CommercialMedicare AdvantageMedicaidDecember 1, 2023
December 2023 Provider Newsletter
Featured Articles
CommercialDecember 1, 2023
CarelonRx, Inc. Mail will change to CarelonRx Pharmacy on January 1, 2024
Medicare AdvantageDecember 1, 2023
Model of care training reminder
Administrative
Medicare AdvantageDecember 1, 2023
Updates to correct coding editingCommercialDecember 1, 2023
CAA: Review your online provider directory informationCommercialDecember 1, 2023
Coordination of careCommercialDecember 1, 2023
Case Management ProgramCommercialMedicare AdvantageMedicaidDecember 1, 2023
New requirements for credentialing and recredentialingCommercialDecember 1, 2023
New vendor administering Primary Care Access SurveyCommercialDecember 1, 2023
New vendor administering behavioral health access surveyCommercialDecember 1, 2023
Outpatient system updates for 2024CommercialDecember 1, 2023
Professional system updates for 2024CommercialDecember 1, 2023
Important information about utilization managementCommercialMedicare AdvantageMedicaidDecember 1, 2023
Important reminders for our upcoming name changeCommercialDecember 1, 2023
Members’ Rights and ResponsibilitiesCommercialDecember 1, 2023
Clinical practice and preventive health guidelinesCommercialDecember 1, 2023
Clinical Documentation Lookup ToolCommercialDecember 1, 2023
Maximize accuracy, efficiency, and patient satisfaction with helpful resourcesMedicaidDecember 1, 2023
Filing digital claims disputes: Transparent and trackablePolicy Updates
CommercialDecember 1, 2023
Medical Policy and Clinical Guideline updatesMedicare AdvantageNovember 21, 2023
Medical Policies and Clinical Utilization Management Guidelines update for May 2023MedicaidNovember 21, 2023
Medical Policies and Clinical Utilization Management Guidelines update for May 2023MedicaidOctober 27, 2023
InterQual 2023 - October updatesMedicaidNovember 22, 2023
Carelon Medical Benefits Management, Inc. updates — November 2023Medicare AdvantageMedicaidNovember 20, 2023
Transition to Carelon Medical Benefits Management, Inc. Genetic Testing GuidelinesCommercialOctober 27, 2023
Transition to Carelon Medical Benefits Management, Inc. Genetic Testing GuidelinesCommercialDecember 1, 2023
Carelon Medical Benefits Management, Inc. expanded Musculoskeletal Review Program — important program updateCommercialDecember 1, 2023
Empire BlueCross BlueShield precertification list change notification December 1, 2023MedicaidOctober 31, 2023
Prior authorization update - IdacioMedicare AdvantageNovember 8, 2023
Prior authorization requirement changes effective May 1, 2024Code E0761
Medicare AdvantageNovember 9, 2023
Prior authorization requirement changes effective March 1, 2024Codes 0239U, 0388U, 0392U, 0397U, 0400U and 0401U
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
Medicare AdvantageOctober 31, 2023
Prior authorization requirement changes effective March 1, 2024Codes 33275 and 33274
CommercialDecember 1, 2023
Reimbursement policy update: Pharmaceutical Waste – Professional and FacilityProducts & Programs
CommercialDecember 1, 2023
Introducing the High Performing Provider designationCommercialDecember 1, 2023
Federal Employee Program updates member ID cardsCommercialDecember 1, 2023
2024 Federal Employee Program Benefit information available onlineMedicaidNovember 21, 2023
New specialty pharmacy medical step therapy requirementsCommercialDecember 1, 2023
Clinical Criteria updates for specialty pharmacyCommercialOctober 31, 2023
Pharmacy information available on our provider websiteMedicare AdvantageOctober 26, 2023
Notification of specialty pharmacy medical step therapy updatesNYBCBS-CDCRCM-045275-23
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