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

March 2024 Provider Newsletter

Featured Articles

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


Administrative

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

CAA: Maintain your online provider directory information

Digital SolutionsAMH Health, LLC | Medicare AdvantageFebruary 29, 2024

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

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

Expansion of Carelon Medical Benefits Management, Inc. programs

Education & Training

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

Congenital syphilis intervention opportunities for neonatal and pediatric providers

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 20, 2024

Clinical Criteria updates — December 2023

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

Carelon Medical Benefits Management, Inc. genetic testing code updates

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

Notice of material change/amendment to contract

Precertification list change notification — March 1, 2024

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 24, 2024

Prior authorization requirement changes effective May 1, 2024

Code C1825

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 24, 2024

Prior authorization requirement changes effective May 1, 2024

Code C1825

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2024

Prior authorization requirement changes effective May 1, 2024

Codes G0481 - G0483

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

Notice of material change/amendment to contract

New reimbursement policy: Bundled Supplies and Services – Facility

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

Notice of material change/amendment to contract

Reimbursement policy update: Ambulance Transportation – Professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMarch 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 | CommercialFebruary 22, 2024

Notice of material change/amendment to contract

Specialty pharmacy updates — March 2024

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

Overview of Medicare risk adjustment in-office prospective programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024

Notice of material change/amendment to contract

Clinical Criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024

Important information about your Anthem patients’ Botox prescriptions

PharmacyAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024

Pharmacy information available on our provider website

PharmacyAnthem Blue Cross and Blue Shield | CommercialFebruary 20, 2024

Notice of material change/amendment to contract

Prior authorization updates for therapeutic duplication of specialty drugs

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 16, 2024

Anthem expands specialty pharmacy precertification list

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

Overview of Medicare risk adjustment in-office prospective programs

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 31, 2024

Notification of specialty pharmacy medical step therapy updates

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialJanuary 29, 2024

HEDIS Breast Cancer Screening (BCS) update

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

Encourage Cervical Cancer Screening (CCS)

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

Cervical Cancer Screening (CCS) and Prenatal and Postpartum Care (PPC) for HEDIS

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 6, 2024

HEDIS 2024 documentation for Controlling High Blood Pressure (CBP) and Statin Therapy for Patients with Cardiovascular Disease (SPC)

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 6, 2024

HEDIS® 2024 documentation for Care of Older Adults (COA)

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

Boost annual preventive care visits: Tips and resources: An ounce of prevention is worth a pound of cure

MEBCBS-CRCM-051140-24

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