CommercialMedicare AdvantageMedicaidDecember 1, 2023
December 2023 Provider Newsletter
Featured Articles
CommercialDecember 1, 2023
CarelonRx, Inc. Mail will change to CarelonRx Pharmacy on January 1, 2024
Medicare AdvantageDecember 1, 2023
Model of care training reminder
Administrative
CommercialDecember 1, 2023
Notification about submitting itemized billsCommercialDecember 1, 2023
Important information about utilization managementCommercialDecember 1, 2023
Professional system updates for 2024CommercialDecember 1, 2023
Outpatient system updates for 2024CommercialDecember 1, 2023
New vendor administering Primary Care Access SurveyCommercialDecember 1, 2023
New vendor administering behavioral health access surveyMedicare AdvantageNovember 1, 2023
Updates to correct coding editingCommercialMedicare AdvantageMedicaidDecember 1, 2023
New requirements for credentialing and recredentialingCommercialDecember 1, 2023
Case Management ProgramCommercialDecember 1, 2023
Coordination of careCommercialDecember 1, 2023
CAA: Review your online provider directory informationCommercialDecember 1, 2023
Clinical practice and preventive health guidelinesCommercialDecember 1, 2023
Members’ Rights and ResponsibilitiesMedicaidDecember 1, 2023
Appointment availability and after-hours access requirementsCommercialDecember 1, 2023
Clinical Documentation Lookup ToolCommercialNovember 21, 2023
Process for Carelon Post Acute Solutions, LLC redirection and Availity Essentials clinical denial/approval outcome notificationsMedicaidDecember 1, 2023
Filing digital claims disputes: Transparent and trackableEducation & Training
CommercialMedicaidDecember 1, 2023
Practitioners’ rights during credentialing processPolicy Updates
Medicare AdvantageNovember 21, 2023
Medical Policies and Clinical Utilization Management Guidelines update for May 2023CommercialDecember 1, 2023
Medical Policies and Clinical Guidelines updates — December 2023CommercialDecember 1, 2023
Medical Policies and Clinical Guidelines updates — December 2023Medicare AdvantageDecember 1, 2023
Glucagon-Like Peptide-1 prior authorization changesMedicare AdvantageNovember 17, 2023
Transition to Carelon Medical Benefits Management, Inc. Genetic Testing GuidelinesCommercialOctober 27, 2023
Transition to Carelon Medical Benefits Management, Inc. Genetic Testing GuidelinesMedicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes Q4272 - Q4284
Medicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes 0738T and 0739T
Medicare AdvantageNovember 8, 2023
Prior authorization requirement changes effective May 1, 2024Code E0761
Medicare AdvantageOctober 31, 2023
Prior authorization requirement changes effective March 1, 2024Codes 33275 and 33274
MedicaidNovember 9, 2023
Prior authorization update - IdacioProducts & Programs
CommercialDecember 1, 2023
Introducing the High Performing Provider designationCommercialDecember 1, 2023
Federal Employee Program updates member ID cardsMedicare AdvantageDecember 1, 2023
2024 Federal Employee Program Benefit information available onlineCommercialNovember 1, 2023
Pharmacy information available on our provider websiteMedicare AdvantageOctober 26, 2023
Notification of specialty pharmacy medical step therapy updatesQuality Management
CommercialMedicare AdvantageNovember 13, 2023
HEDIS 2023 Electronic Clinical Data Systems (ECDS)MedicaidNovember 8, 2023
HEDIS medical record submission made easier with our Remote EMR Access ServiceKYBCBS-CDCRCM-045270-23
To view this publication online:
Visit https://providernews.anthem.com/kentucky/publications/december-2023-provider-newsletter-2259-2259
Or scan this QR code with your phone