January 1, 2024
January 2024 Provider Newsletter
Filter By: AllCommercialMedicare AdvantageMedicaid
Featured Articles
CommercialDecember 26, 2023
Training for digital requests for additional information (Digital RFAI)
CommercialJanuary 1, 2024
Important information about your Anthem patients’ specialty prescriptions
CommercialNovember 20, 2023
Annual preventive care visits
Administrative
Medicare AdvantageJanuary 1, 2024
Inappropriate primary diagnosisMedicaidJanuary 1, 2024
Inappropriate primary diagnosisMedicaidDecember 19, 2023
Covering the preventive E&M when billed with sick E&MCommercialJanuary 1, 2024
Using and billing air ambulance services appropriatelyCommercialJanuary 1, 2024
Important Changes for Active Members of Northrop Grumman CorporationCommercialJanuary 1, 2024
CAA: Maintain your online provider directory informationEducation & Training
MedicaidMarch 31, 2023
Ready, set, renew!Policy Updates
Medicare AdvantageJanuary 1, 2024
Genetic testing code list updateMedicaidDecember 18, 2023
Medical Policies and Clinical Utilization Management Guidelines update for May 2023Medicare AdvantageDecember 1, 2023
Clinical Criteria updates — August 2023CommercialMedicare AdvantageDecember 28, 2023
Transition to Carelon Medical Benefits Management, Inc. cardiology guidelinesCommercialMedicare AdvantageJanuary 1, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesCommercialJanuary 1, 2024
Carelon Medical Benefits Management, Inc. genetic testing CPT® code list updateCommercialJanuary 1, 2024
Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024Medicare AdvantageJanuary 10, 2024
Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024MedicaidNovember 28, 2023
Prior authorization update - ByoovizMedicaidDecember 18, 2023
Prior Authorization update - Lamzede, Lunsumio, Rebyota, etc.MedicaidNovember 28, 2023
Prior authorization requirement changes effective January 1, 2024Products & Programs
CommercialJanuary 1, 2024
January Dental newsletter communicationsCommercialDecember 28, 2023
Specialty pharmacy updates — January 2024Quality Management
Medicare AdvantageJanuary 1, 2024
Boost annual planned visit ratesMedicaidJanuary 1, 2024
Healthy blood pressure recheck initiativeMedicaidJanuary 1, 2024
HEDIS diabetes documentationCommercialMedicare AdvantageJanuary 1, 2024
HEDIS diabetes documentationMedicaidNovember 28, 2023
HEDIS 2023 Electronic Clinical Data Systems (ECDS)KYBCBS-CDCRCM-047205-23
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