CommercialMedicare AdvantageMedicaidJune 1, 2024

June 2024 Provider Newsletter

Administrative

AdministrativeCommercialJune 1, 2024

CAA: Review your online provider directory information

AdministrativeCommercialMedicare AdvantageMedicaidJune 1, 2024

Availity Essentials single claim submission response reports

AdministrativeCommercialJune 1, 2024

Implant — Facility Editing update

AdministrativeMedicare AdvantageMedicaidJune 1, 2024

Inaccurate laterality and diagnosis combination

Digital SolutionsCommercialMedicare AdvantageMedicaidMay 23, 2024

Digital RFAI Availity training

Digital SolutionsMedicare AdvantageMedicaidMay 15, 2024

Introducing new functionality for non-medical providers

Education & Training

Education & TrainingCommercialMedicare AdvantageMedicaidJune 1, 2024

June is LGBTQIA+ Pride Month

Education & TrainingCommercialMedicare AdvantageMedicaidMay 23, 2024

You are invited: Thriving, not just surviving: navigating challenging times as a clinician

Policy Updates

Policy UpdatesMedicaidMay 7, 2024

Carelon Medical Benefits Management, Inc. updates

Policy UpdatesMedicaidMay 2, 2024

MCG Care Guidelines 27th edition update

Medical Policy & Clinical GuidelinesCommercialApril 30, 2024

MCG Care Guidelines 28th edition

Medical Policy & Clinical GuidelinesMedicare AdvantageMay 1, 2024

MCG Care Guidelines 28th edition

Medical Policy & Clinical GuidelinesMedicare AdvantageMay 7, 2024

Clinical Criteria updates

Effective June 10, 2024

Medical Policy & Clinical GuidelinesMedicaidMay 13, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Medical Policy & Clinical GuidelinesCommercialMay 28, 2024

Updates to Carelon Post-Acute Care Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesCommercialMedicare AdvantageMay 3, 2024

Carelon Medical Benefits Management, Inc. genetic testing code updates

Prior AuthorizationCommercialJune 1, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Products & Programs

Products & ProgramsMedicaidJune 1, 2024

Bringing whole person care to sickle cell disease management

PharmacyMedicare AdvantageJune 1, 2024

Addressing medication adherence gaps

PharmacyMedicare AdvantageJune 1, 2024

Improving patient outcomes with statin therapy in diabetes

PharmacyCommercialJune 1, 2024

Pharmacy information available on our provider website

Quality Management

Quality ManagementCommercialApril 19, 2024

Improving patient health and digital literacies

Quality ManagementCommercialMedicaidMay 15, 2024

Tips to Improve Adolescent Immunization (IMA) Rates

Quality ManagementMedicaidJune 1, 2024

Complex Care Management program

Quality ManagementCommercialMay 6, 2024

Enhance patient access to digital health resources

Quality ManagementCommercialMedicaidMay 7, 2024

Take action to improve adolescent immunizations rates

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