Key Updates
MedicaidNovember 21, 2024
Medicaid contract expiring after December 31, 2024
CommercialMedicare AdvantageMedicaidNovember 19, 2024
Roster Automation updates: roster download functionality
CommercialMedicare AdvantageMedicaidNovember 12, 2024
Roster automation updates effective November 15, 2024: enhanced reporting to increase data accuracy
CommercialMedicare AdvantageMedicaidNovember 7, 2024
Time to prepare for HEDIS medical record review
CommercialMedicare AdvantageMedicaidNovember 7, 2024
Time to prepare for HEDIS medical record review
CommercialOctober 23, 2024
Do you offer telehealth services? Let us know!
CommercialMedicare AdvantageMedicaidOctober 17, 2024
Maximizing care with regular provider data attestation
Medicare AdvantageOctober 15, 2024
Model of Care training reminder
Recent Updates
MedicaidNovember 21, 2024
Medicaid contract expiring after December 31, 2024CommercialNovember 21, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsCommercialMedicare AdvantageMedicaidNovember 19, 2024
Roster Automation updates: roster download functionalityCommercialNovember 18, 2024
Specialty pharmacy updates — December 2024Medicare AdvantageNovember 18, 2024
Kentucky 2025 Medicare Advantage plan changesMedicare AdvantageNovember 18, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsMedicare AdvantageNovember 18, 2024
Notice of change: Part D Rx HCCsMedicare AdvantageNovember 15, 2024
Skilled nursing facility — vaccine serum compensationMedicare AdvantageNovember 14, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?CommercialMedicare AdvantageMedicaidNovember 12, 2024
Roster automation updates effective November 15, 2024: enhanced reporting to increase data accuracyMedicaidNovember 7, 2024
Provider: CAHPS awarenessCommercialMedicare AdvantageMedicaidNovember 7, 2024
Time to prepare for HEDIS medical record reviewCommercialMedicare AdvantageMedicaidNovember 7, 2024
Time to prepare for HEDIS medical record reviewCommercialNovember 1, 2024
Introducing a new Applied Behavior Analysis Provider Resource GuideCommercialNovember 1, 2024
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesCommercialNovember 1, 2024
High Performing and Blue National Designated Providers may also be known as Anthem Diamond ProvidersCommercialMedicare AdvantageMedicaidNovember 1, 2024
Prevent flu and COVID-19: drive the change through vaccinationCommercialNovember 1, 2024
Adopting digital member ID cardsMedicaidNovember 1, 2024
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesCommercialNovember 1, 2024
Personalized Match updateCommercialMedicare AdvantageMedicaidNovember 1, 2024
HEDIS medical record submission made easier with our Remote EMR Access serviceCommercialNovember 1, 2024
New claims requirement: add-on codes must include primary procedure starting December 2024Medicare AdvantageNovember 1, 2024
Improving patient outcomes: back to the basicsCommercialNovember 1, 2024
More error types for corrected claims submitted through EDI now availableCommercialNovember 1, 2024
Reimbursement policy reminder: Multiple Surgery — FacilityCommercialNovember 1, 2024
Submit corrected claims electronically for the Federal Employee Program®Medicare AdvantageMedicaidOctober 29, 2024
HEDIS Measure Tips — Appropriate Treatment for Upper Respiratory Infection (URI) 2025CommercialOctober 24, 2024
Specialty pharmacy updates — November 2024CommercialMedicare AdvantageOctober 23, 2024
HEDIS Measure Tips — Appropriate Testing for Pharyngitis (CWP) 2025CommercialOctober 23, 2024
Do you offer telehealth services? Let us know!CommercialMedicare AdvantageOctober 22, 2024
HEDIS Measure Tips — Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB) 2025MedicaidOctober 18, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective November 23, 2024
CommercialMedicaidOctober 18, 2024
You are invited: Health Care Networks fall webinarCommercialMedicare AdvantageMedicaidOctober 17, 2024
Maximizing care with regular provider data attestationMedicare AdvantageOctober 16, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024MedicaidOctober 16, 2024
External Independent Review (EIR) intake formMedicare AdvantageMedicaidOctober 15, 2024
Use Availity Essentials to view authorization case status and set authorization decision notification preferenceMedicare AdvantageMedicaidOctober 15, 2024
Expansion of digital-only authorization case status notificationsMedicare AdvantageOctober 15, 2024
Model of Care training reminderMedicaidOctober 9, 2024
State communication: Telehealth reassessment (PL #A-273)CommercialMedicare AdvantageOctober 7, 2024
HEDIS Measure Tips — Cardiac Rehabilitation (CRE) 2025Medicare AdvantageOctober 4, 2024
HEDIS Measure Tips — Adults’ Access to Preventive/Ambulatory Health Services (AAP) 2025CommercialMedicare AdvantageOctober 3, 2024
Blood Pressure Control for Patients With Diabetes (BPD) 2025Medicare AdvantageOctober 2, 2024
Pharmacotherapy Management of COPD Exacerbation (PCE) 2025CommercialOctober 1, 2024
Pharmacy information available on our provider websiteCommercialOctober 1, 2024
National Accounts 2025 precertification listMedicare AdvantageOctober 1, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?