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CommercialMedicare AdvantageJuly 1, 2025
Benefits of utilization management attestations: a guide for care providersMedicare AdvantageJune 3, 2025
Precertification/prior authorization requirement changesEffective November 1, 2025
CommercialMay 1, 2025
Streamline your prior authorizations with our digital toolsMedicare AdvantageApril 11, 2025
Submit preapproval requests for post‑acute care services for Medicare group retiree members to Carelon Post Acute SolutionsCommercialMarch 28, 2025
Streamline your workflow: Submit BH authorizations through Availity EssentialsMedicare AdvantageMarch 27, 2025
Outpatient preapproval update from Carelon Medical Benefits Management, Inc.CommercialJanuary 16, 2025
Submitting authorization for NICU services facilitates accurate and timely claims processingCommercialJanuary 14, 2025
Authorization for post‑acute care services for FEP membersCommercialOctober 21, 2024
Notification of authorization fax number changesMedicare AdvantageSeptember 24, 2024
Prior authorization requirement changesEffective February 1, 2025
Medicare AdvantageSeptember 23, 2024
Prior authorization requirement changesEffective January 1, 2025
Medicare AdvantageSeptember 6, 2024
Changes to special supplemental benefits for the chronically ill eligibility requirementsCommercialSeptember 3, 2024
Notification of authorization fax number changesMedicare AdvantageAugust 8, 2024
Digital-only authorization case status notification coming to youCommercialAugust 1, 2024
Notification of authorization fax number changesCommercialJune 19, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesCommercialJune 1, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsCommercialMedicare AdvantageMay 3, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicare AdvantageMarch 27, 2024
Requesting authorizations for post-acute care servicesCommercialMarch 27, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsCommercialMedicare AdvantageMarch 20, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicare AdvantageMarch 11, 2024
Prior authorization requirement changes effective July 1, 2024Medicare AdvantageFebruary 1, 2024
Prior authorization requirement changes effective May 1, 2024Codes G0481 - G0483
CommercialFebruary 1, 2024
Claims Match Enhancement for Carelon Medical Benefits Management, Inc. Genetic TestingCommercialJanuary 24, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicare AdvantageJanuary 24, 2024
Prior authorization requirement changes effective May 1, 2024Code C1825
CommercialJanuary 1, 2024
Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024CommercialJanuary 1, 2024
Carelon Medical Benefits Management, Inc. genetic testing CPT® code list updateMedicare AdvantageJanuary 1, 2024
Genetic testing code list updateMedicare AdvantageDecember 1, 2023
Glucagon-Like Peptide-1 prior authorization changesCommercialDecember 1, 2023
Medical Policies and Clinical Guidelines updates — December 2023Medicare AdvantageNovember 20, 2023
Transition to Carelon Medical Benefits Management, Inc. Genetic Testing GuidelinesMedicare 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
Medicare AdvantageNovember 8, 2023
Prior authorization requirement changes effective May 1, 2024Code E0761
CommercialNovember 1, 2023
Medical Policies and Clinical Guidelines updates — November 2023Medicare AdvantageOctober 31, 2023
Prior authorization requirement changes effective March 1, 2024Codes 33275 and 33274
Medicare AdvantageOctober 19, 2023
Expansion of Carelon Medical Benefits Management, Inc. programsMedicare AdvantageOctober 3, 2023
Prior authorization requirement changes effective February 1, 2024 - code J1411CommercialSeptember 28, 2023
Expansion of Carelon Medical Benefits Management, Inc. programs, effective April 1, 2024Medicare AdvantageAugust 7, 2023
Prior authorization requirement changes effective December 1, 2023Medicare AdvantageJuly 25, 2023
Prior authorization requirement changes effective November 1, 2023CommercialJune 30, 2023
Carelon Medical Benefits Management, Inc. genetic testing CPT code list updateCommercialJune 22, 2023
Newborn authorizations and baby namesCommercialMedicare AdvantageJune 9, 2023
Carelon Medical Benefits Management, Inc. advanced imaging — Imaging of the brain CPT code list updateMedicare AdvantageJune 6, 2023
Carelon Medical Benefits Management, Inc. genetic testing CPT code list update