October 1, 2023
October 2023 Provider Newsletter
Featured Articles
Medicaid Managed CareOctober 1, 2023
SBIRT in action: Improving members’ lives
CommercialMedicare AdvantageOctober 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!
Administrative
Medicaid Managed CareOctober 1, 2023
Urgent – Is your data current? Provider network management and centralized credentialing from ODMCommercialOctober 1, 2023
Enhanced outpatient facility editing for National Correct Coding Initiative: Medically Unlikely Edits (MUEs)Medicaid Managed CareSeptember 25, 2023
State communication: Notice Related to Hospice Billing for Nursing Facility Room and Board (HCPC T2046) and Ventilator/Ventilator Weaning Services-UpdateCommercialOctober 1, 2023
CAA: Maintain your online provider directory informationCommercialOctober 1, 2023
National Accounts 2024 Pre-certification listMedicaid Managed CareOctober 1, 2023
Behind the scenes, get to know: Monica BlankenshipMedicaid Managed CareOctober 1, 2023
Reminder when enrolling as an Anthem Blue Cross and Blue Shield care providerMedicaid Managed CareOctober 1, 2023
Behind the scenes, get to know: Katherine (Kathy) MontecalvoCommercialMedicare AdvantageMedicaid Managed CareOctober 1, 2023
A way to help lower-income patients pay for internet serviceMedicare AdvantageOctober 1, 2023
Personalized Match Phase 1Medicare AdvantageOctober 1, 2023
Availity: Medicare provider-facing talking points and FAQCommercialMedicare AdvantageMedicaid Managed CareOctober 1, 2023
Improvements to Secure Messaging through Claims Status and Payer SpacesEducation & Training
CommercialOctober 1, 2023
New website for cancer caregiversCommercialMedicare AdvantageMedicaid Managed CareSeptember 22, 2023
You're invited: Thriving, not just surviving: Youth mental health in today's worldMedicare AdvantageJune 30, 2023
Required training - Model of CareMedicaid Managed CareSeptember 1, 2023
Medicaid provider orientationsPolicy Updates
Medicare AdvantageSeptember 13, 2023
Clinical Criteria updates - June 2023CommercialOctober 1, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Transition to Carelon Medical Benefits Management, Inc. site of care guidelinesCommercialOctober 1, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Medical Policies and Clinical Guidelines updatesMedicaid Managed CareOctober 1, 2023
Prior authorization update for select DME itemsMedicaid Managed CareOctober 1, 2023
Genetic Tests: Once per LifetimeMedicare AdvantageOctober 1, 2023
Genetic Tests: Once per LifetimeProducts & Programs
Medicare AdvantageSeptember 19, 2023
Medicare Part B precert expansion: Adstiladrin, Altuviiio, Idacio, Lamzede, Lunsumio, Rebyota, Signifor LAR, Syfovre, and VivimustaCommercialOctober 1, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Specialty pharmacy updates — October 2023Medicare AdvantageSeptember 22, 2023
Medicare Part B precert expansion: Elfabrio, Epkinly, Qalsody, Vyjuvek, and ZynyzOHBCBS-CDCRCM-038807-23-CPN38706
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