CommercialFebruary 1, 2023
February 2023 Newsletter
Administrative
CommercialMedicare AdvantageMedicaidJanuary 31, 2023
AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.CommercialJanuary 31, 2023
New policy for clinical data sharing and ADT notificationsCommercialJanuary 31, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsCommercialJanuary 31, 2023
Have you reviewed your online provider directory information lately?CommercialJanuary 31, 2023
Participating provider contractual obligations: Advanced patient notice policy for non-participating provider referralsCommercialJanuary 31, 2023
Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elementsCommercialMedicare AdvantageMedicaidJanuary 31, 2023
Enhancing Provider News website and email communicationsPolicy Updates
CommercialJanuary 31, 2023
Medical Policy and Clinical Guideline updatesCommercialJanuary 31, 2023
Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code ListProducts & Programs
CommercialJanuary 31, 2023
Clinical Criteria updates for specialty pharmacyCommercialJanuary 31, 2023
Specialty pharmacy updates - February 2023State & Federal
Medicare AdvantageJanuary 31, 2023
Mutual of America New York moves to the Empire BlueCross BlueShield retiree solutions Medicare Advantage planMedicare AdvantageJanuary 31, 2023
City of Manchester Offers Medicare Advantage OptionMedicare AdvantageJanuary 31, 2023
Keep up with Medicare news - February 2023View these Medicare articles:
- Introducing the Provider Learning Hub
- Empire BlueCross expands specialty pharmacy precertification list (Fylnetra)
- Empire BlueCross expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements (Infed, Injectafer, Monoferric)
- AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
- Revised program implementation date prior authorizations for post-acute care
- Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
- Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023
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