CommercialMedicare AdvantageMedicaid Managed CareNovember 1, 2024
November 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageMedicaid Managed CareOctober 25, 2024
Time to prepare for HEDIS medical record review
Medicaid Managed CareOctober 23, 2024
Reminder: take action to protect infants from respiratory syncytial virus this season
CommercialOctober 23, 2024
Do you offer telehealth services? Let us know!
Medicaid Managed CareOctober 23, 2024
Provider data accuracy
CommercialOctober 21, 2024
Notification of authorization fax number changes
Medicare AdvantageOctober 15, 2024
Model of Care training reminder
Medicaid Managed CareSeptember 1, 2024
Provider revalidations
Administrative
Medicaid Managed CareOctober 15, 2024
Updated guidance for Immunizations Covered by Vaccines for ChildrenCommercialNovember 1, 2024
New claims requirement: add-on codes must include primary procedure starting December 2024Medicaid Managed CareNovember 1, 2024
Behind the scenes, get to know: Patrick StoneCommercialNovember 1, 2024
More error types for corrected claims submitted through EDI now availableMedicaid Managed CareJanuary 1, 2024
New resources available for ePRAFMedicaid Managed CareOctober 7, 2024
Provider reference guide: claims disputes and appeals, and clinical appeals for UM decisionsCommercialNovember 1, 2024
Personalized Match updateMedicaid Managed CareNovember 1, 2024
Enhanced personalized match: making the care provider search more informed and personalizedCommercialNovember 1, 2024
Adopting digital member ID cardsBehavioral Health
CommercialNovember 1, 2024
Introducing a new Applied Behavior Analysis Provider Resource GuideEducation & Training
Medicaid Managed CareSeptember 1, 2024
Join our Provider Advisory CouncilMedicaid Managed CareNovember 1, 2024
You are invited: Hospice education webinarMedicaid Managed CareNovember 1, 2024
You are invited: Behavioral health provider orientationMedicaid Managed CareNovember 1, 2024
You are invited: Provider orientationPolicy Updates
Medicare AdvantageOctober 16, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024Medicare AdvantageSeptember 25, 2024
Carelon Medical Benefits Management, Inc. updatesEffective October 26, 2024
Medicaid Managed CareSeptember 30, 2024
Carelon Medical Benefits Management, Inc UpdatesEffective November 30, 2024
Medicaid Managed CareOctober 22, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective December 1, 2024
Medicaid Managed CareSeptember 30, 2024
Medical Policies and Clinical Utilization Management Guidelines UpdateEffective November 30, 2024
Medicaid Managed CareOctober 9, 2024
Prior authorization requirement changesEffective December 1, 2024
Medicaid Managed CareOctober 10, 2024
Prior authorization requirement changesEffective December 1, 2024
Medicare AdvantageSeptember 24, 2024
Prior authorization requirement changesEffective February 1, 2025
CommercialNovember 1, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesCommercialNovember 1, 2024
Reimbursement policy reminder: Multiple Surgery — FacilityProducts & Programs
CommercialNovember 1, 2024
High Performing and Blue National Designated Providers may also be known as Anthem Diamond ProvidersCommercialNovember 1, 2024
Submit corrected claims electronically for the Federal Employee Program®CommercialJuly 1, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Correction: Specialty pharmacy updates — July 2024CommercialOctober 24, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Specialty pharmacy updates — November 2024Medicare AdvantageNovember 1, 2024
Improving patient outcomes: back to the basicsQuality Management
Medicaid Managed CareOctober 24, 2024
Provider: CAHPS awarenessOHBCBS-CDCRCM-070465-24
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