CommercialMedicare AdvantageMedicaid Managed CareJanuary 1, 2024
January 2024 Provider Newsletter
Featured Articles
CommercialDecember 26, 2023
Training for digital requests for additional information (Digital RFAI)
CommercialJanuary 1, 2024
Important information about your Anthem patients’ specialty prescriptions
CommercialNovember 20, 2023
Annual preventive care visits
Administrative
Medicaid Managed CareJanuary 1, 2024
New resources available for ePRAFMedicaid Managed CareJanuary 1, 2024
New Sandata Mobile Connect app for EVV providersCommercialJanuary 1, 2024
Using and billing air ambulance services appropriatelyCommercialJanuary 1, 2024
Important Changes for Active Members of Northrop Grumman CorporationCommercialJanuary 1, 2024
CAA: Maintain your online provider directory informationMedicare AdvantageJanuary 1, 2024
Inappropriate primary diagnosisMedicaid Managed CareJanuary 1, 2024
Inappropriate primary diagnosisEducation & Training
Medicaid Managed CareMarch 31, 2023
Ready, set, renew!Medicaid Managed CareJanuary 1, 2024
Anthem Blue Cross and Blue Shield provider orientationsPolicy Updates
Medicare AdvantageDecember 1, 2023
Clinical Criteria updates — August 2023Medicare AdvantageJanuary 1, 2024
Genetic testing code list updateCommercialMedicare AdvantageDecember 28, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Transition to Carelon Medical Benefits Management, Inc. cardiology guidelinesCommercialMedicare AdvantageJanuary 1, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesCommercialJanuary 1, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Carelon Medical Benefits Management, Inc. genetic testing CPT® code list updateCommercialJanuary 1, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024Medicare AdvantageJanuary 10, 2024
Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024Medicaid Managed CareDecember 7, 2023
Notice of Material Amendment: Prior authorization requirement changesProducts & Programs
CommercialJanuary 1, 2024
January Dental newsletter communicationsCommercialDecember 28, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Specialty pharmacy updates — January 2024Quality Management
Medicare AdvantageJanuary 1, 2024
Boost annual planned visit ratesCommercialMedicare AdvantageJanuary 1, 2024
HEDIS diabetes documentationMedicaid Managed CareJanuary 1, 2024
HEDIS diabetes documentationOHBCBS-CDCRCM-047213-23
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