Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

October 2023 Provider Newsletter

Featured Articles

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Notice of material change/amendment to contract

Notices of material changes/amendments to contract – October 2023

WebinarsAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Prior authorization changes for rehabilitative and habilitative services — training available

WebinarsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

Looking to earn CME credits? Check out the CME Engagement Hub!

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Enhanced outpatient facility editing for National Correct Coding Initiative: Medically Unlikely Edits (MUEs) 

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Notice of material change/amendment to contract

Change to NEHP prior authorization requirements for certain Carelon Medical Benefits Management, Inc. programs

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

CAA: Maintain your online provider directory information

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

National Accounts 2024 Pre-certification list

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

A way to help lower-income patients pay for internet service

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

Availity PDM application is now the intake channel for all demographic change requests, including roster uploads

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Availity PDM application is now the intake channel for all demographic change requests, including roster uploads

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

Availity: Medicare provider-facing talking points and FAQ

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

Introducing Claims Status enhancements for claim inquiries

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

Personalized Match Phase 1

Education & Training

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

New website for cancer caregivers

WebinarsAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 22, 2023

You're invited: Thriving, not just surviving: Youth mental health in today's world

WebinarsAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 30, 2023

Required training - Model of Care

Policy Updates

Policy UpdatesAMH Health, LLC | Medicare AdvantageSeptember 13, 2023

Clinical Criteria updates - June 2023

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

Notice of material change/amendment to contract

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

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Notice of material change/amendment to contract

Medical Policy and Clinical Guideline updates 

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Notice of material change/amendment to contract

Reimbursement policy update: After-Hours, Emergency, and Miscellaneous E/M Services – Professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

Genetic Tests: Once per Lifetime 

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Notice of material change/amendment to contract

Specialty pharmacy updates — October 2023

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Notice of material change/amendment to contract

Clinical Criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 22, 2023

Medicare Part B precert expansion: Elfabrio, Epkinly, Qalsody, Vyjuvek, and Zynyz

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 19, 2023

Medicare Part B precert expansion: Adstiladrin, Altuviiio, Idacio, Lamzede, Lunsumio, Rebyota, Signifor LAR, Syfovre, and Vivimusta

MEBCBS-CRCM-038801-23-CPN38706

Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.