Provider News

2025

• Time to Update or Verify Your Information to Stay in Our Provider Directories, January 2025

2024

• Teladoc No Longer In Network for Medicare and myBlue Members Starting in January 2025, December 2024
• Commercial Risk Adjustment Call for Medical Records, October 2024
• Under 65 Open Enrollment Starts on November 1 for Individuals and Families, October 2024
• Please Refer Members to Quest Diagnostics for Lab Services, August 2024
• Policy Update for PT Assistant and OT Assistant Services, July 2024
• Telehealth & In-Home Assessments Offered to Commercial Members, July 2024
• Prior Authorizations: New Email Address for Medicare Member Photos, July 2024
• Time to Update Your Info to Remain in Our Provider Directories, July 2024
• Commercial Risk Adjustment Data Validation Calls for Medical Records, June 2024
• D-SNP Basic Training for Med Adv HMO Provider Groups, April 2024
• Important Reminder for Physicians: Keep Your Information Up to Date in CAQH, February 2024
• New Appointment and Wait Time Availability Guidelines Added to Manual for Physicians and Providers, January 2024

2023

• CMS Diagnosis Coding Updates Vital to RADV Program, December 2023

• Changes to Online Provider Directory Link and Reminders About Provider Ratings and Reviews, December 2023

• Required D-SNP Training Deadline is Extended, October 2023

• Florida Blue Adds New Credentials Verification Organization for Enhanced Support of Credentialing Services, August 2023

• Availity AuthAI (formerly Olive) for Radiology, Hip and Knee, and Musculoskeletal UM Authorizations, August 2023

• Florida Blue Medicare Risk Adjustment Best Practices and Coding Educational Guide, 2023

• Health Assessments offered to Select Commercial Members, July 2023

• Keep Your Profile Information Current Each Quarter to Stay Listed in Our Provider Directories, June 2023

• D-SNP Basic Training Required for Medicare Advantage HMO Provider Groups, June 2023

• Commercial Risk Adjustment Data Validation Calls for Medical Records, June 2023

• Attn: NetworkBlue Providers, BCBS's Nat'l High-Performance Network Reminders Update, April 2023
• Changes to Streamline Prior Authorization for Continuous Glucose Monitors and Supplies, March 2023
• Number of Referral Visits Increase for BlueMedicare HMO, February 2023
• Call for Acupuncturists to Join Provider Network for Commercial Lines of Business, February 2023
• Supporting Behavioral Health in Your Practice, January 2023

2022

• Medicare Beneficiary ID Now Displayed in Availity, December 2022

• 2022 Medical Record Review Results Now Available, December 2022

• Attn PCPs: Improved Referral Search Results for Specialists, October 2022

• New Telehealth Services Field in Self-Service Tool, September 2022

• Clinical Quality Validation Form to Retire This Year, September 2022

• Changes to Streamline Prior Authorizations for Unclassified Drug HCPCS, July 2022

• Improving E&B Transactions with New Member ID Card Display, July 2022

• Commercial Risk Adjustment Data Validation Calls for Medical Records, July 2022

• Referral Length Increased for myBlue and BlueMedicare HMO Plans, June 2022
• Provider Contact Center Hours of Operation Update, June 2022 
• Blue Cross and Blue Shield’s National High-Performance Network Reminders, May 2022
• APRNs Serving as PCPs, May 2022
• Some ASCs Can Now Perform Cardiac Cath Lab Services, April 2022
• Spring Risk Adjustment Medical Record Audit, March 2022
• CMS Audit to Identify Improper Medicare Advantage Payments, January 2022
• Availity message for authorizations and referrals, January 2022

2024

• Introducing Lucet’s Behavioral Health Provider Scheduling Tool for Eligible Members, November 2024
• Help Your Patients Manage Stress With meQuilibrium, January 2024

2023

• Behavioral Health Services Reminder for myBlue Members, August 2023
• Help Your Patients Manage Stress With meQuilibrium, June 2023
• New Directions Behavioral Health is now Lucet, March 2023
• Supporting Behavioral Health in Your Practice, January 2023

2025

• Reminder of Policy Update and Coding Edit for Bilateral Procedures Professional Billing, January 2025

2024

• Important Updates to Medicare Part B Drug Prior Authorization HCPCS Codes, December 2024
• Reminder About the Social Determinants of Health Dashboard in ProviderVista, July 2024
• Part B Drug Prior Authorization Code Updates for Medicare Advantage Members, May 2024
• Evolent Prior Authorization Programs' Code Updates for Medicare Advantage Members, May 2024
• Submitting Initial and Corrected Claims, May 2024
• Availity Gateway Updates to Improve Processing Experience, April 2024
• Policy Updates and Coding Edits for Multiple Diagnostic Imaging, Cardiovascular, and Ophthalmology, Effective May 1, 2024, March 2024

2023

• Importance of CPT II Codes and Review of Prenatal and Postpartum CPT II Codes, October 2023
• New Century Health to Manage Cardiovascular Services for Medicare Advantage Members, September 2023
• Commercial HMO Plans’ Occupational, Physical, & Speech Therapy Referral and Authorization Requirements, August 2023
• Update: myBlue HMO Plan Highlights to Help Reduce Claims, Coding Errors, August 2023
• HCPCS Required in Claims with Certain Implant or Device Revenue Codes
• Availity Upgrades to Claims Submission Responses, E&B Information, July 2023
• Update on Submitting Supplemental/Additional Diagnoses, June 2023
• Send Corrected Claim for Late Charge Only Claims, June 2023
• Rehabilitative and Habilitative Services: How to Bill for Each, May 2023
• CPT II Codes to Use for ACP, BP, COA, EED, and TRC MRP, March 2023
• myBlue HMO Plan Highlights to Help Reduce Claims, Coding Errors, March 2023
• COVID-19 Billing Guidelines, February 2023
• Claims System Update Addresses MA Patient Liability, January 2023

2022

• No Surprises Act Claims and Billing FAQs, December 2022

• No Surprises Act General Details and Resources, December 2022

• Updates to Availity Gateway Improves Processing Experience, August 2022

• CPT II Codes to use for A1c, ACP, BP, COA, DRE and MR, August 2022
• Coding & Documentation Spotlight on Social Determinants of Health, June 2022
• 2022 POS Billing Code Changes for Telehealth to Impact Fee Schedules, March 2022
• Procedure Code Change for Billing Behavioral Health Evaluation and Management Services, January 2022

2023

• Update: BCBS Global Products Provide Members w/Covered Medical Services in U.S. via BlueCard, April 2023

2022

• BCBS Global Plans Provide Members with Medical Services in U.S. via BlueCard, November 2022

• NYC Medicare Advantage Plus Implementation Update, March 2022 
• BC Canada Members Access U.S. Coverage via BlueCard, February 2022
• NYC Medicare Advantage Plus Plan, January 2022

2023

• Care Programs Filter, Export, and More, November 2023

2022

• How to Access Quality Program Information Online, December 2022
• Health Assessments Offered to Commercial Patients Who May be at Risk for Chronic Conditions, August 2022
• Medicare Adv Care Services Available at No Extra Cost, June 2022
• Advanced Care Planning Update, May 2022

2024

• New Caregiver Resources for your Patients, December 2024
• Our Community Resources Can Help Your Patients at No Extra Cost, August
• GuideWell Releases Annual Impact Report, April 2024

2023

• Help for Those Losing Medicaid or CHIP Benefits

2024

• D-SNP Basic Training for Med Adv HMO Provider Groups, November 2024
• Policies Preventing Medicare Advantage Fraud, Waste, and Abuse, October 2024
• D-SNP Basic Training for Med Adv HMO Provider Groups, Sept 2024
• D-SNP Basic Training for Med Adv HMO Provider Groups, April 2024
• CMS to Conduct National Audit to Identify Improper Medicare Advantage Payments, January 2024

2023

• Reminder for MA Providers: Review Policies for Preventing Medicare Fraud, Waste & Abuse, October 2023
• D-SNP Basic Training Required for Medicare Advantage HMO Provider Groups

2022

• Reminder for MA Providers: Review Polices for Preventing Medicare Fraud, Waste & Abuse, September 2022

2025

• New Postal Employee Member ID Cards for Blue Basic, Standard, and Blue Focus, January 2025

2024

• Asthma Medication Ratio, October 2024

• Patient Experience Matters for Your CAHPS Survey Results, October 2024

• Sign Up for Florida Blue's Next HEDIS Innovations Webinar on October 29

• Antibiotic Awareness for Acute Bronchitis/Bronchiolitis, August 2024

• The Importance of Influenza Vaccinations, August 2024

• New Member ID Cards for FEP Blue Basic and Blue Standard Options, July 2024

• You Can Help Improve Your Patients’ Health Care Experience, July 2024

• Promoting Children’s Health via Childhood Immunization Status (CIS), June 2024

• Register to Attend Florida Blue’s Next HEDIS Innovations Webinar on July 30, June 2024

• Use of Imaging Studies for Low Back Pain (LBP), April 2024

• Encouraging Breast Cancer Screening for Members, April 2024
• CAHPS Survey: Help Improve Your Patient's Experience, April 2024
• Pregnancy Care Incentive Program for FEP Members, March 2024
• Register to Attend Florida Blue’s First HEDIS Innovations Webinar on April 23 Hosted by FEP, March 2024
• CPT II Codes Provide Valuable Member Health Information, March 2024
• Educating Members on Emergency, Non-Emergency, and Urgent Care Use, February 2024
• Advocating Antidepressant Medication Adherence, January 2024
• Promoting Statin Medication Adherence in Patients With Cardiovascular Disease, January 2024
• Encouraging Follow-Up Reviews After Emergency Department and Other Visits, January 2024
• CAHPS Survey: You Can Help Improve Your Patients’ Health Care Experience, January 2024

2023

• New Member ID Cards for FEP Blue Focus, December 2023
• Antibiotic Awareness Week is November 18 - 24, November 2023
• Helping Patients Control Blood Pressure with Healthy Choices, October 2023
• Helping Patients Maintain a Good Childhood Immunization Status, September 2023
• Flu Shot Reminder Could Influence Patients’ CAHPS-Survey Response, September 2023
• Federal Employee Program Use of Imaging Studies for Low Back Pain (LBP), August 2023
• FEP - Hemoglobin A1c Control for Patients with Diabetes (HBD), July 2023
• Encouraging Breast Cancer Screening for FEP Members, July 2023
• Reminding FEP Members of Options When Seeking Non-Emergency Medical Care, July 2023
• CAHPS Survey: You Can Make a Difference in Your Patients’ Satisfaction, July 2023
• Colon Cancer Screening FEP Member Incentive Program, April 2023
• CAHPS Survey: Make a Difference in Your Patients’ Satisfaction, April 2023
• Pregnancy Care Program for FEP Members, January 2023
• CAHPS Survey: You Can Make a Difference in Your Patients' Experience, January 2023

• HEDIS Measure: Statin Therapy for Patients with Cardiovascular Disease, January 2023

• HEDIS Measure: Plan All-Cause Readmissions, January 2023

2022

• Antibiotic Awareness Week (November 18-24, 2022), November 2022

• CAHPS Survey: You Can Make A Difference in Your Patients' Health Care Experience, October 2022
• CPT II Codes to Close Patient Care Gaps, June 2022
• Encouraging Breast Cancer Screening for FEP Members, June 2022
• Follow Up After Emergency Department Visit For Mental Illness , June 2022
• CAHPS Survey: Boost Your FEP Patients’ Satisfaction, June 2022
• Encouraging Colon Cancer Screening for FEP Members, May 2022
• FEP CAHPS Survey: You can make a difference in your patient's satisfaction, February 2022

2024

• CMS to Conduct National Audit to Identify Improper Medicare Advantage Payments, January 2024

2023

• Commercial HMO Plans’ Occupational, Physical, & Speech Therapy Referral and Authorization Requirements, August 2023
• Update: myBlue HMO Plan Highlights to Help Reduce Claims, Coding Errors, August 2023
• Help for Those Losing Medicaid or CHIP Benefits

2022

• Finding myBlue Product Information in Availity, January 2022
• Finding myBlue PCP Information in Availity, January 2022

2022

• myBlue Quality and Efficiency Reporting Portal (QERP), January 2021

2025

• New Categories for Medicare Advantage Part B Step Therapy, December 2024

2024

• Medicare Health Plan Changes for 2025, November 2024
• New BlueMedicare PPO Policy for Diabetes Glucose Monitors & Supplies, October 2024

• Part B Step Therapy Updates for Medicare Members, October 2024

• Part B Step Therapy Updates for Medicare Members, June 2024

• Part B Step Therapy Updates for Medicare Members, April 2024

2023

• Modivcare is the New Transportation Vendor for Florida Blue Medicare Advantage D-SNP Members, November 2023
• BlueMedicare Health Plans are Expanding in 2024, October 2023
• Number of Referral Visits Increase for BlueMedicare HMO, February 2023
• CMS to Conduct National Audit to Identify Improper Medicare Advantage Payments, January 2023

2022

• BlueMedicare Health Plans Are Expanding in 2023, October 2022

• CMS National Audit to Identify Improper Medicare Advantage Payments, January 2022

2023

• Behavioral Health Services Reminder for myBlue Members, August 2023
• Commercial HMO Plans’ Occupational, Physical, & Speech Therapy Referral and Authorization Requirements, August 2023
• Update: myBlue HMO Plan Highlights to Help Reduce Claims, Coding Errors, August 2023

2024

• Help Your Patients Manage Stress With meQuilibrium, January 2024

2023

• Help Your Patients Manage Stress With meQuilibrium, June 2023
• Asthma Awareness Initiatives Help Improve Health Outcomes, June 2023

2022

• Healthy Food Benefit for Medicare/Medicaid Dual-Eligible Members with a Qualifying Condition, March 2022
• New digital tool helps your patients build resilience, February 2022

2024

• A Thank You to Physicians, Celebrating You on National Doctors' Day, March 2024
• Self-Service Resources to Alleviate Recent Disruptions, February 28, 2024

2023

• Florida Blue, GuideWell Release Annual Impact Report, April 2023
• National Doctor's Day is March 30! We Celebrate You! March 2023

2022

• Introducing Salus Clinic to Florida Blue and Truli Members Traveling to Puerto Rico, December 2022

2024

• Notice to Providers Regarding Relaxations for Hurricane Milton Ending, October 2024
• Updated Information for Providers and Members Affected by Hurricane Milton, October 2024
• Prior Authorization and Important Updates for Members Affected by Hurricane Milton, October 2024
• Hurricane Season Begins June 1

2023

• Hurricane Season Is Here. Important Guidelines to Know, May 2023

2022

• Relaxed Prior Authorizations and Relaxed Referral Requirements for Florida Blue, Florida Blue Medicare, and Truli Patients Affected by Hurricane Ian and Hurricane Nicole Are Ending, November 2022

• Prior Authorization and Important Updates for Florida Blue, Florida Blue Medicare, and Truli Patients Affected by Hurricane Ian, September 2022
• Important Information for Florida Blue, Florida Blue Medicare, and Truli Patients Affected by Hurricane Ian, September 2022
• It Is Hurricane Season. Important Guidelines to Know, June 2022

2025

• Important Update About Ophthalmic Drug (Avastin) for Medicare Advantage Providers, January 2025

2024

• Reminder of In-Network Specialty Pharmacies, December 2024
• Genoa Pharmacy Now In-Network for Dispensing and Administering LAI Drugs, December 2024
• Best Practices for Submitting Pharmacy Prior Authorization Requests, December 2024
• Commercial and Other Pharmacy Updates Effective Jan. 1, 2025, December 2024
• Removal of Some Medications from Condition Care Rx Program, November 2024
• Important Update About Ophthalmic Drug (Avastin) for Medicare Advantage Providers, November 2024
• Commercial and Other Pharmacy Program Updates, Effective October 1, 2024, September 2024
• Help Your Patients Save Money at the Pharmacy With Real-Time Benefit Check, August 2024
• Biosimilars First Required Before Neulasta/Neulasta OnPro Brands for Commercial Plans as of October 1, August 2024
• Genoa Pharmacy Now In-Network for Long-Acting Injectable Drugs, July 2024
• Commercial and Other Pharmacy Program Updates, Effective July 1, 2024, June 2024
• Update: What You Need to Know About GLP-1 Drug Coverage, April 2024
• Commercial and Other Pharmacy Program Updates Effective April 1, 2024, March 2024

2023

• Prior Auth No Longer Required for Preferred CGMs and Supplies for BlueMedicare Patients, December 2023

• Part B Step Therapy Updates for Medicare Advantage, December2023

• Winn Dixie Pharmacy Closure for Commercial, Medicare, and Truli Plans Effective Now, December 2023

• Best Practices for Submitting Pharmacy Prior Authorization Requests, December 2023

• Commercial and Other Pharmacy Program Updates Effective January 1, 2024, November 2023

• Important Update about Ophthalmic Drug (Avastin) for Medicare Advantage Providers, October 2023

• What You Need to Know About Coverage for GLP-1 Drugs, November 2023

• Commercial and Other Pharmacy Program October 1 Updates, September 2023

• Medicare Advantage Patients See Lower Costs For Part B Drugs Under Inflation Reduction Act, August 2023

• Part B Step Therapy Updates for Medicare Advantage, May 2023

• July 1 Commercial & Other Pharmacy Program Updates, May 2023

• 2023 Fee Schedule Changes for Certain J and Q Code Drugs, May 2023

• Updated -- Prior Authorization Streamlined for Continuous Glucose Monitors, Supplies, May 2023

• 100-Day Supply Prescriptions Help Your Medicare Patients, May 2023

• April 1 Commercial & Other Pharmacy Updates, March 2023

• Additional Considerations for Pharmacy Prior Authorizations, February 2023

• Refresher on Submitting Pharmacy Prior Authorization Requests, January 2023

• Opioid Crisis & Life-Saving Medication: Web Resources Now Available, January 2023

• Part B Step Therapy Changes Affect Medicare Advantage Members, January 2023

2022

• Important Medicare Information for Insulin and Adult Vaccine Coverage, December 2022

• Ozempic Pen Injection Shortages May Continue, December 2022

• Generic Rx Extended Day Supply to Increase for Medicare Advantage Members, December 2022

• Commercial and Other Pharmacy Updates, December 2022

• New Process to Fill BlueMedicare Diabetic Maintenance Prescriptions, December 2022

• Shortages May Continue for Amphetamine/Dextroamphetamine Salt Tablets, October 2022

• Amazon Pharmacy Home Delivery Begins January 1 for Florida Blue, Truli, October 2022

• New-to-Market Program for Provider-Administered Medications, June 2022
• Commercial and Other Pharmacy Updates, June 2022
• Retacrit Supply Disruption Expected, May 2022
• How to Prevent Denials for Provider-Administered Buy and Bill Drug Claims, April 2022
• Amazon Pharmacy Now Available as Home Delivery Service, March 2022
• Commercial and Other Pharmacy Program Updates, March 2022

2024

• Remind Your Patients to Get Their Flu Shot, September

2023

• Local Spread of Dengue Fever Occurring in Florida, October 2023

• Florida Department of Health Issues Mosquito-Borne Illnesses Advisory, July 2023

• End of Public Health Emergency: Medicare Advantage Plans Returning to Standard Benefits, April 2023

• End of Public Health Emergency: Florida Reinstating Medicaid Status Review, April 2023

• COVID-19 Billing Guidelines, April 2023

• COVID-19 Update, April 2023

• COVID-19 Billing Guidelines, March 2023
• COVID-19 Public Health Emergency Expected to End Soon, March 2023
• Select Monoclonal Antibody Treatment No Longer Authorized, February 2023
• COVID-19 Billing Guidelines, February 2023
• COVID-19 update, January 2023

2022

• Reminding Patients There Is Still Time to Get Their Flu Shot, November 2022

• Remind Patients to Get Their Flu Shots, October 2022

• COVID-19 update, September 2022
• Important Update: Monoclonal Antibody Treatment, September 2022
• It Is That Time of Year: Remind Patients to Get Their Flu Shots, September 2022
• Monkeypox update , August 2022
• Important Update: Monoclonal Antibody Treatment, July 2022
• COVID-19 update, April 22, 2022
• COVID-19 update, January 28, 2022
• Certain Monoclonal Antibody Treatments Halted, January 2022
• Important Update Regarding Monoclonal Antibody Treatment for High-Risk COVID-19 Patients, January 2022

2025

• Statins for Patients with Diabetes and Cardiovascular Disease, January 2025
• Provider Post-Office Visit Survey Paused, January 2025

2024

• 2024 Medical Record Review Results, December 2024
• HEDIS Minimum Documentation Guide for Measurement Year 2024, October 2024
• Urge Your Patients with Diabetes to Complete Their Annual Eye Exam, October 2024
• Improve Health Outcomes: HEDIS AAB, CWP, LBP, URI, October 2024
• End-of-Year HEDIS Deadlines, October 2024
• Access Policies, Quality Program Information Online, October 2024
• Encouraging Your Patients to Complete Preventive Health Screenings, July 2024
• Coding Newsletter – Alzheimer’s, June 2024
• Health Outcomes Survey: Tips to Help Your Patients, June 2024
• Coding Newsletter – ICD-10-CM Updates, April 2024
• Register to Attend Florida Blue’s Next HEDIS Innovations Webinar on July 30, June 2024
• Antidepressant Medication Management (AMM) Measure Bulletin and FAQs, May 2024
• Coding Newsletter – Arthritis, May 2024
• Register to Attend Florida Blue’s First HEDIS Innovations Webinar on April 23 Hosted by FEP, March 2024
• Coding Newsletter – Annual Wellness Visit, March 2024
• Coding Newsletter – New CMS-HCC Model V28 Perinatal and Congenital Codes, February 2024
• Coding Newsletter – Medicare Advantage Coding Tips from the OIG Toolkit, January 2024

2023

• 2023 Medical Record Review Results Now Available, December 2023
• HEDIS Deadlines for Measurement Year 2023, December 2023
• HEDIS Minimum Documentation Guide for Measurement Year 2023, December 2023
• Coding Newsletter – Angina Pectoris, December 2023
• Coding Newsletter – Chronic Obstructive Pulmonary Disease, November 2023
• How to Access Quality Program Information Online, November 2023
• ICD-10-CM Coding Updates for FY 2024, October 2023
• Coding Newsletter – Chronic Kidney Disease, September 2023
• Supporting Patient Response to HOS Survey, August 2023
• Coding Newsletter -- Lung Cancer, August 2023
• Coding Newsletter – Peripheral Vascular Disease, July 2023 
• Coding Newsletter – Sickle Cell Disease, June 2023
• Coding Newsletter – Annual Wellness Visit, May 2023
• Coding Newsletter – CMS-HCC Model (V28), April 2023
• Tips for CAHPS Success Are Available, April 2023

2022

• How to Access Quality Program Information Online, December 2022

• QRPM Coding Newsletter -- Documentation, December 2022

• HEDIS Minimum Documentation Guide for Measurement Year 2022, December 2022

• HEDIS Deadlines for Measurement Year 2022, December 2022

• QRPM Coding Newsletter -- Coding Updates, October 2022

• QRPM Coding Newsletter -- Diabetes, September 2022
• Upcoming Member Health Outcomes Survey: You can Make a Difference, August 2022
• QRPM Coding Newsletter – Chronic Kidney Disease, July 2022
• QRPM Coding Newsletter - Telehealth Documentation and Coding, June 2022 
• QRPM Coding Newsletter - Peripheral Vascular Disease, May 2022
• CAHPS and HOS: Your Patient's Experience Matters, May 2022
• QRPM Coding Newsletter - Congestive Heart Failure, April 2022
• QRPM Coding Newsletter - Morbid Obesity, March 2022
• Comprehensive HEDIS and Documentation Coding Guide 2022, March 2022

• FEP Quick Reference Guide 2022, March 2022

• CAHPS Survey Tips for Success, April 2022

• HOS Survey Tips for Success, April 2022
• QRPM Coding Newsletter - Social Determinants of Health, February 2022
• We May Be Requesting Your Florida Blue Member Records, January 2022
• QRPM Coding Newsletter - Annual Wellness Visit

2025

• 2025 Medicare Advantage Provider Quality Bonus Program

2024

• Post Provider Visit Survey Results Monthly Report: Star Score Alignment and Thresholds, July 2024
• LetsGetChecked to Assist with Medicare Advantage Colorectal Cancer Screening, May 2024
• Medicare's Annual Wellness Visit, February 2024
• 2024 Medicare Advantage Annual Wellness Visit Provider Bonus Program, February 2024
• 2024 Medicare Advantage Provider Quality Bonus Program

2023

• Diabetes Screening May Help Patients on Antipsychotic Drugs, November 2023

• CPT II Coding Spot Bonuses Now Through December, October 2023

• Supporting Patient Response to HOS Survey, August 2023

• 2023 Stars AWV Bonus Offer is Extended, July 2023

• 2022 Medicare Stars Provider Quality Bonus Payment and Results, July 2023

• Provider Best Practices Toolkit for CAHPS/HOS for 2023, May 2023

• CAHPS Quality Measures Tips to Success, April 2023

• Medicare Stars HEDIS Best Practices for 2023, April 2023

• 2023 Stars Med Adv Provider Quality Bonus Terms & Conditions, February 2023

2022

• HEDIS Measure Links Medications for Older Adults to Diagnosis, October 2022

• Diabetes Screening May Help Patients on Antipsychotic Drugs, October 2022

• Upcoming Member Health Outcomes Survey: You can Make a Difference, August 2022
• Stars Medicare Adv Quality Provider Bonus Results and Payment, June 2022
• CAHPS and HOS: Your Patient's Experience Matters, May 2022
• Medicare Stars Best Practices for 2022, March 2022
• 2022 Medicare Adv Provider Quality Bonus Program Terms & Conditions, February 2022

2025

2024

• Reminder About New Prior Authorizations User Experience in Availity Essentials With Additional Enhancements, October 2024

• Provider Portal Delivers Customized and Other Communications, October 2024

• Important Availity Security Update, October 2024

• ProviderVista Updates: Summary Dashboard and VB Roster, October 2024

• New User Experience for Prior Authorizations and Attachment Capabilities Coming to Availity Essentials, August 2024

• Florida Blue Prior Authorization Enhancement in Availity, July 2024

• Medication Management View Updates in Provider Portal, June 2024

• Reminder About the Social Determinants of Health Dashboard in ProviderVista, July 2024
• Self-Service Resources to Alleviate Recent Disruptions, February 2024
• How to Manage Your Provider Record in the GuideWell Portal, January 2024

2023

• Enhanced Medication Features Now Available on Our Commercial and Medicare Provider Portals, December 2023
• Attention Passport Users: Passport is Retiring. Its Tools will Migrate to Provider Portal, November 2023
• Update: Acupuncture Benefits Displayed in Availity E&B Tool, November 2023
• Care Programs Filter, Export, and More, November 2023
• Latest Portal Updates: Facilities by Events and Triggers, September 2023
• Provider Portal Access Will Pause Until Profile is Validated, September 2023
• Care Programs Now Displayed in Provider Portal, September 2023
• Availity Updates to Reduce Holds on Stroke Claims, August 2023
• When and How Acupuncture Benefits Display in Availity's E&B Tool, August 2023
• Provider Portal Census and Coding Opportunities Updates for Commercial and Medicare Patient Data, July 2023
• Self-Service Tool for Updating Provider Record Now Managed in Guidewell Portal, July 2023
• Availity Upgrades to Claims Submission Responses, E&B Information, July 2023
• Create Care Program Referrals on the ProviderVista Platform, June 2023
• New Template Feature Added to Availity Authorization and Referral Screens, May 2023
• Provider Link Behavioral Health Indicators, April 21, 2023
• Create Care Program Referrals on the ProviderVista Platform, April 2023
• Social Determinants of Health on ProviderVista, April 2023

2022

• Enhancements to the Census Page in ProviderVista and Provider Link, December 2022

• ProviderVista, Provider Link Updates to Roll Out Through the End of 2022. November 2022

• Provider Link Update Brings You More Information and Insight, September 2022

• Attn PCPs: Improved Referral Search Results for Specialists, October 2022
• New Telehealth Services Field in Self-Service Tool, September 2022
• Clinical Quality Validation Form to Retire This Year, September 2022
• Keep Your Profile Information Current to Stay Listed in Our Provider Directories, May 2022
• Provider Link Updates: Coding Opportunities and Care Gap Exports, June 2022
• Provider Link, New Feature: You've Got Mail, June 2022
• New Member/AWV Enhancement, May 2022
• ProviderVista: Enhancements to Exports Underway, April 2022
• New Feature Added in Provider Link, March 2022
• Verify or Update Your Profile Information to Stay in Our Online Provider Directories, March 2022

2024

• Changes to Medicare Advantage Hip, Knee, and Spine Care Utilization Management Programs, December 2024
• EMI Reminders for Referrals and Authorizations, December 2024
• Update to the Advance Care Planning Program, October 2024
• Part B Drug Prior Authorization Code Updates for Medicare Advantage Members, May 2024
• Evolent Prior Authorization Programs' Code Updates for Medicare Advantage Members, May 2024
• Advance Care Planning Program Update, May 2024
• Update : Living Well Program for Advanced Care and Planning, May 2024
• Part B Step Therapy Updates for Medicare Members, April 2024
• Part B Step Therapy Updates for Medicare Members, March 2024
• Cardiology Management Program for Med Adv Member Updated FAQs, February 2024

2023

• Cardiology Management Program for Med Adv Member FAQs, November 2023

• New Century Health to Manage Cardiovascular Services for Medicare Advantage Members, September 2023

• Availity AuthAI (formerly Olive) for Radiology, Hip and Knee, and Musculoskeletal UM Authorizations, August 2023

2022

• Certain Authorization Requests Will Redirect to Olive as of December 1, 2022

• Changes Coming to Medicare Advantage Radiology Utilization Management, September 2022 
• Changes Are Coming for Our Radiology Utilization Management Program, May 2022
• Changes Are Coming for Our Musculoskeletal Care Management Program, May 2022
• Olive Technology Will Improve Authorization Process for Hip and Knee Surgeries, March 2022