CommercialMedicare AdvantageMedicaidApril 1, 2025
April 2025 Provider Newsletter
Featured Articles
CommercialMarch 28, 2025
Streamline your workflow: Submit BH authorizations through Availity Essentials
Medicare AdvantageJanuary 1, 2025
D‑SNP members can earn rewards by participating in select healthcare activities
Medicare AdvantageMarch 3, 2025
Important change to your patients’ specialty prescriptions
Administrative
MedicaidApril 1, 2025
After hours for primary care physiciansCommercialDecember 1, 2024
Physician Access/ Appointment Availability StandardsCommercialMedicare AdvantageMedicaidFebruary 28, 2025
Availity launches enhanced provider enrollment features for improved efficiencyEducation & Training
MedicaidMarch 31, 2025
School‑Based Health Care Benefit Expansion effective May 1, 2025CommercialMedicare AdvantageMedicaidApril 1, 2025
Register for our next webinar: Enhancing Diabetes Management — Focus on Standardized MetricsCommercialMedicare AdvantageMedicaidJanuary 1, 2025
Enhance billing and coding accuracy with new Payment Integrity trainingCommercialMedicare AdvantageMedicaidFebruary 28, 2025
Resources to support diverse patients and communitiesPolicy Updates
MedicaidMarch 28, 2025
InterQual March 2025 UpdatesCommercialMarch 25, 2025
InterQual March 2025 updatesMedicare AdvantageMarch 11, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective April 12, 2025
CommercialApril 1, 2025
Precertification list change notification April 1, 2025Medicare AdvantageMarch 27, 2025
Outpatient preapproval update from Carelon Medical Benefits Management, Inc.CommercialApril 1, 2025
Clarification to reimbursement policy: Incident to Services and Billing — ProfessionalProducts & Programs
CommercialMarch 27, 2025
Specialty pharmacy updates — April 2025Medicare AdvantageMarch 19, 2025
Medicare Part B preapproval expands with new drug additionsNYBCBS-CDCRCM-080623-25
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