AdvantageFebruary 28, 2025
Important change to your patients’ specialty prescriptions
Effective April 1, 2025
Administrative
Medicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 25, 2025
Anthem will delegate care management to Carelon Health, Inc.CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingFebruary 28, 2025
Availity launches enhanced provider enrollment features for improved efficiencyBehavioral Health
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 27, 2025
Medicaid‑covered crisis care: The impact of Indiana's Mobile Crisis Teams under the 988 initiativeEducation & Training
CommercialMedicare AdvantageApril 1, 2025
Register for our next webinar: Enhancing Diabetes Management — Focus on Standardized MetricsCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 12, 2025
Resources to support diverse patients and communitiesPolicy Updates
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 25, 2025
Prior authorization updateEffective July 1, 2025
Codes 62380 and 27280
Medicare AdvantageMarch 11, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective April 12, 2025
Medicare AdvantageMarch 27, 2025
Outpatient preapproval update from Carelon Medical Benefits Management, Inc.Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 14, 2025
Prior authorization requirement changesEffective May 1, 2025
CommercialApril 1, 2025
Clarification to reimbursement policy: Incident to Services and Billing — ProfessionalProducts & Programs
CommercialMarch 27, 2025
Change to Prior Authorization Requirements
Specialty pharmacy updates — April 2025Medicare AdvantageMarch 19, 2025
Medicare Part B preapproval expands with new drug additionsINBCBS-CDCRCM-080610-25
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