Medicare Advantage Provider

Policy and Procedures

Education

Newsletters

10/29/2024 - Complete Required CMS Demographics Attestation
10/08/2024 - *Action Required* Submit Your MA Rate Letters
05/02/2024 - Blue Medicare Advantage: Confirm your Provider Directory Information
01/30/2024 - 2024 Blue Medicare Advantage Stars Incentive Program
01/11/2024 - Kansas Preferred Blue Medicare Advantage (MA PPO) Network Enrollment
11/29/2023 - MA Mailing Addresses Changing
11/21/2023 - New 2024 Medicare eligible providers: Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs)
11/15/2023 - Reminder: 2023 Deadlines for Blue Medicare Advantage Care Gap Closure
10/30/2023 - *Action Required* Submit Your MA Rate Letters
09/05/2023 - Billing Hemoglobin A1c Labs for Blue MA Patients
05/15/2023 - MA refraction coverage update
05/04/2023 - Symphony 6.0 is coming on Monday, June 5th, 2023
03/28/2023 - 2023 Blue Medicare Advantage Stars Incentive Program
01/30/2023 - Medicare Advantage Claims for Unlisted and Not Otherwise Classified (NOC) Codes
12/13/2022 - Pharmacy Benefit Manager (PBM) Change for BCBS MA Medicare Advantage
10/26/2022 - Updating and Certifying Provider Data in the Centers for Medicare & Medicaid Services’ National Plan & Provider Enumeration System
03/23/2022 - Sequestration Resumes
12/22/2021 - Medicare Advantage Home Health Billing Update
11/23/2021 - Manage osteoporosis to limit disability
10/12/2021 - Help improve diabetic patient health while reducing medical record review requests
09/20/2021 - Encourage eligible Medicare Advantage patients to get screened for colorectal cancer
08/20/2021 - Remind your eligible patients to get regular mammograms
07/16/2021 - Remember to discuss fall risk, urinary incontinence, and physical activity with Medicare patients
06/11/2021- Importance of statin therapy for patients with cardiovascular disease and diabetes
05/12/2021 - Medication reconciliation post-discharge is critical to patient safety and care coordination efforts
04/13/2021 - Blood pressure coding can reduce HEDIS® medical record requests
03/17/2021 - Advanced illness and frailty exclusions allowed for HEDIS® star measures
03/09/2021 - New Medicare Advantage Payment Method – EFT and Paper Remittance
02/26/2021 - Telehealth visits available to Medicare Advantage patients including annual wellness visits
02/24/2021 - Gain insights from CAHPS research on improving the patient experience
02/23/2021 - UNDERSTANDING STAR RATINGS - An introduction to the Centers for Medicare & Medicaid Services star ratings program
02/15/2021 - New MA Alpha Prefix with New Look
12/11/2020 - Medicare Advantage Prior Authorization Change (Updated 12/23/2020)
11/18/2020 - Medicare Advantage Interim Rate Letters
11/12/2020 - COVID-19 Vaccine Coverage
05/20/2020 - Temporary Suspension of Sequestration (Updated 03/23/2022)
05/13/2020 - Remote Electronic Medical Records Access
03/20/2020 - Kansas Preferred Blue Medicare Advantage Utilization Management Changes Due to COVID-19
12/17/2019 - Welcome to Medicare Advantage

Medicare Advantage Workshops

Medicare Advantage Risk Adjustment Tip Sheets

Medicare Advantage Stars Tip Sheets

Please see the Understanding STAR Ratings Manual document above. As these items have been combined into that document.

Webinars

02/18/2020 - Tru Hearing Medicare Advantage
01/16/2020 - Medicare Advantage webinar recording with Q&A

Forms

Prior Authorization Assessment

Advance Benefit Notices

Advanced Directives
Advanced Beneficiary Notice of Non-Coverage (ABN) (compressed zip file)
Detailed Explanation of Non-Coverage (DENC) (compressed zip file)
Medicare Outpatient Observation Notice (MOON)
Notice of Medicare Non-Coverage (NOMNC) (compressed zip file)

Medicare Advantage Provider Offset Request

Medicare Advantage Provider Offset/Check Request Form

Waiver of Liability

Model Waiver of Liability (compressed zip file)