CommercialMedicare AdvantageMedicaidSeptember 1, 2024

September 2024 Provider Newsletter

Featured Articles

AdministrativeCommercialMedicare AdvantageAugust 1, 2023

Clinical Laboratory Improvement Amendments

AdministrativeMedicaidJuly 26, 2024

Billing members following Medicaid guidelines

Prior AuthorizationMedicaidSeptember 1, 2024

Prior authorization changes for DME rentals


Administrative

Digital SolutionsCommercialMedicare AdvantageAugust 28, 2024

Advancing digital efficiency by discontinuing paper remittances

Education & Training

Education & TrainingCommercialMedicare AdvantageMedicaidSeptember 1, 2024

Coming soon: Provider e-Learning Resource Center for Payment Integrity

Education & TrainingCommercialSeptember 1, 2024

New provider resource for family caregivers of members with cancer

Policy Updates

Medical Policy & Clinical GuidelinesCommercialAugust 14, 2024

Material adverse change

Medical Policy and Clinical UM Guidelines notification

Medical Policy & Clinical GuidelinesMedicaidAugust 13, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective September 15, 2024

Medical Policy & Clinical GuidelinesCommercialMedicare AdvantageSeptember 1, 2024

LabCorp: your single-source solution for lab testing needs

Prior AuthorizationCommercialSeptember 1, 2024

Material adverse change

Precertification List change notification

Prior AuthorizationMedicare AdvantageJuly 31, 2024

Prior authorization requirement changes

Effective December 1, 2024

Products & Programs

Federal Employee Program (FEP)CommercialJuly 31, 2024

FEP Quality Reimbursement Program for providers

Long-Term Services & SupportsCommercialSeptember 1, 2024

The Power of the Blues: Introducing the Blue National Physician Performance Dataset

PharmacyCommercialAugust 26, 2024

Material adverse change

Specialty pharmacy updates — September 2024

PharmacyCommercialSeptember 1, 2024

Pharmacy information available on our provider website

PharmacyMedicare AdvantageSeptember 1, 2024

Real-time prescription benefit

PharmacyMedicare AdvantageAugust 12, 2024

Anthem expands specialty pharmacy precertification list

Code: J1599

PharmacyMedicare AdvantageAugust 27, 2024

Anthem expands specialty pharmacy precertification list

Codes: C9399, J9999 and J3590

Quality Management

Quality ManagementCommercialMedicare AdvantageAugust 13, 2024

Announcing the new HEDIS documentation library supporting coding excellence

NVBCBS-CDCRCM-065303-24

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).