Important News

We have collected and categorized the most recent policy updates, product updates, and company information that may be useful to you.

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Provider Training Session for the Enhanced Cardiology Program with AIM Specialty Health

2022-12-09 -

Specialty pharmacy precertification list expansion (Healthy Blue + Medicare HMO D-SNP)

2022-12-08 -

New Specialty Pharmacy Medical Step Therapy Requirements (Healthy Blue + Medicare HMO D-SNP)

2022-12-06 -

Medicare Advantage – Prior authorization requirement changes effective (Healthy Blue + Medicare HMO D-SNP) March 1, 2023

2022-12-01 -

Update – NCQA Survey for PCPs, Oncologists and OB-GYNs

2022-11-29 -

Enhanced Editing Affecting Drugs & Biological Agents

2022-11-23 -

Reminder for Place of Service and Durable Medical Equipment

2022-11-23 -

Update - Evaluation and Management (E&M) Claims Reprocessing

2022-11-23 -

Prior Authorization Requirement Changes (Healthy Blue + Medicare HMO D-SNP)

2022-11-21 -

June 2022 Clinical Criteria Updates (Healthy Blue + Medicare HMO D-SNP)

2022-11-21 -

Clinical Criteria Updates (Healthy Blue + Medicare HMO D-SNP)

2022-11-21 -

IngenioRx will become CarelonRx on January 1, 2023 (Healthy Blue + Medicare HMO D-SNP)

2022-11-21 -

Preferred Intra-Articular Hyaluronan Knee Injection Treatment

2022-11-21 -

Medicare Part B Precert Expansion Cimerli (Healthy Blue + Medicare HMO D-SNP)

2022-11-21 -

Additional Information About the Telehealth Policy for 2023

2022-11-14 -

Additional Information Regarding Evaluation and Management Related Services Recoupment

2022-11-09 -

Update: 2022 Attestation Requirement for Facilities and Ancillary Providers & the CAA Mandate

2022-11-08 -

Individual Under 65 ACA Products Moving From Point of Service to Exclusive Provider Organization

2022-11-04 -

Medicare Advantage (MA) Coverage for Acupuncture

2022-11-03 -

Pharmacy Program Utilization Management Updates Effective January 1, 2023

2022-11-03 -

Blue Cross NC and Mindoula to Expand Access to Mental Health Care

2022-11-02 -

Brighton Health Plan Solutions to Administer Benefits for Select Blue Cross NC Employer Groups Effective January 1, 2023

2022-11-01 -

New Provider (Individual/Group) Credentialing and Enrollment Process Change Effective November 1, 2022

2022-11-01 -

Enhancements to Radiology and Sleep Study Programs

2022-11-01 -

New Cardiology Review Process for Services Performed on or after 1/1/2023  

2022-11-01 -

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