CommercialMedicare AdvantageMedicaidOctober 1, 2024

October 2024 Provider Newsletter

Featured Articles

Digital SolutionsMedicare AdvantageOctober 1, 2024

Introducing the Care Provider Recognition Program from Anthem


Administrative

AdministrativeMedicaidOctober 16, 2024

External Independent Review (EIR) intake form

AdministrativeMedicare AdvantageMedicaidOctober 1, 2024

Drug and biologic

AdministrativeCommercialOctober 1, 2024

National Accounts 2025 precertification list

Digital SolutionsCommercialMedicare AdvantageMedicaidAugust 30, 2024

Save time and get better results with optimized CPT code search in Availity Essentials

Digital SolutionsCommercialMedicare AdvantageMedicaidSeptember 4, 2024

Digital Provider Enrollment now available for additional provider types in Availity Essentials

Education & Training

Education & TrainingMedicare AdvantageSeptember 16, 2024

Seamless advance care: MyDirectives digital tool for D-SNP members

Policy Updates

Policy UpdatesMedicare AdvantageSeptember 3, 2024

Clinical Criteria updates

Effective October 4, 2024

Policy UpdatesMedicaidSeptember 19, 2024

Clinical Criteria updates

Effective October 20, 2024

Medical Policy & Clinical GuidelinesMedicaidAugust 27, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective September 30, 2024

Medical Policy & Clinical GuidelinesMedicare AdvantageSeptember 10, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective October 10, 2024

Prior AuthorizationMedicare AdvantageSeptember 23, 2024

Prior authorization requirement changes

Effective January 1, 2025

Prior AuthorizationMedicaidSeptember 11, 2024

Prior authorization requirement changes

Effective November 1, 2024
Codes: 33263 and 64582

Products & Programs

PharmacyCommercialSeptember 16, 2024

Specialty pharmacy updates — October 2024

PharmacyMedicaidSeptember 19, 2024

Prior authorization updates for medications billed under the medical benefit

Effective November 1, 2024
Amtagvi, iDoseTR, and Nexobrid

PharmacyMedicaidSeptember 19, 2024

Prior authorization updates for medications billed under the medical benefit

Effective November 1, 2024
Alyglo, Simlandi, and Winrevair

PharmacyCommercialOctober 1, 2024

Pharmacy information available on our provider website

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