CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2024
July 2024 Provider Newsletter
Administrative
CommercialJuly 1, 2024
Timely receipt of other carrier EOB or rejection helps avoid timely filing denialsCommercialJuly 1, 2024
Anesthesia modifiers — professional editing updateCommercialJuly 1, 2024
Recovery room — facility editing updateCommercialJuly 1, 2024
CAA: Maintain your online provider directory informationCommercialJune 20, 2024
Digital-only authorization case status notification coming to youEducation & Training
CommercialMedicare AdvantageJuly 1, 2024
July is Disability Awareness MonthCommercialJune 13, 2024
Faster notification of EDI corrected claims errorsPolicy Updates
Medicare AdvantageJune 3, 2024
Clinical Criteria updates — November 2023Medicare AdvantageMay 29, 2024
Carelon Medical Benefits Management, Inc. updatesCommercialMedicare AdvantageJune 27, 2024
Change to Prior Authorization Requirements
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesCommercialJune 11, 2024
Change to Prior Authorization Requirements
Medical Policies and Clinical Guidelines updates for July 2024Medicare AdvantageMay 30, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective July 1, 2024
CommercialJune 19, 2024
Change to Prior Authorization Requirements
Carelon Medical Benefits Management, Inc. genetic testing code updatesCommercialJuly 1, 2024
Change to Prior Authorization Requirements
Reimbursement policy update: Incident to Services — ProfessionalCommercialJuly 1, 2024
Change to Prior Authorization Requirements
Reimbursement policy update: Frequency Editing — ProfessionalCommercialJuly 1, 2024
Change to Prior Authorization Requirements
New reimbursement policy: Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and FacilityProducts & Programs
CommercialJuly 1, 2024
Antidepressant Medication Management (AMM)CommercialJuly 1, 2024
Change to Prior Authorization Requirements
Correction: Specialty pharmacy updates — July 2024Medicare AdvantageJune 20, 2024
Anthem expands specialty pharmacy precertification listCommercialJune 3, 2024
New GLP-1 prescription referral policyQuality Management
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2024
Complex Case Management programCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2024
New resources to improve your HEDIS® and CAHPS® quality ratesMedicare AdvantageJuly 1, 2024
Understanding your role in the Health Outcomes SurveyINBCBS-CDCRCM-061273-24
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