CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 1, 2023

August 2023 Provider Newsletter

Featured Articles

Education & TrainingCommercialMedicare AdvantageAugust 1, 2023

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

Digital SolutionsCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 1, 2023

Get reliable claim status information without making a phone call: Introducing Claims Status enhancements for Anthem Blue Cross and Blue Shield member claim inquiries


Administrative

AdministrativeMedicare AdvantageJuly 18, 2023

Urinary tract infection tool kits are on the way

AdministrativeCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 1, 2023

Help your patients stay covered as Medicaid redeterminations continue

AdministrativeCommercialMedicare AdvantageAugust 1, 2023

Clinical Laboratory Improvement Amendments

AdministrativeCommercialAugust 1, 2023

Federal Consolidated Appropriations Act (CAA) Gag Clause

AdministrativeCommercialAugust 1, 2023

CAA: Review your online provider directory information regularly

Digital SolutionsCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 1, 2023

Introducing Roster Automation to improve turnaround times and data accuracy

Education & Training

Education & TrainingHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 6, 2023

Reminder: Telehealth POS codes and modifiers

Policy Updates

Policy UpdatesMedicare AdvantageJune 29, 2023

Clinical Criteria updates - March 2023

Medical Policy & Clinical GuidelinesCommercialJuly 21, 2023

Change to Prior Authorization Requirements

Updates to Carelon Medical Benefits Management, Inc. Joint Surgery, Small Joint Surgery, and MSK Level of Care

Prior AuthorizationMedicare AdvantageJuly 25, 2023

Prior authorization requirement changes effective November 1, 2023

Reimbursement PoliciesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 1, 2023

Technology Assisted Surgical Procedures

Reimbursement PoliciesMedicare AdvantageAugust 1, 2023

Technology Assisted Surgical Procedures

Products & Programs

PharmacyCommercialAugust 1, 2023

Change to Prior Authorization Requirements

Specialty pharmacy updates - August 2023

PharmacyCommercialAugust 1, 2023

Change to Prior Authorization Requirements

Specialty pharmacy updates - August 2023

PharmacyHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 1, 2023

State Uniform Preferred Drug List Notice

PharmacyCommercialAugust 1, 2023

Pharmacy information available on our provider website

PharmacyMedicare AdvantageAugust 1, 2023

Medication adherence: Back to the basics

PharmacyMedicare AdvantageAugust 1, 2023

Why statin therapy is important in your patients with diabetes

Quality Management

Quality ManagementMedicare AdvantageAugust 1, 2023

Healthy blood pressure recheck initiative

Quality ManagementMedicare AdvantageAugust 1, 2023

Healthy blood pressure recheck initiative

Quality ManagementHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 1, 2023

Complex Case Management program

INBCBS-CDCRCM-030300-23

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.