Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2024
February 2024 Provider Newsletter
Administrative
Anthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024
CAA: Have you reviewed your online provider directory information lately?Anthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024
Home Health Agency Capabilities SurveyAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024
RETRACTED: Beginning in March 2024, you can submit Behavioral Health prior authorizations through the Authorization application on Availity.comAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024
Update: Training for digital requests for additional information (Digital RFAI)Guideline Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 18, 2024
Clinical Criteria updates — September 2023HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 17, 2024
Clinical Criteria updates — September 2023Anthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024
MCG care guidelines 27th edition updateHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 12, 2024
Lab testing reminderAnthem Blue Cross and Blue Shield | CommercialJanuary 24, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 10, 2024
Carelon Medical Benefits Management, Inc. updatesAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024
Claims Match Enhancement for Carelon Medical Benefits Management, Inc. Genetic TestingAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes 0738T and 0739T
Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes Q4272 - Q4284
Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 8, 2023
Prior authorization requirement changes effective May 1, 2024Code E0761
Products & Programs
Anthem Blue Cross and Blue Shield | CommercialJanuary 24, 2024
Specialty pharmacy updates — February 2024Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 18, 2024
RETRACTED: Expansion of specialty pharmacy precertification listAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024
Clinical Criteria updates for specialty pharmacyQuality Management
Anthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2024
Improving Hispanic heart healthAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2024
Improving Hispanic heart healthHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2024
Improving Hispanic heart healthVABCBS-CDCRCM-048975-24
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