CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingOctober 1, 2024
October 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingSeptember 24, 2024
Roster Automation updates effective November 15, 2024: enhanced reporting to increase data accuracy
CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingSeptember 19, 2024
Maximizing care with regular provider data attestation
Medicare AdvantageOctober 1, 2024
Introducing the Care Provider Recognition Program from Anthem
Medicare AdvantageSeptember 6, 2024
Changes to special supplemental benefits for the chronically ill eligibility requirements
Administrative
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingOctober 1, 2024
Inaccurate laterality and diagnosis combinationCommercialOctober 1, 2024
National Accounts 2025 precertification listMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingSeptember 25, 2024
Expansion of digital-only authorization case status notificationsCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingSeptember 23, 2024
Advancing digital efficiency by discontinuing paper remittancesCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingSeptember 4, 2024
Digital Provider Enrollment now available for additional provider types in Availity EssentialsEducation & Training
Medicare AdvantageSeptember 16, 2024
Seamless advance care: MyDirectives digital tool for D-SNP membersCommercialAugust 29, 2024
Indiana’s ACA transformation — Pathway Essentials becomes Anthem Essential NetworkPolicy Updates
Medicare AdvantageSeptember 10, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective October 10, 2024
Medicare AdvantageSeptember 23, 2024
Prior authorization requirement changesEffective January 1, 2025
CommercialOctober 1, 2024
Change to Prior Authorization Requirements
Reimbursement policy update: Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service — ProfessionalProducts & Programs
CommercialOctober 1, 2024
Introduction of the Specialty High Performing Provider designation program for commercial networksCommercialOctober 1, 2024
Introduction of the HPP designation program for individual member (Exchange) commercial networksMedicare AdvantageOctober 1, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?CommercialSeptember 16, 2024
Change to Prior Authorization Requirements
Specialty pharmacy updates — October 2024CommercialOctober 1, 2024
Pharmacy information available on our provider websiteQuality Management
CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingOctober 1, 2024
HEDIS medical record submission made easier with our Remote EMR Access serviceINBCBS-CDCRCM-067866-24
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