CommercialMedicare AdvantageMedicaid Managed CareOctober 1, 2024
October 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageSeptember 12, 2024
Roster Automation updates effective November 15, 2024: enhanced reporting to increase data accuracy
Medicare AdvantageOctober 1, 2024
Introducing the Care Provider Recognition Program from Anthem
Medicare AdvantageSeptember 6, 2024
Changes to special supplemental benefits for the chronically ill eligibility requirements
Medicaid Managed CareOctober 1, 2024
Provider revalidations
Administrative
Medicaid Managed CareSeptember 18, 2024
Doula contracting for Medicaid in Ohio: FAQMedicaid Managed CareJanuary 1, 2024
New resources available for ePRAFMedicaid Managed CareAugust 1, 2024
Access instant health plan information via Availity EssentialsCommercialOctober 1, 2024
National Accounts 2025 precertification listMedicare AdvantageMedicaid Managed CareSeptember 18, 2024
Expansion of digital-only authorization case status notificationsCommercialMedicare AdvantageMedicaid Managed CareSeptember 4, 2024
Digital Provider Enrollment now available for additional provider types in Availity EssentialsEducation & Training
Medicare AdvantageSeptember 16, 2024
Seamless advance care: MyDirectives digital tool for D-SNP membersMedicaid Managed CareOctober 1, 2024
Join our Provider Advisory CouncilMedicaid Managed CareSeptember 1, 2024
You are invited: Skilled nursing facility webinarMedicaid Managed CareOctober 1, 2024
You are invited: Behavioral Health orientationMedicaid Managed CareOctober 1, 2024
You are invited: Hospice education webinarMedicaid Managed CareOctober 1, 2024
You are invited: General provider orientationPolicy Updates
Medicare AdvantageSeptember 10, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective October 10, 2024
Medicaid Managed CareSeptember 19, 2024
Medical Policies and Clinical Utilization Management Guidelines UpdateEffective October 20, 2024
Medicare AdvantageSeptember 23, 2024
Prior authorization requirement changesEffective January 1, 2025
CommercialOctober 1, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Reimbursement policy update: Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service — ProfessionalMedicare AdvantageOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesMedicaid Managed CareOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesProducts & Programs
CommercialOctober 1, 2024
Introduction of the Specialty High Performing Provider designation program for commercial networksCommercialOctober 1, 2024
Introduction of the HPP designation program for individual member (Exchange) commercial networksMedicare AdvantageOctober 1, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?CommercialSeptember 16, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Specialty pharmacy updates — October 2024CommercialOctober 1, 2024
Pharmacy information available on our provider websiteQuality Management
CommercialMedicare AdvantageMedicaid Managed CareOctober 1, 2024
Prevent flu and COVID-19: drive the change through vaccinationCommercialMedicare AdvantageMedicaid Managed CareOctober 1, 2024
HEDIS medical record submission made easier with our Remote EMR Access serviceOHBCBS-CDCRCM-067882-24
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