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

June 2024 Provider Newsletter

Featured Articles

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 1, 2024

Notice of material change/amendment to contract

Notices of material changes/amendments to contract — June 2024

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 1, 2024

Notice of material change/amendment to contract

Notification of NCCI review of medically unlikely edits

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 1, 2024

CAA: Review your online provider directory information

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJune 1, 2024

Availity Essentials single claim submission response reports

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 1, 2024

Notice of material change/amendment to contract

Implant — Facility Editing update

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 17, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 23, 2024

Digital RFAI Availity training

Education & Training

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

Introducing advanced eLearning features for MyDiversePatients.com

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 23, 2024

You are invited: Thriving, not just surviving: navigating challenging times as a clinician

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 7, 2024

Clinical Criteria updates

Effective June 10, 2024

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialMay 28, 2024

Notice of material change/amendment to contract

Updates to Carelon Post-Acute Care Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 3, 2024

Notice of material change/amendment to contract

Carelon Medical Benefits Management, Inc. genetic testing code updates

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

Notice of material change/amendment to contract

Expansion of Carelon Medical Benefits Management, Inc. programs

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

Notice of material change/amendment to contract

Reimbursement policy update: Virtual Visits — Professional and Facility

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

Notice of material change/amendment to contract

Reimbursement policy update: Laboratory and Venipuncture Services — Professional and Facility

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialJune 1, 2024

Notice of material change/amendment to contract

Clinical Criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2024

Addressing medication adherence gaps

PharmacyAnthem Blue Cross and Blue Shield | CommercialJune 1, 2024

Pharmacy information available on our provider website

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJune 1, 2024

Improving patient outcomes with statin therapy in diabetes

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialApril 19, 2024

Improving patient health and digital literacies

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialMay 6, 2024

Enhance patient access to digital health resources

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialApril 24, 2024

Tips to Improve Adolescent Immunization (IMA) Rates

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

New resources to improve your HEDIS® and CAHPS® quality rates

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageApril 22, 2024

Statin Use in Persons with Cardiovascular Disease (SPC) measure exclusion criteria: HEDIS® 2024 measurement year

MEBCBS-CRCM-059375-24

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