Provider Notification: Payment Policy Update

Date: 04/18/23

Dear Provider,

Thank you for your continued partnership with Ambetter from Absolute Total Care. As you know, we continually review and update our payment and utilization policies to ensure that they are designed to comply with industry standards while delivering the best patient experience to our members. We are writing today to inform you of the revision to existing policies Ambetter from Absolute Total Care will be implementing effective 06/01/2023.

Policy Number	Policy Name	Policy Description	Effective Date	Lines of Business
CP.MP.100	Allergy Testing and Therapy	Policy updated to reflect Current Procedural Terminology (CPT®), Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases, Tenth Edition (ICD-10) code guidelines. A comprehensive summary of changes is provided at the bottom of the policy document for reference.	06/01/2023	Marketplace and  Medicaid
CP.MP.97	Testing for Select Genitourinary Conditions	Policy updated to reflect Current Procedural Terminology (CPT®), Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases, Tenth Edition (ICD-10) code guidelines. A comprehensive summary of changes is provided at the bottom of the policy document for reference.	06/01/2023	Marketplace and Medicaid

 
For detailed information about these policies, please refer to our website at ambetter.absolutetotalcare.com. And for questions about this or any of our payment policies, please don’t hesitate to reach out to our Provider Services team at 1-833-270-5443.

Sincerely,

Ambetter from Absolute Total Care