Resources Portlet

Resources

EDUCATION & EVENTS

ENROLLMENT & CREDENTIALING

FORMS & MANUALS

PHARMACY

POLICIES & GUIDELINES

PROGRAMS & INITIATIVES

AMA/FEP Hypertension Management Project

Behavioral Health

Choosing Wisely®

Documentation & Coding

Genetic Testing Program

Healthcare Reform

NCQA Diabetes Recognition Program

NCQA Patient-Centered Medical Home

Opioid Management

Patient Satisfaction

Physician Performance Assessment (PPA)

Preferred Radiology Program

Radiation Therapy Management

Select Programs

Telemedicine

PROVIDER eSOLUTIONS

PROVIDER NETWORKS

Dynamic Rendering Portlet

PROGRAMS & INITIATIVES

Provider Programs and Initiatives

Blue Cross and Blue Shield of Alabama's provider programs and initiatives are designed to benefit our providers. Our goal is to work with you to ensure high-quality care and a positive experience for our members, your patients. This section will allow you to learn about the various programs and initiatives currently available. Check this section regularly for updates to existing programs, as well as information on future programs and initiatives.

Alabama Quality Initiatives
Blue Cross and Blue Shield of Alabama is committed to the development, implementation, administration and monitoring of programs designed to promote the delivery of quality healthcare and services. As a result, Blue Cross maintains a Quality Management (QM) program designed to promote compliance with applicable standards and regulations by systematically monitoring, evaluating and improving the care and service delivered to customers while focusing on health status, health outcomes and experience.
Important Information for Providers
This brochure highlights information that providers will find helpful regarding Blue Cross policies and practices for Quality Management. Topics include: Member’s Rights and Responsibilities, Prescription Drug Guides, Behavioral Health Services, Practitioner Rights, Access to Utilization Management Staff, Provider Financial Incentives Policy, Case Management, Clinical Practice Guidelines and Disease Management.