CommercialMedicare AdvantageMedicaidOctober 1, 2023

October 2023 Provider Newsletter

Featured Articles

Digital SolutionsCommercialMedicare AdvantageMedicaidOctober 1, 2023

Availity PDM application is now the intake channel for all demographic change requests, including roster uploads

WebinarsCommercialMedicare AdvantageOctober 1, 2023

Looking to earn CME credits? Check out the CME Engagement Hub!

Education & TrainingMedicaidSeptember 11, 2023

SBIRT in action: Improving patients’ lives

AdministrativeCommercialMedicare AdvantageMedicaidAugust 17, 2023

Reminder: The Empire name is transitioning to Anthem


Administrative

AdministrativeMedicare AdvantageOctober 1, 2023

2024 Medicare Advantage service area and benefit updates

AdministrativeCommercialOctober 1, 2023

CAA: Maintain your online provider directory information

AdministrativeCommercialOctober 1, 2023

National Accounts 2024 Pre-certification list

AdministrativeMedicare AdvantageOctober 1, 2023

Xerox Corporation offers Medicare Advantage option

Digital SolutionsCommercialMay 31, 2023

CORRECTION: Notification about submitting itemized bills

Digital SolutionsCommercialMedicare AdvantageMedicaidOctober 1, 2023

A way to help lower-income patients pay for internet service

Digital SolutionsMedicare AdvantageOctober 1, 2023

Personalized Match Phase 1

Digital SolutionsMedicare AdvantageOctober 1, 2023

Availity: Medicare provider-facing talking points and FAQ

Education & Training

Education & TrainingCommercialOctober 1, 2023

New website for cancer caregivers

WebinarsMedicare AdvantageJune 30, 2023

Required training - Model of Care

Policy Updates

Policy UpdatesMedicaidSeptember 21, 2023

Clinical Criteria updates - June 2023

Policy UpdatesMedicare AdvantageSeptember 13, 2023

Clinical Criteria updates - June 2023

Medical Policy & Clinical GuidelinesCommercialOctober 1, 2023

Transition to Carelon Medical Benefits Management, Inc. site of care guidelines

Medical Policy & Clinical GuidelinesCommercialOctober 1, 2023

Medical Policy and Clinical Guideline updates

Reimbursement PoliciesMedicare AdvantageOctober 1, 2023

Genetic Tests: Once per Lifetime 

Reimbursement PoliciesMedicaidOctober 1, 2023

Genetic Tests: Once per Lifetime 

Reimbursement PoliciesMedicaidSeptember 30, 2022

Flu vaccination reimbursement

Quality Management

Quality ManagementMedicaidOctober 1, 2023

New York state Start at 9 campaign to prevent HPV cancers 

NYBCBS-CDCRCM-038805-23-CPN38706

Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.