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PROVIDER NEWSNEW HAMPSHIRE PROVIDER NEWS NEW HAMPSHIRE PROVIDER NEWS NEW HAMPSHIRE Provider Home Archive Select Market Subscribe to Email Provider News Your digital resource for all news and announcements related to policy updates, digital tools, reimbursement and prior authorization changes, educational opportunities, and more. View the current newsletter Search Submit Search FILTER BY DATE After Date - Before Date * Recent Updates CATEGORIES * Administrative * Digital Solutions * Behavioral Health * Education and Training * Webinars * Policy Updates * Medical Policy & Clinical Guidelines * Prior Authorization * Reimbursement Policies * Products & Programs * Dental * Federal Employee Program (FEP) * Pharmacy * Quality Management * Optimizing HEDIS & STARS * State & Federal -------------------------------------------------------------------------------- * Commercial * Medicare Advantage -------------------------------------------------------------------------------- RECENT PUBLICATIONS 1. March 2024 Provider Newsletter 2. February 2024 Provider Newsletter 3. January 2024 Provider Newsletter 4. December 2023 Provider Newsletter 5. November 2023 Provider Newsletter 6. View All Publications » -------------------------------------------------------------------------------- * Provider Home * Archive * Subscribe to Email -------------------------------------------------------------------------------- Change MarketChange Market--------CaliforniaColoradoConnecticutGeorgiaIndianaKentuckyMaineMissouriNevadaNew HampshireNew YorkOhioPennsylvaniaVirginiaWisconsin Highlights KEY UPDATES Administrative / Digital Solutions | Commercial / Medicare Advantage / Medicaid | Mar 5, 2024 CHANGE HEALTHCARE CYBERSECURITY UPDATE – MARCH 5, 2024 -------------------------------------------------------------------------------- What's New RECENT UPDATES DateCategory Quality Management / Optimizing HEDIS & STARS | Medicare Advantage | Mar 19, 2024 HEDIS ECDS Coding Booklet 2024 - Medicare Education and Training / Webinars | Commercial / Medicare Advantage | Mar 14, 2024 Roster Automation Template and Rules of Engagement training Quality Management / Optimizing HEDIS & STARS | Commercial / Medicare Advantage | Mar 14, 2024 Social Need Screening and Intervention (SNS-E) Policy Updates / Prior Authorization | Commercial | Mar 12, 2024 Anthem Precertification List Change Notification for September 2023 Administrative | Commercial | Mar 12, 2024 Important reminder: The correct original claim number must be included if submitting a corrected claim Policy Updates / Prior Authorization | Medicare Advantage | Mar 11, 2024 Prior authorization requirement changes effective July 1, 2024 Policy Updates / Reimbursement Policies | Commercial | Mar 8, 2024 Reimbursement policy update: Laboratory and Venipuncture Services – Professional and Facility Quality Management | Commercial / Medicare Advantage | Mar 8, 2024 HEDIS® 2024 documentation for Colorectal Cancer Screening (COL-E) Administrative / Digital Solutions | Commercial / Medicare Advantage / Medicaid | Mar 5, 2024 Change Healthcare cybersecurity update – March 5, 2024 Policy Updates / Medical Policy & Clinical Guidelines | Medicare Advantage | Mar 4, 2024 Medical Policies and Clinical Utilization Management Guidelines update Administrative / Digital Solutions | Commercial | Mar 1, 2024 Expansion of Carelon Medical Benefits Management, Inc. programs Policy Updates / Reimbursement Policies | Commercial | Mar 1, 2024 Reimbursement policy update: Ambulance Transportation – Professional Products & Programs / Pharmacy | Commercial | Mar 1, 2024 Clinical Criteria updates for specialty pharmacy Products & Programs / Pharmacy | Commercial | Mar 1, 2024 Important information about your Anthem patients’ Botox prescriptions Products & Programs / Pharmacy | Commercial | Mar 1, 2024 Designated specialty pharmacy network updates Policy Updates / Prior Authorization | Commercial | Mar 1, 2024 Precertification list change notification — March 1, 2024 Products & Programs / Pharmacy | Commercial | Mar 1, 2024 Pharmacy information available on our provider website Quality Management | Commercial | Mar 1, 2024 Encourage Cervical Cancer Screening (CCS) Policy Updates / Medical Policy & Clinical Guidelines | Medicare Advantage | Mar 1, 2024 Carelon Medical Benefits Management, Inc. genetic testing code updates Education and Training | Commercial | Mar 1, 2024 Congenital syphilis intervention opportunities for neonatal and pediatric providers Products & Programs / Pharmacy | Medicare Advantage | Mar 1, 2024 Overview of Medicare risk adjustment in-office prospective programs Administrative | Medicare Advantage | Mar 1, 2024 CAA: Maintain your online provider directory information Quality Management | Commercial | Mar 1, 2024 Cervical Cancer Screening (CCS) and Prenatal and Postpartum Care (PPC) for HEDIS Quality Management | Commercial | Mar 1, 2024 Boost annual preventive care visits: Tips and resources: An ounce of prevention is worth a pound of cure Administrative / Digital Solutions | Medicare Advantage | Feb 29, 2024 Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024 Quality Management / Optimizing HEDIS & STARS | Commercial / Medicare Advantage | Feb 25, 2024 Breast Cancer Screening (BCS-E) Administrative / Digital Solutions | Commercial / Medicare Advantage / Medicaid | Feb 25, 2024 Change Healthcare cybersecurity update Quality Management / Optimizing HEDIS & STARS | Commercial / Medicare Advantage | Feb 23, 2024 Adult Immunization Status (AIS-E) Quality Management / Optimizing HEDIS & STARS | Commercial / Medicare Advantage | Feb 23, 2024 Depression Screening and Follow-Up for Adolescents and Adults (DSF-E) Products & Programs / Pharmacy | Commercial | Feb 22, 2024 Specialty pharmacy updates — March 2024 Administrative / Digital Solutions | Commercial | Feb 21, 2024 Beginning February 2024, you can submit Physical Health prior authorizations through the Authorization application on Availity.com Quality Management | Commercial / Medicare Advantage | Feb 21, 2024 Resources to Control High Blood Pressure (Hypertension) Products & Programs / Pharmacy | Commercial | Feb 20, 2024 Prior authorization updates for therapeutic duplication of specialty drugs Policy Updates / Medical Policy & Clinical Guidelines | Medicare Advantage | Feb 20, 2024 Clinical Criteria updates — December 2023 Products & Programs / Pharmacy | Medicare Advantage | Feb 16, 2024 Anthem expands specialty pharmacy precertification list Policy Updates | Medicare Advantage | Feb 16, 2024 MCG Care Guidelines 27th edition update Quality Management | Medicare Advantage | Feb 7, 2024 HEDIS® 2024 documentation for Care of Older Adults (COA) Quality Management | Commercial / Medicare Advantage | Feb 6, 2024 HEDIS 2024 documentation for Controlling High Blood Pressure (CBP) and Statin Therapy for Patients with Cardiovascular Disease (SPC) Policy Updates / Prior Authorization | Medicare Advantage | Feb 1, 2024 Prior authorization requirement changes effective May 1, 2024 Codes G0481 - G0483 Products & Programs / Pharmacy | Commercial | Feb 1, 2024 Clinical Criteria updates for specialty pharmacy Quality Management | Medicare Advantage | Feb 1, 2024 Improving Hispanic heart health Administrative | Commercial | Feb 1, 2024 Home Health Agency Capabilities Survey Quality Management | Commercial | Feb 1, 2024 Improving Hispanic heart health Policy Updates | Commercial | Feb 1, 2024 MCG care guidelines 27th edition update Policy Updates / Medical Policy & Clinical Guidelines | Commercial | Feb 1, 2024 Medical Policy and Clinical Guideline updates Administrative | Commercial | Feb 1, 2024 CAA: Have you reviewed your online provider directory information lately? Policy Updates / Reimbursement Policies | Commercial | Feb 1, 2024 Reimbursement policy update: Facility Guidelines for Claims Related to Professional Services — Facility Policy Updates / Reimbursement Policies | Commercial | Feb 1, 2024 New reimbursement policy: Modifier Usage — Facility Policy Updates / Prior Authorization | Commercial | Feb 1, 2024 Claims Match Enhancement for Carelon Medical Benefits Management, Inc. Genetic Testing Behavioral Health | Commercial | Feb 1, 2024 Anthem Expands Access to Specialty Mental Healthcare Treatment with Addition of InStride Health to Network