CommercialMedicare AdvantageMedicaidNovember 1, 2024
November 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageMedicaidOctober 25, 2024
Time to prepare for HEDIS medical record review
CommercialOctober 23, 2024
Do you offer telehealth services? Let us know!
MedicaidOctober 23, 2024
Reminder: take action to protect infants from respiratory syncytial virus this season
Medicare AdvantageOctober 15, 2024
Model of Care training reminder
Administrative
CommercialNovember 1, 2024
New claims requirement: add-on codes must include primary procedure starting December 2024CommercialNovember 1, 2024
More error types for corrected claims submitted through EDI now availableCommercialNovember 1, 2024
Personalized Match updateMedicaidNovember 1, 2024
Enhanced personalized match: making the care provider search more informed and personalizedCommercialNovember 1, 2024
Adopting digital member ID cardsBehavioral Health
CommercialNovember 1, 2024
Introducing a new Applied Behavior Analysis Provider Resource GuidePolicy Updates
Medicare AdvantageSeptember 25, 2024
Carelon Medical Benefits Management, Inc. updatesEffective October 26, 2024
MedicaidOctober 24, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024Medicare AdvantageOctober 16, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024CommercialNovember 1, 2024
Material adverse change
Precertification List Change Notification — November 1, 2024CommercialNovember 1, 2024
Material adverse change
Precertification List Change Notification — November 1, 2024Codes J3393 and J3394
Medicare AdvantageSeptember 24, 2024
Prior authorization requirement changesEffective February 1, 2025
Products & Programs
CommercialNovember 1, 2024
High Performing and Blue National Designated Providers may also be known as Anthem Diamond ProvidersMedicare AdvantageNovember 1, 2024
Improving patient outcomes: back to the basicsMedicaidOctober 8, 2024
Prior authorization updates for medications billed under the medical benefitEffective December 1, 2024
Amtagvi, iDoseTR, and Nexobrid
MedicaidOctober 4, 2024
Prior authorization updates for medications billed under the medical benefitEffective December 1, 2024
Alyglo, Simlandi, and Winrevair
Quality Management
MedicaidOctober 24, 2024
Provider: CAHPS awarenessNVBCBS-CDCRCM-070462-24
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