Connecticut
Provider Communications

August 2021 Connecticut Provider News

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Title Category

Anthem to update formulary lists for commercial health plan pharmacy benefit

Pharmacy

Change in email submission of service requests for Federal Employee Program® members

Federal Employee Plan (FEP)

Clearing up coding confusion for retinal eye exams (DRE)

Administrative

Immune globulin adjusted body weight dosing program begins August 1, 2021

Pharmacy

Keep up with Medicare news

Medicare

New! Schedule appointments online through Availity

Digital Tools

Pharmacy information available on anthem.com

Pharmacy

Preventing claim denials: Shingles vaccine

Medicare

Register now for our August CME webinars

Administrative

Reimbursement policy update: Claims requiring additional documentation (facility)

Reimbursement Policies

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU

Reimbursement Policies

Reimbursement policy update:  Virtual Visits - professional and facility

Reimbursement Policies

Reminder: Covered Connecticut Program began July 1, 2021

Administrative

Reminder: New requirement to obtain certain specialty drugs from CVS Specialty Pharmacy

Pharmacy

Some requests to AIM require documentation to support prior authorization

Administrative

Specialty dose rounding program for certain non-oncology medications effective August 1, 2021

Pharmacy

Specialty dose rounding program for certain oncology medications

Pharmacy

Specialty pharmacy updates effective November 1, 2021

Pharmacy

Strategic Provider System to be implemented in August 2021

Administrative

Telehealth visits can impact after-hospitalization follow-up care for mental illness

Administrative

Transition to AIM Specialty Health Imaging of the Heart Clinical Appropriateness Guideline for computed tomography to detect coronary artery calcification

Products & Programs

Updated AIM Musculoskeletal Program effective November 1, 2021 - site of care reviews

Products & Programs
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