CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2023
December 2023 Provider Newsletter
Featured Articles
CommercialDecember 1, 2023
CarelonRx, Inc. Mail will change to CarelonRx Pharmacy on January 1, 2024
Medicare AdvantageDecember 1, 2023
Model of care training reminder
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 3, 2023
SBIRT: improving patients’ lives
Administrative
Medicare AdvantageNovember 1, 2023
Updates to correct coding editingCommercialDecember 1, 2023
Change to Prior Authorization Requirements
Notification about submitting itemized billsCommercialDecember 1, 2023
Coordination of careCommercialDecember 1, 2023
Case Management ProgramCommercialDecember 1, 2023
Professional system updates for 2024CommercialDecember 1, 2023
Outpatient system updates for 2024CommercialDecember 1, 2023
CAA: Review your online provider directory informationCommercialDecember 1, 2023
Important information about utilization managementCommercialDecember 1, 2023
New vendor administering behavioral health access surveyCommercialDecember 1, 2023
New vendor administering Primary Care Access SurveyCommercialDecember 1, 2023
Clinical practice and preventive health guidelinesCommercialDecember 1, 2023
Members’ Rights and ResponsibilitiesCommercialDecember 1, 2023
Clinical Documentation Lookup ToolCommercialNovember 21, 2023
Process for Carelon Post Acute Solutions, LLC redirection and Availity Essentials clinical denial/approval outcome notificationsCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2023
A way to help lower-income patients pay for internet serviceEducation & Training
CommercialHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2023
Practitioners’ rights during credentialing processPolicy Updates
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 21, 2023
Lab testing reminderMedicare AdvantageDecember 1, 2023
Glucagon-Like Peptide-1 prior authorization changesMedicare AdvantageNovember 21, 2023
Medical Policies and Clinical Utilization Management Guidelines update for May 2023CommercialDecember 1, 2023
Change to Prior Authorization Requirements
Medical Policies and Clinical Guidelines updates — December 2023CommercialDecember 1, 2023
Change to Prior Authorization Requirements
Medical Policies and Clinical Guidelines updates — December 2023CommercialOctober 27, 2023
Change to Prior Authorization Requirements
Transition to Carelon Medical Benefits Management, Inc. Genetic Testing GuidelinesMedicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes 0738T and 0739T
Medicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes Q4272 - Q4284
Medicare AdvantageNovember 8, 2023
Prior authorization requirement changes effective May 1, 2024Code E0761
Medicare AdvantageOctober 31, 2023
Prior authorization requirement changes effective March 1, 2024Codes 33275 and 33274
Products & Programs
CommercialDecember 1, 2023
Introducing the High Performing Provider designationMedicare AdvantageDecember 1, 2023
2024 Federal Employee Program Benefit information available onlineCommercialDecember 1, 2023
Federal Employee Program updates member ID cardsCommercialNovember 1, 2023
Pharmacy information available on our provider websiteMedicare AdvantageOctober 26, 2023
Notification of specialty pharmacy medical step therapy updatesQuality Management
CommercialMedicare AdvantageNovember 13, 2023
HEDIS 2023 Electronic Clinical Data Systems (ECDS)Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 9, 2023
HEDIS measurement year 2023 documentation for Transitions of Care (TRC)INBCBS-CDCRCM-045269-23
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