CommercialJune 1, 2022
June 2022 Newsletter
Administrative
CommercialMay 31, 2022
Provider outreach to validate your provider dataCommercialMay 31, 2022
Evaluation and management services for COVID testing - professionalMaterial adverse change (MAC)
CommercialMay 31, 2022
Exploring the Intersection of Race and DisabilityCommercialMay 31, 2022
Once-a-year testing is critically important to providing quality diabetes careCommercialMay 31, 2022
CAA: Provider directories accuracy is importantBehavioral Health
CommercialMay 31, 2022
Opioid overdose deaths: What can we do?Policy Updates
CommercialMay 31, 2022
Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelinesMaterial Adverse Change (MAC)
CommercialMay 31, 2022
Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelinesCommercialMay 31, 2022
Updates to AIM Specialty Health sleep disorder management clinical appropriatenessMaterial Adverse Change (MAC)
CommercialMay 31, 2022
Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (Facility)Material Adverse Change (MAC)
Products & Programs
CommercialMay 31, 2022
Process change for Federal Employee Program® third-party correspondence requestsState & Federal
MedicaidMay 31, 2022
Provider notice for COVID-19 testingMedicaidMay 31, 2022
InterQual migrationMedicaidMay 31, 2022
Medical Policies and Clinical Utilization Management Guidelines updateMedicaidMay 31, 2022
Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness GuidelinesMedicaidMay 31, 2022
Keep up with Medicaid news- June 2022View these Medicaid articles:
- Prior authorization update for select durable medical equipment (DME) items
- Prior authorization updates for medications billed under the medical benefit
- Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
- Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
- Medical drug benefit Clinical Criteria updates
Medicare AdvantageMay 31, 2022
Provider notice for COVID-19 testingMedicare AdvantageMay 31, 2022
Medical drug benefit Clinical Criteria updatesMedicare AdvantageMay 31, 2022
Medical Policies and Clinical Utilization Management Guidelines updateMedicare AdvantageMay 31, 2022
Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness GuidelinesMedicare AdvantageMay 31, 2022
Keep up with Medicare news - June 2022View these Medicare articles:
- New specialty pharmacy medical step therapy requirements
- Empire BlueCross BlueShield expands specialty pharmacy precertification list
- Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
- Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
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