CommercialMedicare AdvantageMedicaidAugust 1, 2023
August 2023 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageAugust 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!
CommercialMedicare AdvantageAugust 1, 2023
Reminder: Start using the Provider Data Management application now on Availity Essentials — retirement of previous intake channels October 1, 2023
Administrative
CommercialAugust 1, 2023
Anthem Blue Cross and Blue Shield appropriate coding helps provide a comprehensive picture of patients’ health and services providedMedicaidAugust 1, 2023
Unspecified diagnosis code of site and lateralityCommercialMedicare AdvantageAugust 1, 2023
Clinical Laboratory Improvement AmendmentsMedicare AdvantageJuly 18, 2023
Urinary tract infection tool kits are on the wayCommercialAugust 1, 2023
Federal Consolidated Appropriations Act (CAA) Gag ClauseCommercialAugust 1, 2023
CAA: Review your online provider directory information regularlyMedicaidJuly 10, 2023
Revised: Vitamin D testingEducation & Training
MedicaidJuly 21, 2023
Look whats New - Value Added Benefits ModulePolicy Updates
MedicaidJuly 7, 2023
Clinical Criteria updates - December 2022Medicare AdvantageJune 29, 2023
Clinical Criteria updates - March 2023MedicaidJuly 21, 2023
Medical Policies and Clinical Utilization Management Guidelines Update (February 2023)CommercialJuly 21, 2023
Updates to Carelon Medical Benefits Management, Inc. Joint Surgery, Small Joint Surgery, and MSK Level of CareCommercialJuly 18, 2023
Expansion of Carelon Medical Benefits Management, Inc. cardiology programs effective October 1, 2023MedicaidJuly 6, 2023
Transition to Carelon Medical Benefits Management, Inc. MRI Breast Clinical Appropriateness GuidelinesMedicaidJuly 13, 2023
Spevigo and Xenpozyme Medical Prior Authorization UpdateMedicare AdvantageJuly 25, 2023
Prior authorization requirement changes effective November 1, 2023MedicaidJuly 5, 2023
Prior Authorization requirement changes effective September 1, 2023Medicare AdvantageAugust 1, 2023
Technology Assisted Surgical ProceduresProducts & Programs
CommercialAugust 1, 2023
Specialty pharmacy updates - August 2023CommercialAugust 1, 2023
Specialty pharmacy updates - August 2023CommercialAugust 1, 2023
Pharmacy information available on our provider websiteMedicare AdvantageAugust 1, 2023
Medication adherence: Back to the basicsMedicare AdvantageAugust 1, 2023
Why statin therapy is important in your patients with diabetesMedicaidJune 27, 2023
IV Iron Medical Step Therapy NoticeQuality Management
Medicare AdvantageAugust 1, 2023
Healthy blood pressure recheck initiativeMedicare AdvantageAugust 1, 2023
Healthy blood pressure recheck initiativeKYBCBS-CDCRCM-030301-23
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