CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMay 2, 2023

May 2023 Provider News

Administrative

AdministrativeCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMay 1, 2023

Time to prepare for HEDIS medical record review

AdministrativeCommercialMedicare AdvantageMay 1, 2023

Looking to earn CME credits? Check out the CME Engagement Hub!

AdministrativeCommercialMedicare AdvantageMay 1, 2023

You are invited! Skilled Nursing Facility (SNF) providers: Fall prevention and patient safety

AdministrativeCommercialMay 1, 2023

Moving Toward Equity in Asthma Care

AdministrativeCommercialMay 1, 2023

Provider manual updates to become effective July 1, 2023

Digital SolutionsCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMay 1, 2023

Enhanced Provider News website and email communications launching May 1, 2023

Policy Updates

Medical Policy & Clinical GuidelinesCommercialMay 1, 2023

Transition to Carelon Medical Benefits Management, Inc. MRI Breast Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements

Products & Programs

Products & ProgramsCommercialMay 1, 2023

Notification about submitting itemized bills

PharmacyCommercialMay 1, 2023

Specialty pharmacy updates - May 2023*

*Change to Prior Authorization Requirements

State & Federal

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

Supporting LGBTQ peers in the workplace

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

Keep up with Medicaid news

State & FederalMedicare AdvantageMay 1, 2023

Genetic testing

State & FederalMedicare AdvantageMay 1, 2023

Did your patient have a recent fracture?

INBCBS-CDCRCM-023171-23

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

* Availity, LLC is an independent company providing administrative support services on behalf of the health plan.

* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.