AdministrativeAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024

Notice of material change/amendment to contract

Notices of material changes/amendments to contract — March 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:

  • Precertification list change notification March 1, 2024
  • New reimbursement policy: Bundled Supplies and Services – Facility
  • Reimbursement policy update: Ambulance Transportation – Professional
  • Reimbursement policy update: Laboratory and Venipuncture Services – Professional and Facility
  • Clinical Criteria updates for specialty pharmacy
  • Specialty pharmacy updates — March 2024
  • Prior authorization updates for therapeutic duplication of specialty drugs

Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MEBCBS-CM-050976-24

PUBLICATIONS: March 2024 Provider Newsletter