Recent Updates
MedicaidMay 23, 2024
Disbursement Payments for Memorial Day HolidayMedicaidDecember 1, 2023
Practitioners’ rights during credentialing processMedicaidOctober 31, 2023
Healthy blood pressure recheck initiativeMedicaidOctober 31, 2023
Genetic Tests: Once per LifetimeMedicaidOctober 31, 2023
Healthy Blue contract expiring after December 31, 2023MedicaidOctober 10, 2023
Healthy Blood Pressure Re-Check InitiativeMedicaidOctober 1, 2023
Introducing Roster Automation to improve turnaround times and data accuracyMedicaidSeptember 22, 2023
You're invited: Thriving, not just surviving: Youth mental health in today's worldMedicaidSeptember 17, 2023
Clinical Criteria updates - February 2023MedicaidSeptember 14, 2023
Quarterly Pharmacy Formulary Changes effective November 1, 2023MedicaidSeptember 1, 2023
You're invited: Learn how to submit prior authorizations digitally through ICRMedicaidSeptember 1, 2023
Congenital syphilis is a sentinel health eventMedicaidAugust 18, 2023
Quarterly pharmacy formulary changes effective April 1, 2023MedicaidAugust 17, 2023
Skilled Nursing Facility Billing Guide updateMedicaidAugust 16, 2023
PA update - AltuviiioMedicaidAugust 4, 2023
Medical Policies and Clinical Utilization Management Guidelines updateMedicaidAugust 3, 2023
Quarterly Pharmacy Formulary Changes effective August 1, 2023MedicaidAugust 1, 2023
Carelon MSK - Joint & Spine surgery code updates effective November 1, 2023MedicaidAugust 1, 2023
Carelon Medical Benefits Management, Inc. Genetic Testing CPT Code List updateMedicaidAugust 1, 2023
Unspecified diagnosis code of site and lateralityMedicaidAugust 1, 2023
Technology Assisted Surgical ProceduresMedicaidAugust 1, 2023
Spevigo and Xenpozyme Medical Prior Authorization updateMedicaidAugust 1, 2023
Members’ Rights and ResponsibilitiesMedicaidAugust 1, 2023
Medical Prior Authorization Update - Fylnetra, Rolvedon, and StimufendMedicaidAugust 1, 2023
Complex Care Management programMedicaidJuly 28, 2023
Pharmacotherapy Management of COPD Exacerbation HEDIS measureMedicaidJuly 27, 2023
Cimerli Medical Prior Authorization updateMedicaidJuly 26, 2023
Prior authorization requirement changes effective November 1, 2023MedicaidJuly 24, 2023
Clinical Criteria updates - December 2022MedicaidJuly 14, 2023
Generic insulin productsMedicaidJuly 12, 2023
Upcoming changes: The Medication Access and Training Expansion ActMedicaidJuly 11, 2023
You're invited: Thriving, not just surviving: Youth mental health in today's worldMedicaidJuly 10, 2023
External Cause of Morbidity New Claim Edit ProcessMedicaidJuly 3, 2023
Clinical Criteria updates - September 2022MedicaidJune 30, 2023
Clinical Criteria updates November-December 2022MedicaidJune 30, 2023
Important information about utilization managementMedicaidJune 30, 2023
HEDIS® telehealth eligible measures coding bulletinMedicaidJune 30, 2023
Long-acting injectable antipsychoticsMedicaidJune 30, 2023
You're invited: Learn how to submit prior authorizations digitally through ICRMedicaidJune 30, 2023
MCG Care Guidelines 27th edition