Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 1, 2024
October 2024 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — October 2024
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 1, 2024
Introducing the Care Provider Recognition Program
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageSeptember 12, 2024
Roster Automation updates effective November 15, 2024: enhanced reporting to increase data accuracy
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageSeptember 17, 2024
Changes to special supplemental benefits for the chronically ill eligibility requirements
Administrative
Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
National Accounts 2025 precertification listAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Now live: view your fee schedule in Availity Essentials Payer SpacesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageSeptember 4, 2024
Digital Provider Enrollment now available for additional provider types in Availity EssentialsEducation & Training
AMH Health, LLC | Medicare AdvantageSeptember 16, 2024
Seamless advance care: MyDirectives digital tool for D-SNP membersPolicy Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageSeptember 3, 2024
Clinical Criteria updatesEffective October 4, 2024
Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Notice of material change/amendment to contract
Medical Policy and Clinical Guideline updatesAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageSeptember 10, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective October 10, 2024
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageSeptember 23, 2024
Prior authorization requirement changesEffective January 1, 2025
Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Notice of material change/amendment to contract
Reimbursement policy update: Modifier FB — Professional and FacilityAMH Health, LLC | Medicare AdvantageOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Introduction of the Specialty High Performing Provider designation program for commercial networksAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Introduction of the HPP designation program for individual member (Exchange) commercial networksAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Notice of material change/amendment to contract
Clinical Criteria updates for specialty pharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 1, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Pharmacy information available on our provider websiteAnthem Blue Cross and Blue Shield | CommercialSeptember 16, 2024
Notice of material change/amendment to contract
Specialty pharmacy updates — October 2024Quality Management
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 1, 2024
Prevent flu and COVID-19: drive the change through vaccinationAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 1, 2024
HEDIS medical record submission made easier with our Remote EMR Access serviceMEBCBS-CRCM-067870-24
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