CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingSeptember 1, 2024
September 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageAugust 1, 2023
Clinical Laboratory Improvement Amendments
Administrative
CommercialAugust 7, 2024
Change to Prior Authorization Requirements
Enhanced claims edits system for drug quality checksCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingSeptember 1, 2024
Save time and get better results with optimized CPT code search in Availity EssentialsMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 23, 2024
Coming soon — digital-only authorization case status notificationsEducation & Training
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 23, 2024
How are we doing?CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingSeptember 1, 2024
Coming soon: Provider e-Learning Resource Center for Payment IntegrityCommercialSeptember 1, 2024
New provider resource for family caregivers of members with cancerPolicy Updates
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 20, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective October 10, 2024
CommercialAugust 14, 2024
Change to Prior Authorization Requirements
Medical Policies and Clinical UM Guidelines updates — September 2024Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 23, 2024
Hospice notification updatesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 16, 2024
Prior authorization requirement changesEffective October 1, 2024
Codes:
33263, 33264, 64582, C2616, and S2095
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 13, 2024
Prior authorization requirement changesEffective October 1, 2024
Codes: L5926, L5615, 33276, and 33277
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 31, 2024
Prior authorization requirement changesEffective October 1, 2024
Codes: L7510 and L7520
Products & Programs
CommercialJuly 31, 2024
FEP Quality Reimbursement Program for providersCommercialSeptember 1, 2024
The Power of the Blues: Introducing the Blue National Physician Performance DatasetCommercialAugust 26, 2024
Change to Prior Authorization Requirements
Specialty pharmacy updates — September 2024Medicare AdvantageAugust 27, 2024
Anthem expands specialty pharmacy precertification listCodes: C9399, J9999 and J3590
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingAugust 9, 2024
New prior authorization and specialty pharmacy medical step therapy requirementsMedicare AdvantageSeptember 1, 2024
Real-time prescription benefitCommercialSeptember 1, 2024
Pharmacy information available on our provider websiteQuality Management
CommercialMedicare AdvantageAugust 13, 2024
Announcing the new HEDIS documentation library supporting coding excellenceINBCBS-CDCRCM-065285-24
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