CommercialMedicare AdvantageMedicaidOctober 1, 2024
October 2024 Provider Newsletter
Featured Articles
Medicare AdvantageOctober 1, 2024
Introducing the Care Provider Recognition Program from Anthem
Administrative
MedicaidOctober 16, 2024
External Independent Review (EIR) intake formMedicare AdvantageMedicaidOctober 1, 2024
Drug and biologicCommercialOctober 1, 2024
National Accounts 2025 precertification listCommercialMedicare AdvantageMedicaidAugust 30, 2024
Save time and get better results with optimized CPT code search in Availity EssentialsCommercialMedicare AdvantageMedicaidSeptember 4, 2024
Digital Provider Enrollment now available for additional provider types in Availity EssentialsEducation & Training
Medicare AdvantageSeptember 16, 2024
Seamless advance care: MyDirectives digital tool for D-SNP membersPolicy Updates
MedicaidAugust 27, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective September 30, 2024
Medicare AdvantageSeptember 10, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective October 10, 2024
Medicare AdvantageSeptember 23, 2024
Prior authorization requirement changesEffective January 1, 2025
MedicaidSeptember 11, 2024
Prior authorization requirement changesEffective November 1, 2024
Codes: 33263 and 64582
CommercialOctober 1, 2024
Reimbursement policy update: Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service — ProfessionalMedicare AdvantageOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesProducts & Programs
CommercialOctober 1, 2024
Introduction of the Specialty High Performing Provider designation program for commercial networksCommercialOctober 1, 2024
Introduction of the HPP designation program for individual member (Exchange) commercial networksCommercialSeptember 16, 2024
Specialty pharmacy updates — October 2024MedicaidSeptember 19, 2024
Prior authorization updates for medications billed under the medical benefitEffective November 1, 2024
Amtagvi, iDoseTR, and Nexobrid
MedicaidSeptember 19, 2024
Prior authorization updates for medications billed under the medical benefitEffective November 1, 2024
Alyglo, Simlandi, and Winrevair
Medicare AdvantageOctober 1, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?CommercialOctober 1, 2024
Pharmacy information available on our provider websiteKYBCBS-CDCRCM-067867-24
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