CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsMay 31, 2023
June 2023 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsMay 31, 2023
Introducing Roster Automation to improve turnaround times and data accuracy
CommercialMay 31, 2023
Correction: Federal Employee Program® Quality Reimbursement program update
Administrative
CommercialSeptember 1, 2023
Consider a FIT kit for your patients aged 45 and older at average risk for colon cancerCommercialMay 31, 2023
CAA: Have you reviewed your online provider directory information lately?BadgerCare Plus and Medicaid SSI ProgramsMay 24, 2023
Help your patients stay coveredBadgerCare Plus and Medicaid SSI ProgramsMay 31, 2023
Member Rights’ and Responsibilities StatementCommercialMay 31, 2023
Digital notifications are coming June 1, 2023Education & Training
CommercialBadgerCare Plus and Medicaid SSI ProgramsMay 31, 2023
Building Vaccine Confidence – A webinar hosted by PfizerPolicy Updates
CommercialMay 31, 2023
MCG Care Guidelines 27th EditionCommercialMay 31, 2023
HCPCS to revenue code alignment – Evaluation/ManagementMedicare AdvantageMay 31, 2023
MCG Care Guidelines 27th EditionBadgerCare Plus and Medicaid SSI ProgramsMay 2, 2023
MCG Care Guidelines 27th EditionMedicare AdvantageMay 4, 2023
Clinical Criteria Updates December 2022Medicare AdvantageMay 11, 2023
Clinical Criteria Updates February 2023CommercialMay 31, 2023
Updates to Carelon Medical Benefits Management, Inc. Advanced Imaging, Sleep Disorder Management, and Spine Surgery Clinical Appropriateness Guidelines*CommercialMay 31, 2023
Medical Policies and Clinical Guidelines Updates — June 2023*BadgerCare Plus and Medicaid SSI ProgramsMay 23, 2023
Transition to Carelon Medical Benefits Management, Inc. MRI Breast Clinical Appropriateness GuidelinesBadgerCare Plus and Medicaid SSI ProgramsMay 18, 2023
Medical Policies and Clinical Utilization Management Guidelines updateCommercialMay 31, 2023
Effective August 1, 2023, Carelon Medical Benefits Management, Inc. programs will expandMedicare AdvantageMay 31, 2023
Medicare Part B Precert Expansion Briumvi LeqembiMedicare AdvantageMay 31, 2023
Medicare Part B Step Therapy VegzelmaCommercialMay 31, 2023
Program delay announcement authorizations for post-acute care services for commercial membersBadgerCare Plus and Medicaid SSI ProgramsMay 24, 2023
Prior Authorization Requirement Changes Effective July 1, 2023BadgerCare Plus and Medicaid SSI ProgramsMay 23, 2023
Prior Authorization Update for Briumvi, Elahere, Imjudo, Leqembi, Pedmark, Sunlenca, Tecvayli, TzieldCommercialMay 31, 2023
New reimbursement policy: Provider Preventable Conditions – Professional and Facility*CommercialMay 31, 2023
Reimbursement policy update: Bundled Services and Supplies — ProfessionalCommercialMay 31, 2023
Reimbursement policy update: Bundled Services and Supplies policy – Professional*Products & Programs
CommercialMay 31, 2023
Expansion of Back Pain Guide Program effective July 1, 2023BadgerCare Plus and Medicaid SSI ProgramsMay 31, 2023
Complex Case Management programCommercialMay 31, 2023
OBRA 93 claim filing for Federal Employee ProgramCommercialMarch 1, 2023
Pharmacy information available on our provider websiteCommercialMay 31, 2023
BioPlus provider FAQQuality Management
CommercialMedicare AdvantageMay 31, 2023
Patient Safety Skilled Nursing Facility (SNF) SurveyMedicare AdvantageMay 2, 2023
Colorectal Cancer Screening (COL) and Care for Older Adults (COA) for HEDISBadgerCare Plus and Medicaid SSI ProgramsMay 31, 2023
Important information about utilization managementBadgerCare Plus and Medicaid SSI ProgramsMay 31, 2023
Notification of Pregnancy Incentive Program discontinuationMedicare AdvantageMay 22, 2023
SPC ExclusionsWIBCBS-CDCRCM-024901-23
* CarelonRx, Inc. is an independent company providing pharmacy benefit management services on behalf of the health plan. BioPlus Specialty Pharmacy is an independent company providing pharmacy services on behalf of the health plan.
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