Connecticut
Provider Communications

August 2021 Connecticut Provider News

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Title Category

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

Products & Programs

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

Products & Programs

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

Administrative

Strategic Provider System to be implemented in August 2021

Administrative

Specialty pharmacy updates effective November 1, 2021

Pharmacy

Specialty dose rounding program for certain oncology medications

Pharmacy

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

Pharmacy

Some requests to AIM require documentation to support prior authorization

Administrative

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

Pharmacy

Reminder: Covered Connecticut Program began July 1, 2021

Administrative

Reimbursement policy update:  Virtual Visits - professional and facility

Reimbursement Policies

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

Reimbursement Policies

Reimbursement policy update: Claims requiring additional documentation (facility)

Reimbursement Policies

Register now for our August CME webinars

Administrative

Preventing claim denials: Shingles vaccine

Medicare

Pharmacy information available on anthem.com

Pharmacy

New! Schedule appointments online through Availity

Digital Tools

Keep up with Medicare news

Medicare

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

Pharmacy

Clearing up coding confusion for retinal eye exams (DRE)

Administrative

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

Federal Employee Plan (FEP)

Anthem to update formulary lists for commercial health plan pharmacy benefit

Pharmacy
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