Key Updates
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 7, 2025
Best practices for managing provider referrals in the Care Central referrals dashboard
Recent Updates
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 14, 2025
Ensure smooth claim processing by including NPIs on skilled services facility claimsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 14, 2025
Indiana PathWays for Aging: Workforce Development resources and supportHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 8, 2025
The Provider Satisfaction Survey — Your opinion mattersHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 7, 2025
Provider Satisfaction Survey reminderHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 7, 2025
Best practices for managing provider referrals in the Care Central referrals dashboardCommercialJuly 1, 2025
Change to Prior Authorization Requirements
New reimbursement policy: Code and Clinical Editing Guidelines — Professional and FacilityCommercialJuly 1, 2025
Change to Prior Authorization Requirements
Reimbursement policy update: Bundled Services and Supplies — ProfessionalMedicare AdvantageJuly 1, 2025
Implementation of chargemaster‑based claims edit for ER levelingCommercialJuly 1, 2025
A quick guide to understanding JW and JZ modifiersCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 1, 2025
Streamlining behavioral health authorizations via Availity EssentialsMedicare AdvantageJuly 1, 2025
A quick guide to understanding JW and JZ modifiersCommercialJuly 1, 2025
Enroll with Availity to verify your provider dataCommercialMedicare AdvantageJuly 1, 2025
Provider manual update effective August 2025CommercialJuly 1, 2025
Update: essential ICD‑10‑CM compliance for outpatient facility claimsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 1, 2025
Earn CME credits: Attend our engaging webinarsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 1, 2025
Simplify care with our Complex Care Management programMedicare AdvantageJuly 1, 2025
Combat diabetes: Close the statin therapy gap for better heart healthHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 1, 2025
UM guidelines for timely service preapproval and reimbursementHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 1, 2025
New incentive program — smoking cessationCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJune 27, 2025
National Drug Codes (NDC) Are Required for Outpatient ClaimsMedicare AdvantageJune 27, 2025
Specialty pharmacy precertification list expandedEffective November 1, 2025
Axtle, Bizengri, and Bynfezia pen
CommercialJune 25, 2025
Provider specialty and subspecialty designations for utilization managementCommercialJune 25, 2025
Change to Prior Authorization Requirements
Medical Policies and Clinical Guidelines updates — August 2025Medicare AdvantageJune 23, 2025
Essential information for providers: understanding Medicare Advantage group retiree plansMedicare AdvantageJune 17, 2025
Specialty pharmacy precertification list expansion — key updatesCommercialJune 13, 2025
Streamlined claim submission process updateCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJune 4, 2025
Boost your roster submission skills with Availity EssentialsMedicare AdvantageJune 3, 2025
Precertification/prior authorization requirement changesEffective November 1, 2025
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJune 3, 2025
Prior authorization updates for medications billed under the medical benefitEffective September 1, 2025
Tevimbra
CommercialJune 2, 2025
Change to Prior Authorization Requirements
Specialty pharmacy updates: June 2025Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJune 1, 2025
Provider Pathways: your personalized learning platformCommercialMedicare AdvantageJune 1, 2025
LabCorp and Quest Diagnostics are in-network — reminderMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJune 1, 2025
Additional drug codes added to medical claims edit systemCommercialJune 1, 2025
Update to claims system for global surgical procedures for professional providersCommercialJune 1, 2025
Unlock updated pharmacy insights today — visit our provider websiteCommercialJune 1, 2025
Availity Essentials Provider Overpayments application launchHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJune 1, 2025
Clarifying roles in healthcare: member rights and responsibilitiesMedicare AdvantageJune 1, 2025
Bridging the gap: enhancing medication adherence for better health outcomesMedicare AdvantageJune 1, 2025
Claims guidance: updating inpatient and outpatient bill typesCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJune 1, 2025
Submitting BH authorizations in Availity EssentialsCommercialMedicare AdvantageJune 1, 2025
Registration is now available for our upcoming CME webinar on Integrating Cancer CareCommercialMay 30, 2025
Key updates to the Designated Medical Specialty Pharmacy Drug ListMedicare AdvantageMay 27, 2025
Learn about annual Model of Care training for special needs plansCommercialMay 22, 2025
Action required: annual patient safety attestationMedicare AdvantageMay 22, 2025
New specialty pharmacy medical step therapy requirementsEffective July 1, 2025
Pavblu, Ahzantive, Enzeevu, Opuviz, and Yesafili
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingMay 22, 2025
You are invited: Indiana PathWays for Aging trainingHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingMay 21, 2025
Updated Clinical Practice Guidelines now availableHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingMay 20, 2025
New preapproval requirements for GivlaariEffective August 1, 2025
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingMay 14, 2025
Announcement: Temporary Emergency Financial Assistance Payment Reconciliation