April 2021 Provider Newsletter

View our April 2021 Provider eNewsletter

Topics:

• COVID-19 Resources for Carelon Behavioral Health Providers
• Review the Clinical Practice Guidelines and Measurement Tool
• Revised Treatment Record Review Tool for Chart Audits
• Free Online Self-Management Tools for Members
• Reminder to Use Standardized Screening Tools with Members 13 Years and Older – Especially for Depression, Suicide, and Comorbidity Issues
• Ensure Your Practice Supports Our Member Rights and Responsibilities
• Medical Necessity Criteria Available Online
• Reminders Regarding Carelon Behavioral Health’s Ethical Approach to Utilization Management Decisions
• Appointment Access Reminder
• Cultural and Linguistic Needs of Carelon Behavioral Health’s Membership
• Improving Care Coordination: An Essential Component of Client Care
• Referring to Carelon Behavioral Health’s Care Management Program
• What is HEDIS® and why it matters
• Important Reminder: Provider Directory Information

March 2020 Coronavirus Update

View our March Coronavirus Update

April 2020 Provider eNewsletter

View our April 2020 Provider eNewsletter

Topics:

• COVID-19 Resources for Carelon Behavioral Health Providers
• Review of Clinical Practice Guidelines and Measurement Tool
• Free, Online Self-Management Tools for Members
• Reminder to Use Standardized Screening Tools with members 13 Years and Older – Especially for Depression, Suicide, and Comorbid Issues
• Ensure Your Practice Supports our Member Rights and Responsibilities
• Medical Necessity Criteria Available Online
• Reminders Regarding Carelon Behavioral Health’s Ethical Approach to Utilization Management Decisions
• Appointment Access Reminders
• Cultural and Linguistic Needs of Carelon Behavioral Health’s Membership
• Improving Care Coordination: An Essential Component of Client Care
• Referring to Carelon Behavioral Health’s Care Management Program
• What is HEDIS®?
• Why is HEDIS® Important?
• What Behavioral Health Measures does HEDIS® Monitor?
• Important Reminder

December 2019 eNewsletter

View our December Provider eNewsletter

Topics:

• New 2020 CPT Code Changes
• FIDA Program Ends Dec. 31, 2019
• The Massachusetts Consultation Service for Treatment of Addiction and Pain offers real-time consultation to primary care providers
• Carelon Behavioral Health Will Launch Florida Project ECHO ^® for OUD on Jan. 7, 2020 at 12pm ET
• Appointment Access Reminder
• Cultural and Linguistic Needs of Carelon Behavioral Health's Membership

November 2019 eNewsletter

View our November Provider eNewsletter

Topics:

• New and Expanded Medicare Coverage of Opioid Use Disorder Treatment and Telehealth
• Reminder to Review the Clinical Practice Guideline and Measurement Tool
• Free, Online Self-management Tools for Members
• Reminder to Use Standardized Screening Tools with Members 13 Years and Older - Especially for Depression, Suicide, and Comorbid Issues
• Value Options of California is now Carelon Behavioral Health of California
• Texas Providers: Procedure Code Change for Non-Methadone Administration
• American Society of Addiction Medicine Updates Addiction Definition
• InterQual Medical Necessity Criteria Training

October 2019 eNewsletter

View our October Provider eNewsletter

Topics:

• Reminder to Review the Clinical Practice Guideline and Measurement Tool
• Free, Online Self-management Tools for Members
• Reminder to Use Standardized Screening Tools with Members 13 Years and Older - Especially for Depression, Suicide, and Comorbid Issues
• Texas Providers: Public Health Notice About Severe Lung Disease Among People Who Vape
• Project ECHO Improves Utilization of Medication-Assisted Treatment
• Help Military Families Find Community in a New Location

September 2019 eNewsletter

View our September Provider eNewsletter

Topics:

• Provider Satisfaction Survey
• Changes Coming: New Online Provider Directory
• Do You Provide Medication-Assisted Treatment to Patients?
• Electronic Provider Portal Line for All Initial Inpatient, Partial Hospitalization, and IOP Requests
• Delaware, Louisiana, Massachusetts, North Carolina, New York, and West Virginia Providers: Treatment Facility Survey Arriving in October
• Carelon Behavioral Health Funding Supports Local Efforts to Combat Opioid Crisis
• Carelon Behavioral Health Care Services Partners with Walmart in Direct-to-Consumer Care

August 2019 eNewsletter

Access our August Provider eNewsletter

Topics:

• Carelon Behavioral Health Adopts New Medical Necessity Criteria
• Serving Those Who Serve: Help Military Kids Cope With a New School
• New AMA Policy Supports Project ECHO
• Webinar Schedule
• Carelon Behavioral Health Lens

July 2019 eNewsletter

Access our July Provider eNewsletter

July Topics:

• CMS 1500 Claim Form Completion Rule Enforcement
• Serving Those Who Serve: Help Military Families Cope Well With Change
• FL, NY Providers: Tackle the Opioid Crisis with Project ECHO
• TX Providers: Delegated Psychological Services to Allow More Than One Modifier on the Same Date of Service
• TX Providers: Deactivated NCCI MUE Limitations for Substance Use Disorder Treatment
• Webinar Schedule
• Carelon Behavioral Health Lens

June 2019 eNewsletter

To access our June Provider eNewsletter, visit https://conta.cc/2R22AFO.

June Topics:

• Anthem, Inc. to Acquire Carelon Behavioral Health
• Psychological/ Neuropsychological Testing Claims
• NY Providers: Medicaid Provider Training; New Authorization Enhancements Available in Provider Portal
• ProviderConnect System Downtime: June 21-23
• Serving those who Serve: Military OneSource Contract Awarded for Five More Years!
• Colorado Provider Updates: Medication-Assisted Treatment Audits
• Colorado Collaboration Opportunity: Health First Colorado Expands Dental Health Benefit

May 2019 eNewsletter

To access our May Provider eNewsletter, visit https://conta.cc/2HE1cFc.

May Topics:

• You Help Patients Start Discussions that Matter
• Get Online Authorizations As Soon As 15 Minutes
• Patients' Top Concern: Provider Availability
• Get Refresher on Fraud, Waste, Abuse Policies
• Serving those who Serve: Healthy Relationship Resources for Military Couples
• Clinical Practice Guidelines
• Learn About Carelon Behavioral Health's Utilization Management Program
• UM Decisions
• Member Rights and Responsibilities
• Financial Incentives
• Medical Necessity Criteria