2023 News and Updates
- 12-7-2023 Updated: Inpatient DRG Claims for Patients Transferred Early Will Be Paid According to CMS' Transfer Policy
- 12-5-2023 Three New ClaimsXtenTM Rules to be Implemented March 2024
- 12-5-2023 CMS Guidelines for Availability and Access Standards to Care for Medicare Advantage Members
- 12-4-2023 Oral Oncology Pharmacy Network Transitioned to IntegratedRx™
- 11-8-2023 LCPCs and LMFTs Contracting as BCBSMT Medicare Advantage Participating Providers
- 11-6-2023 New Mailing Addresses: Please Update Your Records
- 11-2-2023 Medical Records Reminder for Out-of-Area Medicare Advantage Members
- 11-1-2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective January 1, 2024 - Part 1
- 10-31-2023 New Email Address for Electronic Commerce Services
- 10-27-2023 New CPT Codes for COVID-19 Vaccines and Vaccine Administration
- 10-26-2023 Training Resources for Behavioral Health Care
- 10-25-2023 Encourage Annual Eye Exams for Members with Diabetes
- 10-25-2023 Webinar on Coding for Annual Health Assessments
- 10-25-2023 Chronic Kidney Disease Management Strategies for Primary Care Providers
- 10-25-2023 Provider Finder® to Highlight ‘Top Performing Physicians’
- 10-24-2023 See Updates to Claim Editing Changes for Emergency Department Services
- 10-24-2023 BlueApprovR Now Accepts Recommended Clinical Reviews for Behavioral Health
- 10-17-2023 Reminder: Make Sure your Rates are Up To Date
- 10-16-2023 See New Enhancements for Behavioral Health Preservice Reviews Effective Nov. 6
- 10-9-2023 Join Us for a Webinar on Coding for Vascular Disease
- 10-9-2023 Coordinating Care after Hospital Discharges to Help Reduce the Chances of Readmissions
- 9-29-2023 Prior Authorization Changes for Medicare Advantage Members, Effective Jan. 1, 2024
- 9-29-2023 Prior Authorization Codes Updated for Commercial Members, Effective Jan. 1, 2024
- 9-28-2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective October 1, 2023 - Part 2
- 9-28-2023 Select Medication List to be Discontinued
- 9-25-2023 Supporting Quality Care During Breast Cancer Awareness Month
- 9-20-2023 Survey Assesses Medicare Advantage Members’ Health Outcomes
- 9-11-2023 BlueApprovR Now Accepts Recommended Clinical Reviews
- 9-8-2023 Inpatient DRG Claims for Patients Transferred Early
- 8-29-2023 Medical Records Reminder for Out-of-Area Medicare Advantage Members
- 8-29-2023 Update to Current Procedural Terminology (CPT®) Codes for Prior Authorization for Medicare Advantage and Healthy Montana Kids Members, Oct. 1, 2023
- 8-29-2023 ClaimsXten™ Quarterly Update Effective Dec. 4, 2023
- 8-25-2023 Updates to Clinical Practice and Preventive Care Guidelines
- 8-18-2023 Introducing Claim Reconsideration Requests via Availity® Essentials
- 8-14-2023 See New Enhancements for Behavioral Health Pre-Service Reviews
- 8-9-2023 Shared Decision-Making Aids Can Help Guide Care Choices
- 8-3-2023 Submitting Claims for Infertility Services
- 8-2-2023 Reporting On-Demand via Availity Essentials is Now Named Provider Claim Summary
- 8-1-2023 Provisional Credentialing Process
- 8-1-2023 Physician Performance Insight Reports are Now Available
- 7-27-2023 Claim Editing Changes for Emergency Department Services Coming November 1, 2023
- 7-26-2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective October 1, 2023 - Part 1
- 7-12-2023 In-Home Test Kits for Colorectal Cancer Screening
- 7-6-2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2023 - Part 2
- 7-6-2023 Webinar on Coding for Morbid and Severe Obesity
- 7-6-2023 Statin Therapy for Patients with Cardiovascular Disease and Diabetes
- 6-29-2023 Discontinuation of Paper Credentialing Applications
- 6-28-2023 2023 MT Annual NDC Drug Fee Schedule Impact and Timeline
- 6-28-2023 See Our Revised Preventive Services Coding and Compensation Policy Effective July 01, 2023
- 6-23-2023 Physician Performance Insight Reports Coming Soon from PEAQ
- 6-23-2023 Update to CPT Codes for Prior Authorization for Medicare and Healthy Montana Kids Members, Oct. 1, 2023
- 6-23-2023 Prior Authorization Codes Updated for Commercial Members, Effective Oct. 1, 2023
- 6-23-2023 PERM Medical Review Process
- 6-22-2023 Medicare Advantage Annual Wellness Visit: Webinar and Resources
- 6-21-2023 Medicare Providers May Treat MA Flex and Group MA Open Access PPO Members
- 6-6-2023 New Availity Eligibility & Benefits Experience
- 6-6-2023 Catch Up on Routine Vaccines and Well-Child Visits
- 6-2-2023 Provider Rights and Responsibilities
- 6-2-2023 Member Rights and Responsibilities
- 5-31-2023 ClaimsXtenTM Announces Software Version Upgrade
- 5-31-2023 EXL HEALTH Complex Claim Review Resumes, Effective August 2023
- 5-24-2023 Update to CPT® Codes for Prior Authorization for Medicare Advantage Members, July 1
- 5-24-2023 Prior Authorization Codes Updated for Commercial Members, Effective July 1
- 5-23-2023 Earn Continuing Education Credit at Webinar on Avoiding Inappropriate Antibiotic Use
- 5-23-2023 See our New Coding and Compensation Policy for Outpatient Facility Services that Overlap During an Inpatient Stay
- 5-17-2023 HMK-CHIP Prior Authorization Requirements
- 5-17-2023 HMK Prior Authorization Requirements for Occupational, Physical and Speech Therapies
- 5-10-2023 Coverage for Telehealth Services when the Public Health Emergency Ends May 11
- 5-10-2023 Healthy Montana Kids Referring Provider Claim Requirements
- 5-9-2023 Medical Records Reminder for Out-of-Area Medicare Advantage Members
- 5-4-2023 BlueApprovRSM Expedites Medical Surgical, Pharmacy and Behavioral Health Prior Authorization — Attend a Training
- 5-4-2023 Helping Our Members Manage Diabetes
- 5-4-2023 ClaimsXten™ Quarterly Update Effective August 21, 2023
- 5-1-2023 HMK Copays Reinstated as of July 1, 2023
- 4-28-2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2023
- 4-28-2023 Members Can Now Access Network of Pharmacies at Accredited Cystic Fibrosis Treatment Centers
- 4-18-2023 Behavioral Health Consultations During Hospitalization Can Improve Outcomes
- 4-18-2023 Webinar on Coding for Chronic Kidney Disease
- 4-5-2023 Track Care Visits During and After Pregnancy
- 4-5-2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2023 – Part 2
- 4-4-2023 BlueApprovR Expedites Medical Surgical, Pharmacy and Behavioral Health Prior Authorization — Attend a Training
- 3-29-2023 PA Codes Updated for Commercial Members, Effective July 1, also watch for Medical Oncology Portal Enhancements
- 3-29-2023 Update to (CPT®) Codes for Prior Authorization for Healthy Montana Kids Members, July 1
- 3-17-2023 AIM Specialty Health Changes Its Name to Carelon Medical Benefits Management
- 3-13-2023 Screening and Follow-Up Care for Maternal Mental Health
- 3-13-2023 Monitoring Children Using ADHD Medication
- 3-13-2023 Caring for Substance Use Disorders
- 3-13-2023 Verify Your Directory Details Every 90 Days
- 3-8-2023 EXL Health Complex Claim Review Paused, Effective Feb. 8
- 3-8-2023 Earn Continuing Education Credit through Webinar on Maternal Mental Health
- 3-8-2023 Earn Continuing Education Credit through Webinar on Opioids
- 3-1-2023 Closing Gaps in Colon Care
- 3-1-2023 Help Close Gaps in Care for Group Medicare Advantage Members
- 2-21-2023 Pharmacy Program Update, Quarterly Pharmacy Changes Effective Jan. 1, 2023 – Part 2
- 2-21-2023 New for 2023: Specialty Pharmacies Added In-Network
- 2-20-2023 New BlueApprovRSM Expedites Some Prior Authorizations — Attend a Training to Learn More
- 2-13-2023 More Access for Medicare Patients and Providers
- 2-13-2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2023 – Part 1
- 2-9-2023 Supporting Heart Health Equity
- 2-9-2023 Quality Care: Screening for Depression
- 2-7-2023 Survey to Assess Medicare Advantage Members' Experiences
- 2-7-2023 Cultural Awareness Webinars: Earn Continuing Education Credit
- 2-7-2023 Earn Continuing Education Credit through Webinar on Bipolar Disorder
- 1-19-2023 Prior Authorization Codes Updated for Commercial Members, Effective April 1
- 1-19-2023 Update to CPT® Codes for Prior Authorization for Medicare Members, April 1
- 1-6-2023 Hospitals Must Provide Medicare Outpatient Observation Notice
- 1-6-2023 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
- 1-6-2023 Delivering Quality Care: Cervical and Breast Cancer Screenings
