Recent Updates
Medicare AdvantageMay 9, 2025
Heart health spotlight: leveraging statin therapy for diabetesMedicare AdvantageApril 30, 2025
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesMedicare AdvantageApril 24, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective May 25, 2025
Medicare AdvantageApril 22, 2025
Additional drug codes added to medical claims edit systemMedicare AdvantageApril 16, 2025
New specialty pharmacy medical step therapy requirementEffective June 1, 2025
Hercessi
Medicare AdvantageApril 16, 2025
Specialty pharmacy preapproval list updateEffective August 1, 2025
Jubbonti; Wyost
Medicare AdvantageMarch 27, 2025
Outpatient preapproval update from Carelon Medical Benefits Management, Inc.Medicare AdvantageMarch 19, 2025
Medicare Part B preapproval expands with new drug additionsMedicare AdvantageMarch 19, 2025
Technical difficulties: My Diverse PatientsMedicare AdvantageMarch 11, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective April 12, 2025
Medicare AdvantageMarch 3, 2025
Important change to your patients’ specialty prescriptionsMedicare AdvantageFebruary 28, 2025
Resources to support diverse patients and communitiesMedicare AdvantageJanuary 23, 2025
Steamfitters Local Union No. 420 retirees join our PPO planMedicare AdvantageJanuary 23, 2025
2025 Clinical Quality in Practice webinar seriesMedicare AdvantageDecember 31, 2024
Important information about specialty prescriptionsMedicare AdvantageDecember 30, 2024
Kroger Specialty Pharmacy acquisitionMedicare AdvantageDecember 30, 2024
Enhance patient coordination with Total Member ViewMedicare AdvantageDecember 23, 2024
Specialty pharmacy precertification list expansionMedicare AdvantageDecember 23, 2024
Specialty Pharmacy Precertification and Step Therapy list expansionEffective April 1, 2025
Medicare AdvantageDecember 19, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesMedicare AdvantageDecember 16, 2024
Shortage of repackaged bevacizumab for ophthalmic useMedicare AdvantageDecember 4, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective January 5, 2024
Medicare AdvantageNovember 19, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?Medicare AdvantageNovember 18, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsMedicare AdvantageNovember 18, 2024
Notice of change: Part D Rx HCCsMedicare AdvantageOctober 16, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024Medicare AdvantageOctober 16, 2024
Carelon Medical Benefits Management, Inc. updatesEffective November 17, 2024
Medicare AdvantageOctober 15, 2024
You are invited: real-time prescription benefit webinarMedicare AdvantageOctober 14, 2024
Save time with new CPT code search functionalityMedicare AdvantageOctober 6, 2024
Improving patient outcomes: back to the basicsMedicare AdvantageOctober 2, 2024
You are invited: Annual planned visits for Medicare patients webinarMedicare AdvantageOctober 1, 2024
County of Delaware launches Blue Medicare Advantage PPO plan for retirees in 2025Medicare AdvantageSeptember 24, 2024
Prior authorization requirement changesEffective February 1, 2025
Medicare AdvantageSeptember 23, 2024
Prior authorization requirement changesEffective January 1, 2025
Medicare AdvantageSeptember 19, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?Medicare AdvantageSeptember 10, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective October 10, 2024
Medicare AdvantageAugust 28, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsMedicare AdvantageAugust 27, 2024
BMA expands specialty pharmacy precertification listCodes: C9399, J9999 and J3590
Medicare AdvantageAugust 22, 2024
Advancing digital efficiency by discontinuing paper remittancesMedicare AdvantageAugust 20, 2024
Drug and biologicMedicare AdvantageAugust 12, 2024
BMA expands specialty pharmacy precertification listMedicare AdvantageAugust 9, 2024
Real-time prescription benefit