CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2024
March 2024 Provider Newsletter
Administrative
Medicare AdvantageMarch 1, 2024
CAA: Maintain your online provider directory informationMedicare AdvantageFebruary 29, 2024
Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024CommercialMarch 1, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsCommercialMarch 1, 2024
Attention workers’ compensation networkEducation & Training
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2024
Congenital syphilis intervention opportunities for neonatal and pediatric providersPolicy Updates
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingFebruary 12, 2024
Lab testing reminderMedicare AdvantageFebruary 20, 2024
Clinical Criteria updates — December 2023Medicare AdvantageMarch 1, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicare AdvantageJanuary 24, 2024
Prior authorization requirement changes effective May 1, 2024Code C1825
Medicare AdvantageFebruary 1, 2024
Prior authorization requirement changes effective May 1, 2024Codes G0481 - G0483
CommercialMarch 1, 2024
Change to Prior Authorization Requirements
Reimbursement policy update: Ambulance Transportation – ProfessionalProducts & Programs
CommercialMarch 1, 2024
Blue High Performance NetworkSM (BlueHPNSM)CommercialFebruary 22, 2024
Change to Prior Authorization Requirements
Specialty pharmacy updates — March 2024CommercialMarch 1, 2024
Important information about your Anthem patients’ Botox prescriptionsCommercialMarch 1, 2024
Change to Prior Authorization Requirements
Designated specialty pharmacy network updatesCommercialMarch 1, 2024
Pharmacy information available on our provider websiteCommercialFebruary 20, 2024
Change to Prior Authorization Requirements
Prior authorization updates for therapeutic duplication of specialty drugsMedicare AdvantageFebruary 16, 2024
Anthem expands specialty pharmacy precertification listMedicare AdvantageMarch 1, 2024
Overview of Medicare risk adjustment in-office prospective programsMedicare AdvantageJanuary 31, 2024
Notification of specialty pharmacy medical step therapy updatesQuality Management
CommercialHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2024
Encourage Cervical Cancer Screening (CCS)CommercialHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2024
Cervical Cancer Screening (CCS) and Prenatal and Postpartum Care (PPC) for HEDISCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingFebruary 16, 2024
HEDIS 2024 documentation for Controlling High Blood Pressure (CBP) and Statin Therapy for Patients with Cardiovascular Disease (SPC)Medicare AdvantageFebruary 7, 2024
HEDIS® 2024 documentation for Care of Older Adults (COA)INBCBS-CDCRCM-051137-24
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