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

January 2024 Provider Newsletter

Featured Articles

Digital SolutionsCommercialDecember 26, 2023

Training for digital requests for additional information (Digital RFAI)

Education & TrainingCommercialJanuary 1, 2024

Important information about your Anthem patients’ specialty prescriptions

Quality ManagementCommercialNovember 20, 2023

Annual preventive care visits


Administrative

AdministrativeCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 1, 2024

New requirements for credentialing and recredentialing

AdministrativeMedicare AdvantageJanuary 1, 2024

Inappropriate primary diagnosis

AdministrativeCommercialJanuary 1, 2024

Using and billing air ambulance services appropriately

AdministrativeCommercialJanuary 1, 2024

CAA: Maintain your online provider directory information

Digital SolutionsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 1, 2024

Filing digital claims disputes: Transparent and trackable

Education & Training

Education & TrainingHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMay 1, 2023

Ready, set, renew!

Policy Updates

Policy UpdatesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 15, 2023

Omidubicel prior authorization update

Medical Policy & Clinical GuidelinesMedicare AdvantageDecember 1, 2023

Clinical Criteria updates — August 2023

Medical Policy & Clinical GuidelinesMedicare AdvantageJanuary 1, 2024

Genetic testing code list update

Medical Policy & Clinical GuidelinesCommercialMedicare AdvantageDecember 28, 2023

Change to Prior Authorization Requirements

Transition to Carelon Medical Benefits Management, Inc. cardiology guidelines

Medical Policy & Clinical GuidelinesCommercialMedicare AdvantageJanuary 1, 2024

Change to Prior Authorization Requirements

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesCommercialJanuary 1, 2024

Change to Prior Authorization Requirements

Carelon Medical Benefits Management, Inc. genetic testing CPT® code list update

Prior AuthorizationCommercialJanuary 1, 2024

Change to Prior Authorization Requirements

Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024

Prior AuthorizationMedicare AdvantageJanuary 10, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024

Products & Programs

DentalCommercialJanuary 1, 2024

January Dental newsletter communications

PharmacyCommercialDecember 28, 2023

Change to Prior Authorization Requirements

Specialty pharmacy updates — January 2024

Quality Management

Quality ManagementMedicare AdvantageJanuary 1, 2024

Boost annual planned visit rates

Quality ManagementHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 1, 2024

Healthy blood pressure recheck initiative

Quality ManagementCommercialMedicare AdvantageJanuary 1, 2024

HEDIS diabetes documentation

Quality ManagementHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 7, 2023

HEDIS diabetes documentation

Quality ManagementHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 4, 2023

HEDIS medical record submission made easier with our Remote EMR Access Service

INBCBS-CDCRCM-047204-23

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