Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageAugust 1, 2024
August 2024 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
MCG Care Guidelines 28th edition
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — August 2024
Administrative
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
CAA: Providers required to verify their online provider directory informationAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Incidental services — facility editing updateAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Device-dependent procedures — facility editing updateAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageAugust 1, 2024
ICD-10-CM Excludes1 notesAnthem Blue Cross and Blue Shield | CommercialJuly 24, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 16, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Coming soon: View your fee schedule in Availity Essentials Payer SpacesAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 9, 2024
Coming soon — digital-only authorization case status notifications for MedicareEducation & Training
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageAugust 1, 2024
Coming soon: Provider e-Learning Resource Center for Payment IntegrityAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2024
August is National Breastfeeding MonthPolicy Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 10, 2024
Clinical Criteria updatesEffective August 12, 2024
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Notice of material change/amendment to contract
Medical Policy and Clinical Guideline updatesAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 5, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective August 8, 2024
AMH Health, LLC | Medicare AdvantageJuly 15, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective August 19, 2024
AMH Health, LLC | Medicare AdvantageJuly 17, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 11, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesEffective for dates of service on and after November 17, 2024
Anthem Blue Cross and Blue Shield | CommercialJuly 2, 2024
Notice of material change/amendment to contract
Updates to Carelon Medical Benefits Management Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Notification of authorization fax number changesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Notice of material change/amendment to contract
New reimbursement policy: Intraoperative Neuromonitoring — ProfessionalAMH Health, LLC | Medicare AdvantageAugust 1, 2024
Reimbursement policy update: Modifier 78Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Notice of material change/amendment to contract
Reimbursement policy update: Professional Anesthesia ServiceAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Notice of material change/amendment to contract
Reimbursement policy update: Bundled Services and Supplies — FacilityAMH Health, LLC | Medicare AdvantageAugust 1, 2024
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialJuly 25, 2024
Notice of material change/amendment to contract
Specialty pharmacy updates — February 2024Note: This article corrects the Clinical Criteria for Spravato (esketamine), which was incorrectly listed in a February 2024 article.
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Notice of material change/amendment to contract
Specialty pharmacy updates — August 2024Tevimbra, Tyenne, and Wezlana
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Notice of material change/amendment to contract
Clinical Criteria updates for specialty pharmacyMEBCBS-CRCM-063094-24
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