CommercialMedicare AdvantageMedicaidNovember 1, 2023
November 2023 Provider Newsletter
Featured Articles
CommercialOctober 31, 2023
Digital RFAI process improvements
CommercialMedicaidOctober 31, 2023
Practitioners’ rights during credentialing process
Administrative
Medicare AdvantageDecember 1, 2023
Updates to correct coding editingCommercialOctober 31, 2023
Emergency Department Post-Pay Review ProtocolMedicare AdvantageOctober 31, 2023
Usage of liability modifiersMedicaidSeptember 28, 2023
Reminder — New York State Medicaid DMECommercialOctober 31, 2023
NY 2022 AB372 - Prohibits Copayments for Opioid Treatment ProgramsCommercialOctober 31, 2023
CAA: Maintain your online provider directory informationCommercialMedicare AdvantageMedicaidOctober 31, 2023
Introducing Claims Status enhancements for claim inquiriesCommercialMedicare AdvantageOctober 31, 2023
Improvements to secure messaging through Availity EssentialsCommercialOctober 31, 2023
Filing digital claims disputes: Transparent and trackableEducation & Training
MedicaidOctober 31, 2023
State communication: Foster Care Provider Education UpdatePolicy Updates
Medicare AdvantageNovember 1, 2023
Carelon Medical Benefits Management, Inc. updates - November 2023Medicare AdvantageOctober 19, 2023
Expansion of Carelon Medical Benefits Management, Inc. programsMedicaidOctober 24, 2023
Prior authorization update - Lamzede, Lunsumio, Rebyota, etc.Medicare AdvantageOctober 16, 2023
RETRACTION: Prior authorization requirement changes effective February 1, 2024Codes 32274 and 32275
CommercialSeptember 28, 2023
Expansion of Carelon Medical Benefits Management, Inc. programs, effective, April 1, 2024Medicare AdvantageOctober 3, 2023
Prior authorization requirement changes effective February 1, 2024 - code J1411Products & Programs
CommercialOctober 31, 2023
Federal Employee Program specialty pharmacy prior authorization reviewCommercialOctober 31, 2023
FEP® Specialty Pharmacy prior authorization listCommercialOctober 31, 2023
Clinical Criteria updates for specialty pharmacyCommercialOctober 31, 2023
Specialty pharmacy updatesCommercialOctober 31, 2023
Pharmacy information available on our provider websiteQuality Management
CommercialMedicare AdvantageMedicaidOctober 31, 2023
Controlling high blood pressure and HEDISCommercialMedicare AdvantageMedicaidOctober 25, 2023
HEDIS measurement year 2023 documentation for Childhood Immunization Status (CIS)CommercialMedicare AdvantageMedicaidOctober 15, 2023
HEDIS medical record submission made easier with our Remote EMR Access ServiceCommercialMedicare AdvantageMedicaidOctober 31, 2023
HEDIS measurement year 2023 documentation for Transitions of Care (TRC)CommercialMedicare AdvantageMedicaidSeptember 27, 2023
Be Antibiotics Aware: Protect your patientsMedicare AdvantageOctober 31, 2023
Statin therapy end of year best practicesNYBCBS-CDCRCM-041573-23
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