August 1, 2023
August 2023 Provider Newsletter
Featured Articles
CommercialMedicaidAugust 1, 2023
Women-only urgent care
CommercialMedicare AdvantageAugust 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!
Administrative
Medicare AdvantageJuly 18, 2023
Urinary tract infection tool kits are on the wayMedicare AdvantageAugust 1, 2023
CareMore Health is becoming Carelon Health on January 1, 2024CommercialAugust 1, 2023
Anthem Blue Cross and Blue Shield appropriate coding helps provide a comprehensive picture of patients’ health and services providedCommercialMedicare AdvantageAugust 1, 2023
Clinical Laboratory Improvement AmendmentsCommercialAugust 1, 2023
Federal Consolidated Appropriations Act (CAA) Gag ClauseCommercialAugust 1, 2023
CAA: Review your online provider directory information regularlyPolicy Updates
MedicaidJuly 21, 2023
Clinical Criteria Updates - August 2022MedicaidJuly 17, 2023
Clinical Criteria Updates - March 2023Medicare AdvantageJune 29, 2023
Clinical Criteria updates - March 2023MedicaidJune 30, 2023
Clinical Criteria Updates - September 2022CommercialJuly 18, 2023
Expansion of Carelon Medical Benefits Management, Inc. cardiology programs effective October 1, 2023Medicare AdvantageJuly 25, 2023
Prior authorization requirement changes effective November 1, 2023MedicaidAugust 1, 2023
Fylnetra, Stimufend, and Rolvedon Medical Step Therapy NoticeMedicaidAugust 1, 2023
Technology Assisted Surgical ProceduresMedicare AdvantageAugust 1, 2023
Technology Assisted Surgical ProceduresProducts & Programs
CommercialAugust 1, 2023
Specialty pharmacy updates - August 2023CommercialAugust 1, 2023
Specialty pharmacy updates - August 2023CommercialAugust 1, 2023
Pharmacy information available on our provider websiteMedicare AdvantageAugust 1, 2023
Medication adherence: Back to the basicsMedicare AdvantageAugust 1, 2023
Why statin therapy is important in your patients with diabetesQuality Management
Medicare AdvantageAugust 1, 2023
Healthy blood pressure recheck initiativeMedicare AdvantageAugust 1, 2023
Healthy blood pressure recheck initiativeMedicaidAugust 1, 2023
Congenital syphilis is a sentinel health eventCommercialMedicare AdvantageMedicaidJuly 17, 2023
Pharmacotherapy Management of COPD Exacerbation (PCE) HEDIS® MeasureNVBCBS-CDCRCM-030305-23
Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
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