CommercialMedicare AdvantageFebruary 1, 2024
February 2024 Provider Newsletter
Administrative
CommercialFebruary 1, 2024
Home Health Agency Capabilities SurveyCommercialFebruary 1, 2024
CAA: Have you reviewed your online provider directory information lately?Policy Updates
CommercialFebruary 1, 2024
MCG care guidelines 27th edition updateMedicare AdvantageJanuary 18, 2024
Clinical Criteria updates — September 2023CommercialJanuary 24, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesCommercialFebruary 1, 2024
Claims Match Enhancement for Carelon Medical Benefits Management, Inc. Genetic TestingMedicare AdvantageNovember 8, 2023
Prior authorization requirement changes effective May 1, 2024Code E0761
Medicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes 0738T and 0739T
Medicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes Q4272 - Q4284
CommercialFebruary 1, 2024
New reimbursement policy: Modifier Usage — FacilityCommercialFebruary 1, 2024
Reimbursement policy update: Facility Guidelines for Claims Related to Professional Services — FacilityProducts & Programs
CommercialFebruary 1, 2024
Updated requirements to obtain certain specialty drugs from CVS Specialty PharmacyCommercialJanuary 24, 2024
Specialty pharmacy updates — February 2024Medicare AdvantageJanuary 18, 2024
RETRACTED: Expansion of specialty pharmacy precertification listQuality Management
Medicare AdvantageFebruary 1, 2024
Improving Hispanic heart healthCommercialFebruary 1, 2024
Improving Hispanic heart healthMOBCBS-CRCM-048969-24
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