May 1, 2025
May 2025 Provider Newsletter
Filter By: AllCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for Aging
Featured Articles
Administrative
CommercialMay 1, 2025
Upcoming changes to the provider manual effective August 2025Behavioral Health
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMay 1, 2025
FDA lifts risk evaluation and mitigation strategy reporting requirements for ClozapineEducation & Training
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 29, 2025
Contractual obligations for care coordination and case management engagementHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 7, 2025
FAQ for Care CentralCommercialMay 1, 2025
Streamline your prior authorizations with our digital toolsCommercialMay 1, 2025
Free CE training: Lifestyle Medicine & Food as Medicine Essentials CoursePolicy Updates
CommercialApril 10, 2025
Change to Prior Authorization Requirements
Medical Policies and Clinical Guidelines updates, May 2025Medicare AdvantageApril 24, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective May 25, 2025
CommercialMedicare AdvantageApril 30, 2025
Change to Prior Authorization Requirements
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesEffective August 1, 2025
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 2, 2025
Precertification/prior authorization requirement changesEffective June 1, 2025
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 29, 2025
Prior authorization requirement changesEffective July 1, 2025
CPT Codes: E0468, E0482, and E0617
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 21, 2025
New preapproval requirements for coronary artery catheter placement proceduresProducts & Programs
Medicare AdvantageApril 18, 2025
New specialty pharmacy medical step therapy requirementEffective June 1, 2025
Hercessi
Medicare AdvantageApril 18, 2025
Specialty pharmacy preapproval list updateEffective August 1, 2025
Jubbonti; Wyost
INBCBS-CDCRCM-081392-25-CPN81360
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