CommercialMedicare AdvantageMedicaidDecember 1, 2024
December 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageMedicaidNovember 14, 2024
Maximizing care with regular provider data attestation
CommercialMedicare AdvantageMedicaidNovember 1, 2024
Roster Automation updates: roster download functionality
Administrative
CommercialDecember 1, 2024
Case Management programMedicare AdvantageMedicaidDecember 1, 2024
Drug and biologicCommercialDecember 1, 2024
PCP after‑hours access requirementsCommercialDecember 1, 2024
Coordination of careCommercialDecember 1, 2024
Clinical practice and preventive health guidelines available onlineCommercialDecember 1, 2024
Important information about utilization managementMedicare AdvantageNovember 18, 2024
Nevada 2025 Medicare Advantage plan changesMedicare AdvantageNovember 15, 2024
Skilled nursing facility — vaccine serum compensationCommercialMedicare AdvantageDecember 1, 2024
Quest Diagnostics joins our network on January 1CommercialDecember 1, 2024
Members’ Rights and ResponsibilitiesMedicaidNovember 14, 2024
Advancing digital efficiency by discontinuing paper remittancesBehavioral Health
MedicaidNovember 11, 2024
Nevada expanded applied behavioral analysis services to all agesEducation & Training
Medicare AdvantageNovember 18, 2024
Notice of change: Part D Rx HCCsPolicy Updates
MedicaidNovember 15, 2024
Carelon Medical Benefits Management, Inc. updatesEffective December 18, 2024
MedicaidNovember 14, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective December 15, 2024
CommercialDecember 1, 2024
Material adverse change
Reimbursement policy update: Nurse Practitioner and Physician Assistant Services — ProfessionalCommercialDecember 1, 2024
Material adverse change
New reimbursement policy: Trauma Activation — FacilityProducts & Programs
CommercialNovember 21, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsCommercialDecember 1, 2024
FEP excited to join PSHB program in 2025CommercialDecember 1, 2024
Pharmacy information available onlineCommercialDecember 1, 2024
Kroger Specialty Pharmacy acquisitionCommercialDecember 1, 2024
Paragon Healthcare joins our medical specialty pharmacy provider network in 2025Medicare AdvantageNovember 14, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?NVBCBS-CDCRCM-072824-24
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