Notices of material changes/amendments to contract — July 2024

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:

• Drugs and biologic
• Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines
• Medical Policy and Clinical Guideline updates
• Carelon Medical Benefits Management, Inc. genetic testing code updates
• Anthem Precertification List Change Notification for July 1, 2024
• Precertification list change notification July 1, 2024
• New reimbursement policy: Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and Facility
• Reimbursement policy update: Incident to Services — Professional
• Reimbursement policy update: Frequency Editing — Professional
• Specialty pharmacy updates — July 2024