CommercialMedicare AdvantageMedicaidAugust 1, 2023

August 2023 Provider Newsletter

Featured Articles


Administrative

AdministrativeMedicaidAugust 1, 2023

Unspecified diagnosis code of site and laterality

AdministrativeCommercialMedicare AdvantageAugust 1, 2023

Clinical Laboratory Improvement Amendments

AdministrativeMedicare AdvantageJuly 18, 2023

Urinary tract infection tool kits are on the way

AdministrativeCommercialAugust 1, 2023

Federal Consolidated Appropriations Act (CAA) Gag Clause

AdministrativeCommercialAugust 1, 2023

CAA: Review your online provider directory information regularly

AdministrativeMedicaidJuly 10, 2023

Revised: Vitamin D testing

Education & Training

Education & TrainingMedicaidJuly 21, 2023

Look whats New - Value Added Benefits Module

Policy Updates

Policy UpdatesMedicaidJuly 7, 2023

Clinical Criteria updates - December 2022

Policy UpdatesMedicare AdvantageJune 29, 2023

Clinical Criteria updates - March 2023

Prior AuthorizationMedicaidJuly 13, 2023

Spevigo and Xenpozyme Medical Prior Authorization Update

Prior AuthorizationMedicare AdvantageJuly 25, 2023

Prior authorization requirement changes effective November 1, 2023

Prior AuthorizationMedicaidJuly 5, 2023

Prior Authorization requirement changes effective September 1, 2023

Reimbursement PoliciesMedicare AdvantageAugust 1, 2023

Technology Assisted Surgical Procedures

Products & Programs

PharmacyCommercialAugust 1, 2023

Specialty pharmacy updates - August 2023

PharmacyCommercialAugust 1, 2023

Specialty pharmacy updates - August 2023

PharmacyCommercialAugust 1, 2023

Pharmacy information available on our provider website

PharmacyMedicare AdvantageAugust 1, 2023

Medication adherence: Back to the basics

PharmacyMedicare AdvantageAugust 1, 2023

Why statin therapy is important in your patients with diabetes

PharmacyMedicaidJune 27, 2023

IV Iron Medical Step Therapy Notice

Quality Management

Quality ManagementMedicare AdvantageAugust 1, 2023

Healthy blood pressure recheck initiative

Quality ManagementMedicare AdvantageAugust 1, 2023

Healthy blood pressure recheck initiative

KYBCBS-CDCRCM-030301-23

Availity, LLC is an independent company providing administrative support services on behalf of the health plan. Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.