Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2024

February 2024 Provider Newsletter

Featured Articles

AdministrativeAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024

Notice of material change/amendment to contract

Notices of material changes/amendments to contract — February 2024

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024

CAA: Have you reviewed your online provider directory information lately?

AdministrativeAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024

Home Health Agency Capabilities Survey

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024

RETRACTED: Beginning in March 2024, you can submit Behavioral Health prior authorizations through the Authorization application on Availity.com

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2024

Update: Your requests for additional information will be sent digitally in February

Policy Updates

Policy UpdatesAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024

Notice of material change/amendment to contract

MCG care guidelines 27th edition update

Policy UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJanuary 18, 2024

Clinical Criteria updates — September 2023

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024

Notice of material change/amendment to contract

Medical Policy and Clinical Guideline updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJanuary 24, 2024

Notice of material change/amendment to contract

Carelon Medical Benefits Management, Inc. genetic testing code updates

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024

Notice of material change/amendment to contract

Claims Match Enhancement for Carelon Medical Benefits Management, Inc. Genetic Testing

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 15, 2023

Prior authorization requirement changes effective May 1, 2024 

Codes 0738T and 0739T

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 15, 2023

Prior authorization requirement changes effective May 1, 2024 

Codes Q4272 - Q4284

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 8, 2023

Prior authorization requirement changes effective May 1, 2024 

Code E0761

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024

Notice of material change/amendment to contract

New reimbursement policy: Modifier Usage — Facility

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialJanuary 24, 2024

Notice of material change/amendment to contract

Specialty pharmacy updates — February 2024

PharmacyAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024

Notice of material change/amendment to contract

Clinical Criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 18, 2024

RETRACTED: Expansion of specialty pharmacy precertification list

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024

Improving Hispanic heart health

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2024

Improving Hispanic heart health

MEBCBS-CRCM-048968-24