May 31, 2023
June 2023 Provider Newsletter
Filter By: AllCommercialMedicare AdvantageMedicaid
Featured Articles
CommercialMedicare AdvantageMedicaidMay 12, 2023
Enhanced Provider News website and email communications is now live!
CommercialMedicare AdvantageMay 31, 2023
Introducing Roster Automation to improve turnaround times and data accuracy
CommercialMay 31, 2023
Correction: Federal Employee Program® Quality Reimbursement program update
Administrative
CommercialSeptember 1, 2023
Consider a FIT kit for your patients aged 45 and older at average risk for colon cancerCommercialMay 31, 2023
CAA: Have you reviewed your online provider directory information lately?MedicaidMay 18, 2023
Correcting Medicaid member incarceration status errorsCommercialMay 31, 2023
Digital notifications are coming June 1, 2023Education & Training
CommercialMedicaidMay 31, 2023
Building Vaccine Confidence – A webinar hosted by PfizerPolicy Updates
CommercialMay 31, 2023
HCPCS to revenue code alignment – Evaluation/ManagementMedicare AdvantageMay 31, 2023
MCG Care Guidelines 27th EditionMedicare AdvantageMay 4, 2023
Clinical Criteria Updates December 2022Medicare AdvantageMay 11, 2023
Clinical Criteria Updates February 2023CommercialMay 19, 2023
MCG Care Guidelines 27th EditionCommercialMay 31, 2023
Updates to Carelon Medical Benefits Management, Inc. Advanced Imaging, Sleep Disorder Management, and Spine Surgery Clinical Appropriateness GuidelinesCommercialMay 31, 2023
Medical Policies and Clinical Guidelines Updates — June 2023Medicare AdvantageMay 31, 2023
Medicare Part B Step Therapy VegzelmaCommercialMay 31, 2023
Program delay announcement authorizations for post-acute care services for commercial membersCommercialMay 31, 2023
Effective August 1, 2023, Carelon Medical Benefits Management, Inc. programs will expandMedicare AdvantageMay 31, 2023
Medicare Part B Precert Expansion Briumvi LeqembiMedicaidMay 22, 2023
Prior Authorization Requirement Changes Effective June 1, 2023CommercialMay 31, 2023
New reimbursement policy: Provider Preventable Conditions – Professional and FacilityCommercialMay 31, 2023
Reimbursement policy update: Bundled Services and Supplies — ProfessionalCommercialMay 31, 2023
Reimbursement policy update: Bundled Services and Supplies policy – ProfessionalProducts & Programs
CommercialMay 31, 2023
Expansion of Back Pain Guide Program effective July 1, 2023CommercialMay 31, 2023
OBRA 93 claim filing for Federal Employee ProgramCommercialMay 31, 2023
Specialty pharmacy updates – June 2023CommercialMay 31, 2023
BioPlus provider FAQCommercialMarch 1, 2023
Pharmacy information available on our provider websiteQuality Management
CommercialMedicare AdvantageMay 31, 2023
Patient Safety Skilled Nursing Facility (SNF) SurveyMedicaidMay 25, 2023
Moving Toward Equity in Asthma CareMedicare AdvantageMay 2, 2023
Colorectal Cancer Screening (COL) and Care for Older Adults (COA) for HEDISMedicare AdvantageMay 22, 2023
SPC ExclusionsKYBCBS-CDCRCM-024892-23
* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan. BioPlus Specialty Pharmacy is an independent company providing pharmacy services on behalf of the health plan.
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