CommercialMedicare AdvantageMedicaidJanuary 1, 2024
January 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageMedicaidJanuary 1, 2024
Attention care providers! Empire BlueCross BlueShield is now Anthem Blue Cross and Blue Shield and Empire BlueCross is now Anthem Blue Cross
CommercialDecember 26, 2023
Training for digital requests for additional information (Digital RFAI)
CommercialJanuary 1, 2024
Important information about your Anthem patients’ specialty prescriptions
CommercialNovember 20, 2023
Annual preventive care visits
Administrative
CommercialJanuary 1, 2024
Important Changes for Active Members of Northrop Grumman CorporationCommercialJanuary 1, 2024
Using and billing air ambulance services appropriatelyCommercialJanuary 1, 2024
Specialty pharmacy site of care reviews for NYSHIP Empire Plan membersMedicaidDecember 15, 2023
Managed Long-Term Care office is movingCommercialJanuary 1, 2024
CAA: Maintain your online provider directory informationCommercialJanuary 1, 2024
Enhanced outpatient facility editing for National Correct Coding Initiative Medically Unlikely EditsMedicare AdvantageJanuary 1, 2024
Inappropriate primary diagnosisMedicaidJanuary 1, 2024
Inappropriate primary diagnosisCommercialDecember 1, 2023
Maximize accuracy, efficiency, and patient satisfaction with helpful resourcesEducation & Training
MedicaidJanuary 1, 2024
Provider Pathways — Learn all about itMedicaidMarch 31, 2023
Ready, set, renew!MedicaidNovember 30, 2023
CPT Category II updatePolicy Updates
Medicare AdvantageDecember 1, 2023
Clinical Criteria updates — August 2023MedicaidDecember 4, 2023
Clinical Criteria updates — August 2023Medicare AdvantageJanuary 1, 2024
Genetic testing code list updateCommercialJanuary 1, 2024
Carelon Medical Benefits Management, Inc. genetic testing CPT® code list updateCommercialMedicare AdvantageMedicaidDecember 28, 2023
Transition to Carelon Medical Benefits Management, Inc. cardiology guidelinesCommercialMedicare AdvantageMedicaidJanuary 1, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesMedicare AdvantageJanuary 10, 2024
Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024CommercialJanuary 1, 2024
Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024MedicaidDecember 19, 2023
Prior authorization requirement changes effective February 1, 2024Codes 20979 and A7025
MedicaidDecember 8, 2023
Prior authorization requirement changes effective February 1, 2024Code J1411
Products & Programs
CommercialJanuary 1, 2024
January Dental newsletter communicationsCommercialJanuary 1, 2024
Dental Dispatch - News and information for network providersCommercialDecember 28, 2023
Specialty pharmacy updates — January 2024Quality Management
CommercialMedicare AdvantageMedicaidJanuary 1, 2024
HEDIS 2023 Electronic Clinical Data Systems (ECDS)Medicare AdvantageJanuary 1, 2024
Boost annual planned visit ratesNYBCBS-CDCRCM-047211-23
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