CommercialMedicare AdvantageMedicaidSeptember 1, 2024

September 2024 Provider Newsletter

Featured Articles

AdministrativeCommercialMedicare AdvantageAugust 1, 2023

Clinical Laboratory Improvement Amendments


Administrative

AdministrativeMedicaidSeptember 1, 2024

Transitional care visits for enhanced patient care

AdministrativeMedicaidSeptember 1, 2024

New Notification of Pregnancy form is available

AdministrativeMedicaidAugust 14, 2024

Notice to home infusion providers

AdministrativeCommercialMedicare AdvantageMedicaidSeptember 1, 2024

Availity Essentials single claim submission response reports

Digital SolutionsCommercialMedicare AdvantageMedicaidSeptember 1, 2024

Advancing digital efficiency by discontinuing paper remittances

Digital SolutionsMedicare AdvantageMedicaidAugust 23, 2024

Coming soon — digital-only authorization case status notifications

Behavioral Health

Behavioral HealthMedicaidSeptember 1, 2024

Learn to Live: A Digital Mental Health Benefit for Anthem members!

Education & Training

Education & TrainingCommercialMedicare AdvantageMedicaidSeptember 1, 2024

Coming soon: Provider e-Learning Resource Center for Payment Integrity

Education & TrainingCommercialSeptember 1, 2024

New provider resource for family caregivers of members with cancer

Policy Updates

Policy UpdatesMedicaidAugust 21, 2024

Clinical Criteria updates

Effective September 22, 2024

Medical Policy & Clinical GuidelinesCommercialAugust 14, 2024

Medical Policies and Clinical UM Guidelines updates — September 2024

Prior AuthorizationMedicare AdvantageJuly 31, 2024

Prior authorization requirement changes

Effective December 1, 2024

Products & Programs

Federal Employee Program (FEP)CommercialJuly 31, 2024

FEP Quality Reimbursement Program for providers

Long-Term Services & SupportsCommercialSeptember 1, 2024

The Power of the Blues: Introducing the Blue National Physician Performance Dataset

PharmacyCommercialAugust 26, 2024

Specialty pharmacy updates — September 2024

PharmacyMedicare AdvantageAugust 12, 2024

Anthem expands specialty pharmacy precertification list

Code: J1599

PharmacyMedicare AdvantageAugust 27, 2024

Anthem expands specialty pharmacy precertification list

Codes: C9399, J9999 and J3590

PharmacyMedicare AdvantageSeptember 1, 2024

Real-time prescription benefit

PharmacyCommercialSeptember 1, 2024

Pharmacy information available on our provider website

Quality Management

Quality ManagementCommercialMedicare AdvantageAugust 13, 2024

Announcing the new HEDIS documentation library supporting coding excellence

Optimizing HEDIS & STARSMedicaidAugust 23, 2024

A message for providers: Timeliness of Prenatal Care

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