CommercialMedicare AdvantageMedicaid Managed CareDecember 1, 2024
December 2024 Provider Newsletter
Featured Articles
Medicaid Managed CareSeptember 1, 2024
Provider revalidations
CommercialMedicare AdvantageNovember 1, 2024
Roster Automation updates: roster download functionality
Administrative
Medicare AdvantageNovember 18, 2024
Ohio 2025 Medicare Advantage plan changesCommercialDecember 1, 2024
Case Management programCommercialDecember 1, 2024
PCP after‑hours access requirementsMedicaid Managed CareDecember 1, 2024
Behind the scenes, get to know: Chrissy BurnsCommercialDecember 1, 2024
Coordination of careCommercialDecember 1, 2024
Clinical practice and preventive health guidelines available onlineCommercialDecember 1, 2024
Important information about utilization managementMedicaid Managed CareJanuary 1, 2024
New resources available for ePRAFMedicare AdvantageNovember 15, 2024
Skilled nursing facility — vaccine serum compensationCommercialDecember 1, 2024
Members’ Rights and ResponsibilitiesMedicare AdvantageNovember 18, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsBehavioral Health
CommercialMedicare AdvantageDecember 1, 2024
Comprehensive, holistic care for obstructive sleep apneaEducation & Training
Medicare AdvantageNovember 18, 2024
Notice of change: Part D Rx HCCsMedicaid Managed CareSeptember 1, 2024
Join our Provider Advisory CouncilMedicaid Managed CareDecember 1, 2024
You are invited: doula orientationPolicy Updates
Medicaid Managed CareNovember 21, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective January 1, 2025
Medicaid Managed CareNovember 12, 2024
Prior authorization requirement changesEffective January 1, 2025
CommercialDecember 1, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
New reimbursement policy: Trauma Activation — FacilityProducts & Programs
CommercialNovember 21, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsCommercialDecember 1, 2024
FEP excited to join PSHB program in 2025CommercialDecember 1, 2024
Pharmacy information available onlineCommercialDecember 1, 2024
Kroger Specialty Pharmacy acquisitionCommercialDecember 1, 2024
Paragon Healthcare joins our medical specialty pharmacy provider network in 2025CommercialNovember 18, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Specialty pharmacy updates — December 2024Medicare AdvantageNovember 14, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?OHBCBS-CDCRCM-072827-24
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