2023 News and Updates

03/15/2023 Changes to CPCP027 Inpatient Readmissions Policy Effective 07/01/2023

03/13/2023 Screening and Follow-Up Care for Maternal and Mental Health 

03/13/2023 Caring for Substance Use Disorders

03/13/2023 Monitoring Children Using ADHD Medications

03/10/2023 AIM Specialty Health Changes Its Name to Carelon Effective March 1, 2023

03/09/2023 Medicare Advantage Annual Health Assessment Incentive FAQs – 2023

03/09/2023 Notifications for Prior Authorization Exemptions for July 1 to Dec. 31, 2022 Review Period

03/08/2023 Annual Review: TXCPCP003 Surgical and Non-Surgical Services Policy Update Effective March 9, 2023

03/07/2023 Earn Continuing Education Credit through Webinar on Opioids 

03/07/2023 Earn Continuing Education Credit through Webinar on Maternal Mental Health

02/28/2023 CPCP006 Preventive Services Policy Update Effective March 1, 2022 

02/27/2023 Pharmacy Program Quarterly Update, Part 2:
Changes Effective Jan. 1, 2023

02/22/2023 Prior Authorization and Claim Reconciliation for Neonatal Intensive Care Unit Services Effective 04/16/2023 

02/21/2023 New for 2023: Specialty Pharmacies Added In-Network

02/21/2023 CPCP003 Emergency Department Evaluation and Management (E/M) Services Coding – Facility Services effective 02/22/2023

02/16/2023 CPCP022 Pneumatic Compression Devices – Outpatient Use Update – Effective 05/17/2023

02/16/2023 Help Close Gaps in Care for Group Medicare Advantage Members

02/15/2023 CPCP017 Wasted/Discarded Drugs and Biologicals Policy – Effective 05/16/2023

02/14/2023 Pharmacy Program Updates: Quarterly Changes Effective April 1, 2023- Part 1

02/10/2023 Verify Your Directory Details Every 90 Days

02/09/2023 New Support Program for Members with Kidney Disease

02/08/2023 Survey to Assess Medicare Advantage Members’ Experiences

02/03/2023 Closing Gaps in Colon Care

02/03/2023 Earn Continuing Education Credit through Webinar on Bipolar Disorder

02/02/2023 Quality Care: Screening for Depression

02/02/2023 Cultural Awareness Webinars: Earn Continuing Education Credit

01/30/2023 Prior Authorization Exemption Communication Method Preference

01/30/2023 Update to Prior Authorization Codes for Medicare Members, Effective April 1, 2023

01/20/2023 How to Identify UT CARETM Members

01/17/2023 Correction - Prior Authorization Codes for Commercial Members Updated Effective April 1, 2023

01/09/2023 2022 Annual HEDIS®/QRS Reports

01/06/2023 Predetermination is Changing to Recommended Clinical Review

01/06/2023 Supporting Heart Health Equity

01/04/2023 Annual Review: CPCP036 Paravertebral Facet Injection Procedure Coding & Billing Policy Update Effective 01/06/2023

01/04/2023 Annual Review: CPCP0019 Home Infusion Update Effective 01/05/2023

01/04/2023 CPCP026 Therapeutic, Prophylactic and Diagnostic Injection and Infusion Coding Update Effective 04/05/2023

01/03/2023 ClaimsXten™ Quarterly Update Effective April 17, 2023