2024 News and Updates
- 11/19/24 Learn About Our 2025 National Drug Code Fee Schedule Impact and Timeline
- 11/18/24 Coding Reference for Quality Measures Is Available to Help Identify Gaps in Care
- 11/15/24 Order a Sufficient Supply of Bicillin® L-A for Syphilis Treatment
- 11/13/24 Cultural Awareness Webinars: No-Cost Continuing Education Credit
- 11/12/24 Follow Centers for Medicare & Medicaid Services Guidelines for Appointment Wait Time Standards
- 11/06/24 Pharmacy Program Quarterly Update Changes Effective Jan. 1, 2025 – Part 1
- 11/05/24 Update: Delay in posting latest National Drug Code fee schedules
- 11/01/24 Prior Authorization Changes for Medicare Advantage Members Effective Jan. 1, 2025
- 10/29/24 How to Submit Photos to Accompany Prior Authorization or Recommended Clinical Review
- 10/28/24 CDC Recommends Prescribing Doxy PEP to Prevent Sexually Transmitted Infections
- 10/24/24 Code Effectively to Earn Additional Incentive Payments
- 10/23/24 Talk to Our Members About the Flu Vaccine
- 10/17/24 Update: Select Self-Administered Drugs Moving to Pharmacy Benefit Effective Mar. 1, 2025
- 10/16/24 Encourage Annual Eye Exams for Our Members with Diabetes
- 10/16/24 Statin Therapy Is Recommended for Patients with Cardiovascular Disease and Diabetes
- 10/15/24 Medicare Prescription Payment Plan Launching Jan. 1, 2025
- 10/10/24 Care Coordination Can Help Our Members After Hospital Discharges
- 10/08/24 Risk Identification and Outreach Program Supports Member Safety
- 10/02/24 Acquisition of Cigna Healthcare Medicare Business in 2025
- 10/01/24 Check ID Cards for New Coupe Health Plan Members
- 10/01/24 Updates Coming to Behavioral Health Substance Abuse Criteria for Utilization Management
- 10/01/24 Out-of-State Care Beyond Contiguous Counties No Longer Covered Benefit
- 09/30/24 Prior Authorization Codes Updated for Commercial Members Effective Jan. 1
- 09/27/24 Pharmacy Program Quarterly Update Changes Effective Oct. 1, 2024 – Part 1
- 09/26/24 Utilization Management Review Expanding for Advanced Imaging for Some Commercial Members Jan. 1, 2025
- 09/13/24 Register for a Coding Webinar on Coagulation Defects and Other Hematological Disorders
- 09/09/24 ClaimsXten™ Quarterly Update Effective Dec. 9, 2024
- 09/05/24 Closing Care Gaps in Child and Adolescent Weight Assessment and Nutrition Counseling
- 09/04/24 Reminder: Submit Claims and Inquiries to Correct PO Boxes to Avoid Delays
- 09/04/24 Use the Updated Claims Referral Form for American Indian/Alaska Native Limited Cost Share Plans
- 08/20/24 Free Webinar Focuses on Angioedema and Asthma
- 08/20/24 Watch for our Provider Availability and Access Survey
- 08/15/24 Physician Performance Insights Reports Are Now Available
- 08/15/24 Shared Decision-Making Aids Can Help Guide Care Choices
- 08/14/24 Register for Webinars on Coding for Stroke, Cancers and Heart Failure
- 08/13/24 Check Member ID Cards for New Coupe Health Plan Members
- 08/12/24 30-Day Supply Limit: Select Commercial Members Have New Pharmacy Benefit for GLP-1 and/or Anti-Obesity Drug Therapy
- 08/08/24 Encourage Medicare Members to Respond to Health Outcomes Survey
- 08/01/24 Pharmacy Program Quarterly Update Changes Effective Oct. 1, 2024 – Part 1
- 08/01/24 Prior Authorization Changes for Healthy Montana Kids Members, Effective Oct. 1, 2024
- 07/30/24 Abiraterone Drug Coverage Changes for Many Commercial Members Set for Oct. 1
- 07/25/24 New Blue Review publication, content deadline schedule begins in September
- 07/23/24 Provider Finder® to Rank Providers to Help PPO Members Find Care
- 07/22/24 Medicare Providers May Treat Blue Cross Group Medicare Advantage Open Access (PPO)SM Members
- 07/16/24 Has Your Information Changed? Update Us and the NPI Registry
- 07/10/24 Earn Continuing Education Credit: Webinar on Avoiding Inappropriate Antibiotic Use
- 07/10/24 Member Rights and Responsibilities
- 07/03/24 New menu option added to Interactive Phone System - Check Authorization by Procedure Code
- 07/02/24 Physician Performance Insights Reports Coming Soon from PEAQ
- 07/02/24 Provider Rights and Responsibilities
- 07/02/24 In-Home Test Kits for Colorectal Cancer Screening
- 06/27/24 Breast Cancer Screening for Members Ages 40 to 74
- 06/26/24 Pharmacy Program Quarterly Update Changes Effective July 1, 2024 - Part 2
- 06/25/24 Prior Authorization Changes for Medicare Advantage and Healthy Montana Kids Members
- 06/25/24 Prior Authorization Codes Updated for Commercial Members Effective Oct. 1
- 06/25/24 Proper Billing for Supplies for Transcutaneous Electrical Nerve Stimulation Units
- 06/24/24 Coming Soon – New Learning & Training Center in Availity® Essentials
- 06/24/24 New Coupe Health Plan: Update Your Member Records
- 06/11/24 GLP-1 New to Therapy Optional Benefit Program Available for Select Commercial Members
- 06/07/24 Delay in Spinal Service Transition to Carelon
- 06/05/24 Encourage Routine Vaccines and Well-Care Visits for Children and Teens
- 05/30/24 Prior Authorization Requests May Be Needed Due to Pharmacy Claims Processing Error
- 05/24/24 Updated: See Our Revised Coding and Compensation Policy for Anesthesia Services
- 05/24/24 Updated PEAQSM Methodology Is Now Available
- 05/22/24 Earn Continuing Education Credit: Webinar on Trauma-Informed Care
- 05/20/24 Access MCG Care Guidelines Clinical Criteria via Availity®
- 05/09/24 Behavioral Health Consultations During Hospitalization Can Improve Outcomes
- 05/08/24 Helping Our Members Manage Diabetes
- 05/08/24 ClaimsXten™ Quarterly Update Effective Aug 19, 2024
- 05/07/24 Closing Gaps in Care for Group Medicare Advantage (PPO) Members
- 05/03/24 Reminder: Use New Mailing Address for Paper Commercial Claims to Avoid Mail Delays
- 05/02/24 Pharmacy Program Quarterly Update Changes Effective July 1, 2024 - Part 1
- 05/01/24 Electronic Claim Review and Ensuring the Correct Use of our Claim Review Form
- 05/01/24 Supporting Maternal Quality Care
- 04/30/24 Late and Added Charges Must Be Submitted as a Corrected Claim
- 04/30/24 Reminder to Update Profile for Accreditation
- 04/22/24 How to Reach Out with Questions about 1099 Forms
- 04/22/24 Important Updates to Manage My Organization in Availity Essentials
- 04/05/24 Clarification Regarding Provisional Credentialing for TriWest Network
- 04/04/24 Filing Claims for Behavioral Health Services – Use the Correct Place of Service Code
- 04/03/24 Coding Webinars: Arrhythmias and Rheumatoid Arthritis
- 04/01/24 2024 Fee Schedule and Compensation Policy Update
- 03/29/24 Pharmacy Program Quarterly Update Changes Effective April 1, 2024 - Part 2
- 03/28/24 Prior Authorization Codes Updated for Commercial Members
- 03/26/24 Prior Authorization Changes for Medicare Advantage and Healthy Montana Kids Members
- 03/12/24 Reminder: Make Sure your Rates are Up To Date
- 03/12/24 Closing Gaps in Colon Care
- 03/11/24 Earn Continuing Education Credit: Webinar on Substance Use Disorder
- 03/05/24 ClaimsXten™ Quarterly Update Effective June 17, 2024
- 03/05/24 Webinar on Coding for Medicare Advantage Annual Wellness Visits
- 03/04/24 Caring for Substance Use Disorders
- 03/04/24 Change Healthcare Cybersecurity Incident Impact and Options
- 02/26/24 Reminder: New Updates to Claim Editing Changes for Emergency Department Services
- 02/26/24 Revised Coding and Compensation Policy for Anesthesia Services
- 02/21/24 Musculoskeletal Spinal Surgery Prior Authorization Codes Updated for Commercial Members, Effective April 22, 2024
- 02/20/24 Earn Continuing Education Credit: Webinar on Social Determinants of Mental Health Care
- 02/16/24 30-Day Facility Readmission Reviews for Medicare Advantage Members
- 02/09/24 Avoiding the Inappropriate Use of Antipsychotic Medication in Anxiety Disorders
- 02/06/24 Pharmacy Program Quarterly Update Changes Effective April 1, 2024 - Part 1
- 02/06/24 Follow-up Care for Mental Health
- 02/01/24 Reminder: Update Your Records with New Mailing Addresses
- 01/30/24 Updated Provider Manuals Now Available
- 01/30/24 Changes to Claim Inquiry Resolution
- 01/25/24 Medicare Advantage HEDIS Records Collection through June 2024
- 01/22/24 Earn Continuing Education Credit at Webinar on Pediatric Behavioral Health
- 01/19/24 Changes Coming to Claim Inquiry Resolution
- 01/16/24 Coding Webinars: Major Depressive Disorder and Annual Wellness Visits
- 01/09/24 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective January 1, 2024 - Part 2
- 01/08/24 ClaimsXten™ Quarterly Update Effective April 15, 2024
- 01/08/24 Supporting Healthy Hearts
- 01/08/24 Managing Antidepressant Medication
- 01/08/24 FEP® HEDIS Records: Collecting February through April 2024
- 01/05/24 Monitoring Children Using ADHD Medication
- 01/05/24 Hospitals Must Provide Medicare Outpatient Observation Notice
- 01/05/24 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
- 01/04/24 Prior Authorization Changes for Medicare Advantage Members
- 01/04/24 Prior Authorization Codes Updated for Commercial Members
- 01/04/24 Update Your Records: New Medicare Open Access PPO Members and ID Cards
- 01/04/24 Remind Our Members about Cervical and Breast Cancer Screenings
- 01/04/24 Reminder: Update Your Records with New Mailing Addresses
