July 1, 2024
July 2024 Provider Newsletter
Filter By: AllCommercialMedicare AdvantageMedicaid
Administrative
MedicaidJune 13, 2024
Therapeutic Rehabilitation Program services — H2019/H2020CommercialJuly 1, 2024
Anesthesia modifiers — professional editing updateCommercialJuly 1, 2024
Provider manual updates to become effective October 1, 2024CommercialJuly 1, 2024
Timely receipt of other carrier EOB or rejection helps avoid timely filing denialsCommercialJuly 1, 2024
Drugs and biologicCommercialJuly 1, 2024
CAA: Maintain your online provider directory informationMedicare AdvantageMedicaidJuly 1, 2024
Inaccurate laterality and diagnosis combinationCommercialMedicare AdvantageMedicaidJune 12, 2024
Phoenix Sepsis Criteria for coding and billing pediatric sepsisCommercialJune 20, 2024
Digital-only authorization case status notification coming to youCommercialMedicare AdvantageMedicaidJuly 1, 2024
Digital Request for Additional Information is now available for all lines of businessEducation & Training
CommercialJune 13, 2024
Faster notification of EDI corrected claims errorsCommercialMedicare AdvantageJuly 1, 2024
July is Disability Awareness MonthPolicy Updates
MedicaidJune 4, 2024
Prior authorization update: criteria change for ambulance services and peripheral nerve blocksMedicare AdvantageJune 3, 2024
Clinical Criteria updates — November 2023Medicare AdvantageMay 29, 2024
Carelon Medical Benefits Management, Inc. updatesCommercialMedicare AdvantageJune 27, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesCommercialJune 11, 2024
Medical Policies and Clinical Guidelines updates for July 2024Medicare AdvantageMay 30, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective July 1, 2024
MedicaidJune 7, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective July 14, 2024
CommercialJune 19, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesCommercialJuly 1, 2024
Reimbursement policy update: Incident to Services — ProfessionalCommercialJuly 1, 2024
Reimbursement policy update: Frequency Editing — ProfessionalProducts & Programs
CommercialJuly 1, 2024
Antidepressant Medication Management (AMM)MedicaidJune 18, 2024
Prior authorization updates for medications billed under the medical benefitElrexfio, Ngenla, Pombiliti, Talvey, Tyruko, Veopoz, and Ycanth
MedicaidJune 20, 2024
Prior authorization updates for medications billed under the medical benefitColumvi, Izervay, Rystiggo, Vyvgart Hytrulo, and Eylea HD
Medicare AdvantageJune 20, 2024
Anthem expands specialty pharmacy precertification listCommercialJuly 1, 2024
Correction: Specialty pharmacy updates — July 2024Quality Management
Medicare AdvantageJuly 1, 2024
Understanding your role in the Health Outcomes SurveyMedicaidJuly 1, 2024
Complex Case Management programMedicaidJuly 1, 2024
Members’ Rights and Responsibilities sectionMedicaidJuly 1, 2024
Important information about utilization managementCommercialMedicaidJune 3, 2024
Tips to Improve Adolescent Immunization (IMA) RatesCommercialMedicare AdvantageMedicaidJuly 1, 2024
New resources to improve your HEDIS® and CAHPS® quality ratesMedicaidJune 6, 2024
HEDIS® 2024 documentation for Colorectal Cancer Screening (COL-E)KYBCBS-CDCRCM-061274-24
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