CommercialMedicare AdvantageMedicaidSeptember 1, 2024

September 2024 Provider Newsletter

Featured Articles

AdministrativeCommercialMedicare AdvantageAugust 1, 2023

Clinical Laboratory Improvement Amendments

Digital SolutionsCommercialMedicare AdvantageMedicaidAugust 28, 2024

Maximizing care with regular provider data attestation


Administrative

AdministrativeCommercialSeptember 1, 2024

Provider manual updated effective December 1, 2024

AdministrativeMedicare AdvantageMedicaidSeptember 1, 2024

Drug and biologic

Digital SolutionsCommercialMedicare AdvantageMedicaidAugust 28, 2024

Advancing digital efficiency by discontinuing paper remittances

Digital SolutionsMedicare AdvantageMedicaidAugust 13, 2024

Coming soon — digital-only authorization case status notifications

Education & Training

Education & TrainingCommercialSeptember 1, 2024

New provider resource for family caregivers of members with cancer

Policy Updates

Policy UpdatesMedicaidJuly 23, 2024

Clinical Criteria updates

Effective August 25, 2024

Medical Policy & Clinical GuidelinesMedicaidAugust 7, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective September 15, 2024

Prior AuthorizationCommercialSeptember 1, 2024

Precertification List Change Notification September 1, 2024

Prior AuthorizationMedicare AdvantageJuly 31, 2024

Prior authorization requirement changes

Effective December 1, 2024

Products & Programs

Federal Employee Program (FEP)CommercialJuly 26, 2024

FEP Quality Reimbursement Program for providers

Long-Term Services & SupportsCommercialSeptember 1, 2024

The Power of the Blues: Introducing the Blue National Physician Performance Dataset

PharmacyCommercialAugust 26, 2024

Specialty pharmacy updates — September 2024

PharmacyCommercialSeptember 1, 2024

Clinical Criteria updates for specialty pharmacy

PharmacyMedicare AdvantageSeptember 1, 2024

Real-time prescription benefit

PharmacyMedicare AdvantageAugust 12, 2024

Anthem expands specialty pharmacy precertification list

Code: J1599

PharmacyMedicare AdvantageAugust 27, 2024

Anthem expands specialty pharmacy precertification list

Codes: C9399, J9999 and J3590

PharmacyCommercialSeptember 1, 2024

Pharmacy information available on our provider website

Quality Management

Quality ManagementCommercialMedicare AdvantageAugust 13, 2024

Announcing the new HEDIS documentation library supporting coding excellence

NYBCBS-CDCRCM-065305-24

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).