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CommercialMay 1, 2025
Streamline your prior authorizations with our digital toolsMedicare AdvantageApril 11, 2025
Submit preapproval requests for post‑acute care services for Medicare group retiree members to Carelon Post Acute SolutionsCommercialMarch 28, 2025
Streamline your workflow: Submit BH authorizations through Availity EssentialsCommercialMarch 1, 2025
Precertification list change notification March 1, 2025CommercialJanuary 16, 2025
Submitting authorization for NICU services facilitates accurate and timely claims processingCommercialJanuary 14, 2025
Authorization for post‑acute care services for FEP membersCommercialNovember 1, 2024
Precertification List Change Notification — November 1, 2024CommercialNovember 1, 2024
Precertification List Change Notification — November 1, 2024Codes J3393 and J3394
Medicare AdvantageSeptember 24, 2024
Prior authorization requirement changesEffective February 1, 2025
Medicare AdvantageSeptember 23, 2024
Prior authorization requirement changesEffective January 1, 2025
MedicaidSeptember 19, 2024
Prior authorization requirement changesEffective November 1, 2024
Codes: 31242, 31243, 33276, 33277, 61889, 61891, 64596, 64597, J1412, J1413, L5615, and L5926
MedicaidSeptember 19, 2024
Prior authorization requirement changesEffective November 1, 2024
Code: C9790
Medicare AdvantageMedicaidSeptember 18, 2024
Expansion of digital-only authorization case status notificationsMedicare AdvantageMedicaidSeptember 16, 2024
Use Availity Essentials to view authorization case status and set authorization decision notification preferenceMedicare AdvantageSeptember 6, 2024
Changes to special supplemental benefits for the chronically ill eligibility requirementsCommercialSeptember 1, 2024
Precertification List change notificationMedicaidSeptember 1, 2024
Prior authorization changes for DME rentalsCommercialAugust 1, 2024
Notification of authorization fax number changesCommercialJuly 1, 2024
Precertification list change notification July 1, 2024CommercialJune 19, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicaidJune 11, 2024
Prior authorization requirement changesEffective August 1, 2024
Codes 81173, 81247, 81249, 81307, 81336, 81403, 81405, and 81440
CommercialJune 1, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsCommercialMedicare AdvantageMay 3, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicaidApril 18, 2024
Prior Authorization update - IdacioCommercialApril 1, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicare AdvantageMarch 27, 2024
Requesting authorizations for post-acute care servicesCommercialMarch 27, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsCommercialMedicare AdvantageMarch 20, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicare AdvantageMarch 11, 2024
Prior authorization requirement changes effective July 1, 2024CommercialMarch 1, 2024
Precertification list change notificationMedicare AdvantageMarch 1, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicare AdvantageFebruary 1, 2024
Prior authorization requirement changes effective May 1, 2024Codes G0481 - G0483
CommercialFebruary 1, 2024
Reimbursement policy update: Facility Guidelines for Claims Related to Professional Services — FacilityCommercialFebruary 1, 2024
Precertification list change notificationCommercialFebruary 1, 2024
Claims Match Enhancement for Carelon Medical Benefits Management, Inc. Genetic TestingCommercialJanuary 24, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesMedicare AdvantageJanuary 24, 2024
Prior authorization requirement changes effective May 1, 2024Code C1825
Medicare AdvantageJanuary 5, 2024
Long Term Acute Care (LTAC) Precertification WorksheetCommercialJanuary 1, 2024
Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024CommercialJanuary 1, 2024
Carelon Medical Benefits Management, Inc. genetic testing CPT® code list updateMedicaidDecember 19, 2023
Prior authorization requirement changes effective February 1, 2024Codes 20979, A4555, A7025, E0692 and E0693
MedicaidDecember 8, 2023
Prior authorization requirement changes effective February 1, 2024Code J1411