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

March 2025 Provider Newsletter

Featured Articles

Digital SolutionsCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2025

Reminder: provider data attestation

Administrative

AdministrativeHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingFebruary 20, 2025

Important update for HCBS providers: guidelines for using alternative EVV vendors

AdministrativeCommercialMarch 1, 2025

Certain modifiers for outpatient claims will receive prepayment coding review

AdministrativeCommercialMarch 1, 2025

Update: Drug claims edits to focus on FDA‑approved indications

AdministrativeCommercialMarch 1, 2025

New coding guidelines: include the anatomic modifier

AdministrativeCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2025

New Communication Center added to Availity Essentials

AdministrativeHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingFebruary 18, 2025

Guideline update for Carelon Medical Benefits Management, Inc.

Digital SolutionsCommercialNovember 1, 2024

Adopting digital member ID cards

Digital SolutionsCommercialFebruary 4, 2025

Expansion of Carelon Medical Benefits Management, Inc. programs

Behavioral Health

Behavioral HealthHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2025

Person-centered thinking hybrid training

Education & Training

WebinarsCommercialFebruary 21, 2025

Start 2025 with an easy way to earn continuing education credits

Policy Updates

Policy UpdatesMedicare AdvantageFebruary 14, 2025

Clinical Criteria updates

Effective March 24, 2025

Medical Policy & Clinical GuidelinesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingFebruary 20, 2025

MCG Care Guidelines 29th edition

Effective May 1, 2025

Medical Policy & Clinical GuidelinesMedicare AdvantageFebruary 20, 2025

MCG Care Guidelines 29th edition

Effective June 1, 2025

Medical Policy & Clinical GuidelinesCommercialFebruary 18, 2025

Change to Prior Authorization Requirements

MCG Care Guidelines 29th edition

Effective June 1, 2025

Medical Policy & Clinical GuidelinesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2025

New federal rule transforms confidentiality protocols for SUD patient records

Products & Programs

Federal Employee Program (FEP)CommercialMarch 1, 2025

Changes in Postal Service Health Benefits for 2025

Long-Term Services & SupportsMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingFebruary 21, 2025

Reminder of claims submissions for FQHCs/RHCs for T1015

INBCBS-CDCRCM-078126-25 , CPN78072