February 1, 2024
February 2024 Provider Newsletter
Featured Articles
Administrative
CommercialFebruary 1, 2024
CAA: Have you reviewed your online provider directory information lately?CommercialFebruary 1, 2024
Home Health Agency Capabilities SurveyPolicy Updates
CommercialFebruary 1, 2024
MCG care guidelines 27th edition updateMedicare AdvantageJanuary 18, 2024
Clinical Criteria updates — September 2023CommercialFebruary 1, 2024
Medical Policy and Clinical Guideline updatesCommercialJanuary 24, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesCommercialFebruary 1, 2024
Claims Match Enhancement for Carelon Medical Benefits Management, Inc. Genetic TestingMedicare AdvantageNovember 8, 2023
Prior authorization requirement changes effective May 1, 2024Code E0761
Medicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes Q4272 - Q4284
Medicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes 0738T and 0739T
CommercialFebruary 1, 2024
Reimbursement policy update: Facility Guidelines for Claims Related to Professional Services — FacilityCommercialFebruary 1, 2024
New reimbursement policy: Modifier Usage — FacilityProducts & Programs
CommercialJanuary 24, 2024
Specialty pharmacy updates — February 2024Medicare AdvantageJanuary 18, 2024
RETRACTED: Expansion of specialty pharmacy precertification listCommercialFebruary 1, 2024
Clinical Criteria updates for specialty pharmacyQuality Management
CommercialFebruary 1, 2024
Improving Hispanic heart healthMedicare AdvantageFebruary 1, 2024
Improving Hispanic heart healthNHBCBS-CRCM-048970-24
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