2023 News Archive
- 12/29/23 Prior Authorization Requirement Changes for Some Commercial Members
- 12/29/23 Prior Authorization Changes for Government Programs
- 12/28/23 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
- 12/28/23 Hospitals Must Provide Medicare Outpatient Observation Notice
- 12/27/23 Billing Reminder for Illinois Medicaid Providers
- 12/26/23 Reminder: Serving Our Blue High Performance Network®
- 12/22/23 Advisory on Telehealth Services – Using Place of Service Codes on Commercial Claims
- 12/22/23 Monitoring Children Using ADHD Medication
- 12/21/23 Medicaid Health Benefits for Immigrant Adults and Seniors Program
- 12/21/23 Remind Our Members About Cervical and Breast Cancer Screenings
- 12/21/23 Oral Oncology Pharmacy Network Transition to IntegratedRx™
- 12/21/23 Blue Cross Community Medicare-Medicaid PlanSM Availability and Access Standards
- 12/20/23 Update Your Records: New Medicare Open Access PPO Members and ID Cards
- 12/20/23 Blue Cross Medicare AdvantageSM HMO and PPO Availability and Access Standards
- 12/19/23 Reminder: Update Your Records with New Mailing Address for Paper Claims
- 12/19/23 Federal Employee Program® Updates to Prior Authorization Requirements and Benefits
- 12/18/23 Approaches to Managing GLP-1 Agonist Medications
- 12/15/23 Reminder: See Updates to Claim Editing Changes for Emergency Department Services
- 12/07/23 Postponed: Lab Policies and Laboratory Benefit Management Program
- 12/07/23 Pharmacy Program Updates: Prior Authorization Changes Effective March 1, 2024
- 12/01/23 Prior Authorization Changes for Government Programs
- 12/01/23 Prior Authorization Requirement Changes for Some Commercial Members
- 11/30/23 Three New ClaimsXtenTM Rules To Be Implemented March 2024
- 11/30/23 Training Resources for Behavioral Health Care
- 11/30/23 Pharmacy Program Updates: Prior Authorization Changes Effective Feb. 1, 2024
- 11/29/23 Pharmacy Program Quarterly Update: Changes Effective Jan. 1, 2024 – Part 1
- 11/29/23 New ‘Plan Documents Viewer’ for NDC Fee Schedules via Availity® Essentials
- 11/28/23 Reminder: Hospital 30-day Readmission Review Process for BCCHPSM and MMAI Members
- 11/27/23 BCCHPSM and MMAI Provider Alert: Mandatory Annual Training Must Be Completed by Dec. 31, 2023
- 11/17/23 BCCHPSM Instructions to Hospital Providers Regarding Recent HFS Notice: Hospital Inpatient Payment for Long-Acting Injectable Antipsychotic Drugs per Public Act 102-0043
- 11/16/23 Laboratory Benefit Management Program Updates: Join Us for a Webinar in December
- 11/09/23 New Email Address for Electronic Commerce Services
- 11/08/23 Physician Efficiency, Appropriateness, and QualitySM Program Update
- 11/07/23 Coordinating Care after Hospital Discharges To Help Reduce Chances of Readmissions
- 11/06/23 Blue Cross Community Health PlansSM Availability and Access Standards
- 11/06/23 Blue Cross Community Medicare-Medicaid PlanSM and Blue Cross Medicare AdvantageSM Availability and Access Standards
- 11/01/23 Chronic Kidney Disease Management Strategies for Primary Care Providers
- 10/31/23 See Updates to Claim Editing Changes for Emergency Department Services
- 10/31/23 Webinar on Coding for Medicare Advantage Annual Health Assessments
- 10/24/23 BlueApprovRSM Now Accepts Recommended Clinical Reviews for Behavioral Health – Attend a Training
- 10/23/23 Medicare Advantage PPO Members to Transition to BCBSIL Kidney Care Program
- 10/23/23 MMAI and BCCHPSM Providers: Join Our Community Stakeholder Committee
- 10/20/23 New Enhancements for Behavioral Health Pre-service Review Requests, Effective Nov. 6, 2023*
- 10/19/23 Consumer Assessment of Healthcare Provider and Systems (CAHPS®)
- 10/18/23 New Codes for COVID-19 Vaccines and Vaccine Administration
- 10/17/23 Supporting Quality Care During Breast Cancer Awareness Month
- 10/17/23 Help Us Help You by Rating the Blue Review
- 10/12/23 Join Us for a Webinar on Coding for Vascular Disease
- 10/10/23 Pharmacy Program Updates: Prior Authorization Changes Effective Dec. 1, 2023
- 10/03/23 Survey Assesses Medicare Advantage Members’ Health Outcomes
- 10/03/23 Laboratory Benefit Management Program Update: New Medical Policies Effective Jan. 1, 2024
- 10/02/23 New Inpatient DRG Claims for Patients Transferred Early – tDRG Policy (CPCPILtDRG)
- 10/02/23 Itemized Bills Required for Some Facility Claims Over $100K
- 10/02/23 Procedure Code and Fee Schedule Updates
- 09/29/23 Pharmacy Program Quarterly Update: Changes Effective Oct. 1, 2023 – Part 2
- 09/29/23 Implementation of Tiered Rate Modifiers, Effective Jan. 1, 2024
- 09/28/23 Medical Oncology, Radiation Oncology Care Category Removal from eviCore and other Prior Authorization Changes for Government Programs Effective Jan. 1, 2024
- 09/28/23 Musculoskeletal, Cardiology Expansion and other Prior Authorization Requirement Changes for Some Commercial Members Effective Jan. 1, 2024
- 09/21/23 Blue Review Readership Survey 2023: We’re Open and Ready for Your Feedback
- 09/19/23 New Mailing Address for Paper Commercial Claims
- 09/19/23 Introducing Claim Reconsideration Requests via Availity® Essentials
- 09/13/23 Illinois House Bill 4703: Surprise Medical Bill Protection
- 09/11/23 BlueApprovRSM Now Accepts Recommended Clinical Review (Predetermination) Requests – Attend a Training
- 08/30/23 Select Medication List To Be Discontinued
- 08/30/23 Prior Authorization Requirement Changes for Some Government Programs Plans Effective Oct. 1, 2023
- 08/29/23 ClaimsXten™ Quarterly Update Effective Dec. 4, 2023
- 08/25/23 Pharmacy Program Updates: Prior Authorization Changes Effective Nov. 1, 2023
- 08/24/23 Are You Using These Shared Decision-Making Aids?
- 08/23/23 ‘Reporting On-Demand via Availity® Essentials’ Is Now ‘Provider Claim Summary’
- 08/22/23 BCCHPSM and MMAI Provider Alert: Mandatory Annual Training Must Be Completed by Dec. 31, 2023
- 08/16/23 Updates to Clinical Practice and Preventive Care Guidelines
- 08/08/23 Submitting Claims for Infertility Services
- 08/07/23 Pharmacy Program Quarterly Update: Changes Effective Oct. 1, 2023 – Part 1
- 08/04/23 Marking Non-Urgent Prior Authorization Requests as ‘Urgent’ Only Causes More Delays
- 08/04/23 We’re Sending In-Home Test Kits to Some Members for Colorectal Cancer Screening
- 08/03/23 See New Enhancements for Behavioral Health Pre-service Review Requests
- 08/03/23 Webinar on Coding for Morbid and Severe Obesity
- 08/01/23 MMAI and BCCHPSM Providers: Join Our Q3 Community Stakeholder Committee Meeting
- 07/31/23 Claim Editing Changes for Emergency Department Services Coming Nov. 1, 2023
- 07/21/23 Pharmacy Program Updates: Prior Authorization Changes Effective Oct. 1, 2023
- 07/18/23 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2023 – Part 2
- 07/12/23 There’s Still Time: Register for July 13 Provider Hot Topics Webinar
- 07/05/23 Use BlueApprovRSM for Faster, Easier Completion of Prior Authorization Requests
- 06/30/23 Catch Up on Routine Vaccines and Well-Child Visits
- 06/29/23 Illinois Medicaid Providers: Help Your Patients Get Ready for Redetermination
- 06/28/23 Prior Authorization Requirement Changes for Some Commercial Members and Code Updates Effective Oct. 1, 2023
- 06/28/23 Prior Authorization Requirement Changes for Some Government Programs Plans Effective Oct. 1, 2023
- 06/23/23 Provider Rights and Responsibilities
- 06/23/23 Member Rights and Responsibilities
- 06/21/23 Introducing the Provider Correspondence Viewer Application on Availity® Essentials
- 06/13/23 ClaimsXtenTM Announces Software Version Upgrade
- 06/01/23 Updated: Annual Wellness Visit Webinar and Resources
- 06/01/23 Prior Authorization Requirement Changes for Some Government Programs Plans Effective July 1, 2023
- 06/01/23 Prior Authorization Requirement Changes for Some Commercial Members and Code Updates Effective July 1, 2023
- 05/31/23 See Our New Clinical Payment and Coding Policy for Outpatient Facility Services That Overlap During an Inpatient Stay
- 05/30/23 BlueApprovRSM Expedites Medical Surgical, Pharmacy and Behavioral Health Prior Authorization – Attend a Training
- 05/25/23 ClaimsXtenTM Quarterly Update Effective Aug. 21, 2023
- 05/24/23 Helping Our Members Manage Diabetes
- 05/22/23 Upcoming 2023 HHS-RADV Initial Validation Audit (IVA)
- 05/22/23 Earn Continuing Education Credit at Webinar on Avoiding Inappropriate Antibiotic Use
- 05/16/23 Resource Webinar with BCBSIL Provider Network Consultant Team
- 05/12/23 Updated: Illinois Medicaid Providers: Help Your Patients Get Ready for Redetermination
- 05/11/23 COVID-19 Coverage Update
- 05/10/23 Coverage for Telehealth Services When the Public Health Emergency Ends May 11
- 05/08/23 Pharmacy Program Updates: Prior Authorization Changes Effective July 15, 2023
- 05/03/23 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2023
- 04/28/23 See Our New Three-day Clinical Payment and Coding Policy for Certain Outpatient Services Prior to an Inpatient Admission
- 04/27/23 Track Care Visits During and After Pregnancy
- 04/26/23 New Support Program for Members with Kidney Disease
- 04/25/23 Specialty Pharmacy Program Adds Cystic Fibrosis Treatment Centers
- 04/24/23 MMAI and BCCHPSM Providers: Join Our Community Stakeholder Committee
- 04/20/23 Pharmacy Program Updates: Prior Authorization Changes Effective July 2023
- 04/17/23 Webinar on Coding for Chronic Kidney Disease
- 04/17/23 Updated: AIM Specialty Health® Changes Its Name to Carelon Medical Benefits Management
- 04/04/23 Pharmacy Program Update: Quarterly Changes Effective April 1, 2023 – Part 2
- 04/03/23 BlueApprovRSM Expedites Medical Surgical, Pharmacy and Behavioral Health Prior Authorization – Attend a Training
- 03/31/23 Pharmacy Program Updates: Prior Authorization Change Effective June 2023
- 03/31/23 Prior Authorization Requirement Changes for Some Commercial Members Effective July 1, also watch for Medical Oncology Portal Enhancements
- 03/31/23 Prior Authorization Requirement Changes for Some Government Programs Plans Effective July 1, 2023
- 03/30/23 See Changes to Our Existing Inpatient Readmission Policy for Some Commercial Members
- 03/30/23 Utilization Management for Equity in Behavioral Health: Provider Education, Reminders and Resources
- 03/22/23 Earn Continuing Education Credit through Webinar on Opioids
- 03/16/23 Screening and Follow-Up Care for Maternal Mental Health
- 03/15/23 Caring for Substance Use Disorders
- 03/14/23 Monitoring Children Using ADHD Medications
- 03/13/23 Earn Continuing Education Credit through Webinar on Maternal Mental Health
- 03/08/23 Reminder: Verify Your Directory Details Every 90 Days
- 03/06/23 New for 2023: In-network Specialty Pharmacies Added
- 03/06/23 BlueApprovRSM is here! Join Us for a Webinar To See What This New Online Prior Authorization Tool Can Do For You
- 03/01/23 Pharmacy Program Update: Quarterly Pharmacy Changes Effective Jan. 1, 2023 – Part 2
- 02/27/23 Closing Gaps in Colon Care
- 02/24/23 CAHPS® Survey to Assess Medicare Advantage Members’ Experiences
- 02/23/23 Quality Care: Screening for Depression
- 02/22/23 Pharmacy Program Updates: Prior Authorization Change Effective May 2023
- 02/21/23 BCCHPSM and MMAI Member Claims That Don’t Require Attachments for Processing Must Be Submitted Electronically
- 02/17/23 Fee Schedule Changes: Procedure Code Additions, Deletions and Revisions, Effective June 1, 2023
- 02/16/23 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2023 – Part 1
- 02/10/23 Remote Patient Monitoring Pilot Update – Program Ended Feb. 10, 2023
- 02/09/23 Utilization Management – Equity in Behavioral Health
- 02/08/23 Supporting Heart Health Equity
- 02/02/23 Earn Continuing Education Credit through Webinar on Bipolar Disorder
- 02/01/23 MMAI and BCCHPSM Providers: Join Our Community Stakeholder Committee
- 01/31/23 We're Working To Improve Prior Authorization Processes: Join Us for a BlueApprovRSM Webinar in February
- 01/31/23 Laboratory Benefit Management Program: Reminders and Resources
- 01/25/23 Five Days Left: Take Our Blue Review Readership Survey
- 01/23/23 Pharmacy Update: Initial Prescription Limit – Changes to Maximum Days’ Supply in Blue Cross Community Health PlansSM (BCCHPSM)
- 01/13/23 ClaimsXten™ Quarterly Update Effective April 17, 2023
- 01/05/23 BlueApprovRSM is here! Join Us for a Webinar To See What This New Online Prior Authorization Tool Can Do For You
- 01/05/23 Pharmacy Program Updates: Prior Authorization Changes Effective March 2023
- 01/04/23 Medicare Providers May Treat Medicare Advantage Flex and Group Medicare Advantage Open Access PPO Members
- 01/03/23 Hospitals Must Provide Medicare Outpatient Observation Notice
- 01/03/23 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
