CommercialMedicare AdvantageMedicaid Managed CareSeptember 1, 2024
September 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageAugust 28, 2024
Maximizing care with regular provider data attestation
CommercialMedicare AdvantageAugust 1, 2023
Clinical Laboratory Improvement Amendments
Medicaid Managed CareSeptember 1, 2024
Provider revalidations
Administrative
Medicaid Managed CareSeptember 1, 2024
Reconsideration process for pre-service or concurrent inpatient stayMedicare AdvantageMedicaid Managed CareSeptember 1, 2024
Drug and biologicMedicaid Managed CareSeptember 1, 2024
Understanding the Ohio Medicaid fee schedule for chiropractic claimsMedicaid Managed CareSeptember 1, 2024
Behind the scenes, get to know: Ellen WoodardMedicaid Managed CareJanuary 1, 2024
New resources available for ePRAFMedicaid Managed CareAugust 1, 2024
Access instant health plan information via Availity EssentialsCommercialMedicare AdvantageMedicaid Managed CareAugust 28, 2024
Advancing digital efficiency by discontinuing paper remittancesMedicare AdvantageMedicaid Managed CareAugust 13, 2024
Coming soon — digital-only authorization case status notificationsCommercialMedicare AdvantageMedicaid Managed CareSeptember 1, 2024
Save time and get better results with optimized CPT code search in Availity EssentialsEducation & Training
Medicaid Managed CareSeptember 1, 2024
Join our Provider Advisory CouncilCommercialSeptember 1, 2024
New provider resource for family caregivers of members with cancerMedicaid Managed CareSeptember 1, 2024
You are invited: Skilled nursing facility webinarMedicaid Managed CareAugust 1, 2024
You are invited: Behavioral Health provider orientationMedicaid Managed CareAugust 1, 2024
You are invited: Hospice education webinarMedicaid Managed CareAugust 1, 2024
You are invited: Provider orientationPolicy Updates
CommercialAugust 14, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Medical Policies and Clinical UM Guidelines updates — September 2024Medicaid Managed CareAugust 5, 2024
Prior authorization requirement changesEffective October 1, 2024
Codes:
33263, 33264, 64582, and C2616
Medicaid Managed CareSeptember 1, 2024
New Carelon Medical Benefits Management, Inc. programs effective December 1, 2024Medicaid Managed CareSeptember 1, 2024
Reminder: PDN and HHC prior authorization requestsProducts & Programs
CommercialJuly 31, 2024
FEP Quality Reimbursement Program for providersCommercialSeptember 1, 2024
The Power of the Blues: Introducing the Blue National Physician Performance DatasetCommercialAugust 26, 2024
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Specialty pharmacy updates — September 2024Medicare AdvantageAugust 27, 2024
Anthem expands specialty pharmacy precertification listCodes: C9399, J9999 and J3590
Medicare AdvantageSeptember 1, 2024
Real-time prescription benefitCommercialSeptember 1, 2024
Pharmacy information available on our provider websiteQuality Management
CommercialMedicare AdvantageAugust 13, 2024
Announcing the new HEDIS documentation library supporting coding excellenceOHBCBS-CDCRCM-065311-24
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