CommercialMedicare AdvantageMedicaidNovember 1, 2024

November 2024 Provider Newsletter

Featured Articles

AdministrativeCommercialOctober 23, 2024

Do you offer telehealth services? Let us know!

Digital SolutionsCommercialMedicare AdvantageMedicaidOctober 17, 2024

Maximizing care with regular provider data attestation

Education & TrainingMedicare AdvantageOctober 15, 2024

Model of Care training reminder


Administrative

AdministrativeMedicaidOctober 9, 2024

State communication: Telehealth reassessment (PL #A-273)

AdministrativeCommercialNovember 1, 2024

Personalized Match update

Digital SolutionsCommercialNovember 1, 2024

Adopting digital member ID cards

Digital SolutionsMedicare AdvantageMedicaidOctober 15, 2024

Expansion of digital-only authorization case status notifications

Behavioral Health

Behavioral HealthCommercialNovember 1, 2024

Introducing a new Applied Behavior Analysis Provider Resource Guide

Education & Training

Education & TrainingCommercialMedicaidOctober 18, 2024

You are invited: Health Care Networks fall webinar

Policy Updates

Policy UpdatesMedicare AdvantageSeptember 25, 2024

Carelon Medical Benefits Management, Inc. updates

Effective October 26, 2024

Medical Policy & Clinical GuidelinesMedicaidOctober 18, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective November 23, 2024

Prior AuthorizationMedicare AdvantageSeptember 24, 2024

Prior authorization requirement changes

Effective February 1, 2025

Reimbursement PoliciesCommercialNovember 1, 2024

Reimbursement policy reminder: Multiple Surgery — Facility

Reimbursement PoliciesCommercialNovember 1, 2024

Reimbursement policy update: Nurse Practitioner and Physician Assistant Services

Products & Programs

Federal Employee Program (FEP)CommercialNovember 1, 2024

Submit corrected claims electronically for the Federal Employee Program®

PharmacyCommercialJuly 1, 2024

Correction: Specialty pharmacy updates — July 2024

PharmacyCommercialOctober 24, 2024

Specialty pharmacy updates — November 2024

PharmacyMedicare AdvantageNovember 1, 2024

Improving patient outcomes: back to the basics

Quality Management

Quality ManagementCommercialMedicare AdvantageMedicaidNovember 1, 2024

HEDIS medical record submission made easier with our Remote EMR Access service

Optimizing HEDIS & STARSCommercialMedicare AdvantageMedicaidNovember 1, 2024

Prevent flu and COVID-19: drive the change through vaccination

KYBCBS-CDCRCM-070452-24

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