CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingFebruary 1, 2025

February 2025 Provider Newsletter

Administrative

AdministrativeCommercialJanuary 16, 2025

Submitting authorization for NICU services facilitates accurate and timely claims processing

AdministrativeCommercialFebruary 1, 2025

Change to Prior Authorization Requirements

Medical records needed for accurate payment of certain facility inpatient claims

Digital SolutionsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 15, 2025

Availity Essentials maternity update for providers

Digital SolutionsCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 28, 2025

Enhance patient coordination with Total Member View

Education & Training

Education & TrainingHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 14, 2025

You are invited: Indiana PathWays for Aging training

Policy Updates

Reimbursement PoliciesCommercialFebruary 1, 2025

Change to Prior Authorization Requirements

Reimbursement policy update: Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and Facility

Reimbursement PoliciesCommercialFebruary 1, 2025

New reimbursement policy: Place of Service — Professional

Reimbursement PoliciesMedicare AdvantageFebruary 1, 2025

Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant Services

Products & Programs

Federal Employee Program (FEP)CommercialFebruary 1, 2025

Corrected claim guidance for the Federal Employee Program®

Federal Employee Program (FEP)CommercialJanuary 14, 2025

Authorization for post‑acute care services for FEP members

PharmacyCommercialFebruary 1, 2025

Pharmacy information available on our provider website

PharmacyCommercialJanuary 27, 2025

Key formulary updates: effective January 1, 2025

PharmacyCommercialFebruary 1, 2025

Designated specialty pharmacy network updates

Quality Management

Quality ManagementCommercialMedicare AdvantageFebruary 1, 2025

2025 Clinical Quality in Practice webinar series

Quality ManagementCommercialFebruary 1, 2025

Avoidance of Antibiotics Treatment for Acute Bronchitis/Bronchiolitis (AAB)

INBCBS-CDCRCM-076691-25