CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2023
October 2023 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2023
Availity PDM application is now the intake channel for all demographic change requests, including roster uploads
CommercialMedicare AdvantageOctober 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!
BadgerCare Plus and Medicaid SSI ProgramsSeptember 12, 2023
SBIRT: Improving patients’ lives
Administrative
CommercialOctober 1, 2023
Enhanced outpatient facility editing for National Correct Coding Initiative: Medically Unlikely Edits (MUEs)CommercialOctober 1, 2023
Evaluation and management services correct coding reminder —professionalCommercialOctober 1, 2023
CAA: Maintain your online provider directory informationCommercialOctober 1, 2023
National Accounts 2024 Pre-certification listCommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2023
A way to help lower-income patients pay for internet serviceMedicare AdvantageOctober 1, 2023
Personalized Match Phase 1Medicare AdvantageOctober 1, 2023
Availity: Medicare provider-facing talking points and FAQCommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2023
Introducing Claims Status enhancements for claim inquiriesCommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2023
Introducing Claims Status enhancements for claim inquiriesCommercialOctober 1, 2023
Submit prior authorizations for behavioral health services through Availity.comEducation & Training
CommercialOctober 1, 2023
New website for cancer caregiversCommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsSeptember 22, 2023
You're invited: Thriving, not just surviving: Youth mental health in today's worldMedicare AdvantageJune 30, 2023
Required training - Model of CarePolicy Updates
BadgerCare Plus and Medicaid SSI ProgramsSeptember 21, 2023
Clinical Criteria updates - June 2023Medicare AdvantageSeptember 13, 2023
Clinical Criteria updates - June 2023CommercialOctober 1, 2023
Transition to Carelon Medical Benefits Management, Inc. site of care guidelinesCommercialOctober 1, 2023
Medical Policies and Clinical Guidelines updatesBadgerCare Plus and Medicaid SSI ProgramsSeptember 7, 2023
Prior authorization updates for medications billed under the medical benefitMedicare AdvantageOctober 1, 2023
Genetic Tests: Once per LifetimeCommercialOctober 1, 2023
Reimbursement policy update: After-Hours, Emergency, and Miscellaneous E/M Services – ProfessionalProducts & Programs
CommercialOctober 1, 2023
Specialty pharmacy updates — October 2023Medicare AdvantageSeptember 22, 2023
Medicare Part B precert expansion: Elfabrio, Epkinly, Qalsody, Vyjuvek, and ZynyzMedicare AdvantageSeptember 19, 2023
Medicare Part B precert expansion: Adstiladrin, Altuviiio, Idacio, Lamzede, Lunsumio, Rebyota, Signifor LAR, Syfovre, and VivimustaBadgerCare Plus and Medicaid SSI ProgramsAugust 31, 2023
Notice of Material Amendment to Healthcare Contract: Prior authorization updates for medications billed under the medical benefitWIBCBS-CDCRCM-038809-23-CPN38706
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