Connecticut
Provider Communications

Articles

Title Publication Category Date

What Matters Most online CME course: Improving the Patient Experience

October 2020 Anthem Connecticut Provider News Administrative Oct 1, 2020

Reimbursement policy update: Laboratory and Venipuncture - professional

October 2020 Anthem Connecticut Provider News Reimbursement Policies Oct 1, 2020

Medical policy and clinical guideline updates

October 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Oct 1, 2020

Federal Employee Program expands specialty pharmacy prior authorization list

October 2020 Anthem Connecticut Provider News Federal Employee Plan (FEP) Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Prior authorization requirement changes effective December 1, 2020

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Prior authorization requirement changes effective January 1, 2021

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Provider transparency update

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Medical drug benefit clinical criteria updates

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Telehealth Updates for Anthem Connecticut Providers Due to COVID-19 (updated September 23, 2020)

We recently updated information about the temporary suspension of telehealth certification requirements and reimbursement rates.
COVID-19 Information - Connecticut Administrative Sep 23, 2020

Site of care medical necessity reviews expands to additional surgical procedures beginning December 1, 2020

September 2020 Anthem Connecticut Provider News Products & Programs Sep 1, 2020

Formulary lists updated for commercial health plan pharmacy benefit

September 2020 Anthem Connecticut Provider News Pharmacy Sep 1, 2020

Specialty pharmacy updates effective December 2020

September 2020 Anthem Connecticut Provider News Pharmacy Sep 1, 2020

New provider directory indicators for medication assisted treatment (MAT) providers

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Interactive Care Reviewer self-service, online prior authorization tool now available for Anthem and FEP membership

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

EDI Gateway migration deadline is September 15, 2020

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Patient360 adds care gap alert feedback for medical providers

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Enhanced medical records submission process to support claims processing

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

BlueCare Prime HMO Plans’ PCP referral requirements

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Important State of Connecticut Employer Group, Connecticut Partnership Plan changes

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Receive and respond to medical record requests for postpay audit via Change Healthcare’s Assurance Attach Assist Module

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Commercial Risk Adjustment (CRA) reporting update: 2020 prospective program continues

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Reimbursement policy update: Distinct Procedural Services - Modifiers 59, XE, XP, XS, XU - professional

September 2020 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Frequency Editing - professional

September 2020 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2020

Medical drug benefit clinical criteria updates

September 2020 Anthem Connecticut Provider News Medicare Sep 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Connecticut Provider News Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Anthem Connecticut Provider News Medicare Sep 1, 2020

Voluntary site of care outreach for oncology checkpoint inhibitors beginning August 1, 2020

August 2020 Anthem Connecticut Provider News Products & Programs Aug 1, 2020

Expansion of AIM Musculoskeletal Program effective November 1, 2020

August 2020 Anthem Connecticut Provider News Products & Programs Aug 1, 2020

Emergency room overdose notification effective August 1, 2020

August 2020 Anthem Connecticut Provider News Behavioral Health Aug 1, 2020

Formulary lists updated for Anthem commercial health plan pharmacy benefit

August 2020 Anthem Connecticut Provider News Pharmacy Aug 1, 2020

Clinical criteria updates for specialty pharmacy

August 2020 Anthem Connecticut Provider News Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Connecticut Provider News Pharmacy Aug 1, 2020

Prior authorization updates for specialty pharmacy effective November 1, 2020

August 2020 Anthem Connecticut Provider News Pharmacy Aug 1, 2020

Coming soon - Interactive Care Reviewer Anthem’s self-service online prior authorization tool

August 2020 Anthem Connecticut Provider News Administrative Aug 1, 2020

Migrate your EDI transactions to Availity today

August 2020 Anthem Connecticut Provider News Administrative Aug 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) ID number required for electronic claims submissions

August 2020 Anthem Connecticut Provider News Administrative Aug 1, 2020

Electronic attachments - X12 275 5010

August 2020 Anthem Connecticut Provider News Administrative Aug 1, 2020

Prior Authorization/Referral Request and Inpatient Admission/Discharge Notification transactions coming soon

August 2020 Anthem Connecticut Provider News Administrative Aug 1, 2020

Medical record standards

August 2020 Anthem Connecticut Provider News Administrative Aug 1, 2020

Resources to support diverse patients and communities

August 2020 Anthem Connecticut Provider News Administrative Aug 1, 2020

Appropriate coding helps provide a comprehensive picture of members’ health

August 2020 Anthem Connecticut Provider News Administrative Aug 1, 2020

Medical drug benefit clinical criteria updates

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

AIM Musculoskeletal Program expansion

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

Keep up with Medicare news

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

July 2020 Anthem Connecticut Provider News Products & Programs Jul 1, 2020

Prior authorization updates for specialty pharmacy effective October 1, 2020

July 2020 Anthem Connecticut Provider News Pharmacy Jul 1, 2020

Clinical criteria updates for specialty pharmacy

July 2020 Anthem Connecticut Provider News Pharmacy Jul 1, 2020

Update: New go live date for level of care medical necessity review of upper and lower endoscopy procedures

July 2020 Anthem Connecticut Provider News Administrative Jul 1, 2020

Interactive Care Reviewer: Anthem’s online prior authorization tool targeted to launch in Q3

July 2020 Anthem Connecticut Provider News Administrative Jul 1, 2020

Availity’s Custom Learning Center

July 2020 Anthem Connecticut Provider News Administrative Jul 1, 2020

New MCG 24th Edition Guidelines

July 2020 Anthem Connecticut Provider News Administrative Jul 1, 2020

Commercial Risk Adjustment (CRA) 2020 Program Year Progression: What’s in it for you and your patients?

July 2020 Anthem Connecticut Provider News Administrative Jul 1, 2020

Updated coverage for HIV PrEP medications

July 2020 Anthem Connecticut Provider News Administrative Jul 1, 2020

Medical policy and clinical guideline updates available on anthem.com

July 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jul 1, 2020

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Connecticut Provider News Federal Employee Plan (FEP) Jul 1, 2020

Medical drug benefit clinical criteria updates

July 2020 Anthem Connecticut Provider News Medicare Jul 1, 2020

In-office assessment program

July 2020 Anthem Connecticut Provider News Medicare Jul 1, 2020

Prior authorization for BiPAP equipment and supplies moving from AIM Specialty Health effective July 1, 2020

July 2020 Anthem Connecticut Provider News Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Anthem Connecticut Provider News Medicare Jul 1, 2020

Keep up with Medicare news

July 2020 Anthem Connecticut Provider News Medicare Jul 1, 2020

Webinar recording now available for providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond

Anthem hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information - Connecticut Behavioral Health Jun 25, 2020

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
COVID-19 Information - Connecticut Administrative Jun 1, 2020

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

COVID-19 Information - Connecticut Administrative Jun 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

June 2020 Anthem Connecticut Provider News Products & Programs Jun 1, 2020

Update: Level of Care Medical Necessity Review of Upper and Lower Endoscopy Procedures delayed

June 2020 Anthem Connecticut Provider News Products & Programs Jun 1, 2020

Enhanced process for submitting behavioral health authorization requests now available

June 2020 Anthem Connecticut Provider News Behavioral Health Jun 1, 2020

Quality Corner - Follow-Up after Hospitalization for Mental Illness

June 2020 Anthem Connecticut Provider News Behavioral Health Jun 1, 2020

Clinical criteria updates for specialty pharmacy

June 2020 Anthem Connecticut Provider News Pharmacy Jun 1, 2020

Prior authorization updates for specialty pharmacy effective September 1, 2020

June 2020 Anthem Connecticut Provider News Pharmacy Jun 1, 2020

Pharmacy information available on anthem.com

June 2020 Anthem Connecticut Provider News Pharmacy Jun 1, 2020

Availity Portal Notification Center

June 2020 Anthem Connecticut Provider News Administrative Jun 1, 2020

Quality Corner: CPT® Category II codes - Collaborating for enhanced patient care

June 2020 Anthem Connecticut Provider News Administrative Jun 1, 2020

Commercial Risk Adjustment (CRA) Program update: Retrospective Program begins; Prospective Program continues

June 2020 Anthem Connecticut Provider News Administrative Jun 1, 2020

New Reimbursement Policy - Nurse Practitioner and Physician Assistant Services - professional

June 2020 Anthem Connecticut Provider News Reimbursement Policies Jun 1, 2020

New State of Connecticut Partnership Plan members become effective with Anthem July 1, 2020

June 2020 Anthem Connecticut Provider News State Health Benefit Plan Jun 1, 2020

Modifier use reminders

June 2020 Anthem Connecticut Provider News Medicare Jun 1, 2020

Optum to collect medical records for risk adjustment

June 2020 Anthem Connecticut Provider News Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Connecticut Provider News Medicare Jun 1, 2020

Diabetes HbA1c HEDIS guidance

June 2020 Anthem Connecticut Provider News Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Connecticut Provider News Medicare Jun 1, 2020

Keep up with Medicare news

June 2020 Anthem Connecticut Provider News Medicare Jun 1, 2020

Anthem Waives Cost Share for COVID-19 Treatment (updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information - Connecticut Administrative May 29, 2020

Introducing lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Beginning June 1, 2020, Anthem is introducing our Anthem Health Access Plans for certain large group employers currently enrolled in our commercial lines of business only.
N/A Administrative May 26, 2020

New for July 1, 2020: Anthem to administer health benefits for new members covered under the Connecticut Partnership Plan - additional membership to transition October 1

Anthem to administer benefits for new Connecticut Partnership Plan members effective July 1, 2020 Administrative May 14, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information - Connecticut Administrative May 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

May 2020 Anthem Connecticut Provider News Products & Programs May 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

May 2020 Anthem Connecticut Provider News Products & Programs May 1, 2020

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Anthem Connecticut Provider News Products & Programs May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Anthem Connecticut Provider News Products & Programs May 1, 2020

Clinical criteria updates for specialty pharmacy

May 2020 Anthem Connecticut Provider News Pharmacy May 1, 2020

Specialty pharmacy updates effective August 1, 2020

May 2020 Anthem Connecticut Provider News Pharmacy May 1, 2020

View all COVID-19 related articles in one repository location - COVID-19 Information - Connecticut

COVID-19 Information - Connecticut Administrative May 1, 2020

Reminder about system updates

May 2020 Anthem Connecticut Provider News Administrative May 1, 2020

Quality Corner - Diabetes HbA1c<8 HEDIS guidance

May 2020 Anthem Connecticut Provider News Administrative May 1, 2020

Commercial Risk Adjustment (CRA) Prospective Program update: Assessing patients for risk adjustable conditions

May 2020 Anthem Connecticut Provider News Administrative May 1, 2020
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