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

January 2024 Provider Newsletter

Featured Articles

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Notice of material change/amendment to contract

Notices of material changes/amendments to contract – January 2024

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialDecember 26, 2023

Training for digital requests for additional information (Digital RFAI)

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Important information about your Anthem patients’ specialty prescriptions

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialNovember 20, 2023

Annual preventive care visits

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

CAA: Maintain your online provider directory information

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Using and billing air ambulance services appropriately

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Important Changes for Active Members of Northrop Grumman Corporation

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2024

Inappropriate primary diagnosis

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 22, 2023

CORRECTION: Transition to Carelon Medical Benefits Management, Inc. site of care guidelines

Medical Policy & Clinical GuidelinesAMH Health, LLC | Medicare AdvantageDecember 1, 2023

Clinical Criteria updates - August 2023

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

Genetic testing code list update

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

Notice of material change/amendment to contract

Carelon Medical Benefits Management, Inc. genetic testing CPT® code list update

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 28, 2023

Notice of material change/amendment to contract

Transition to Carelon Medical Benefits Management, Inc. cardiology guidelines

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

Notice of material change/amendment to contract

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

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

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

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

Notice of material change/amendment to contract

Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 10, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024

Products & Programs

DentalAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

January Dental newsletter communications

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 28, 2023

Notice of material change/amendment to contract

Specialty pharmacy updates — January 2024

Quality Management

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

Boost annual planned visit rates

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2024

HEDIS diabetes documentation

MEBCBS-CRCM-047206-23

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).