Connecticut
Provider Communications

Articles

Title Publication Category Date

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

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

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

Patient360 adds care gap alert feedback for medical providers

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

MCG Care Guidelines adopted for behavioral health services

June 2018 Connecticut newsletter Behavioral Health Jun 22, 2018

Outpatient behavioral health therapy visits

June 2018 Connecticut newsletter Behavioral Health Jun 19, 2018

Crisis stabilization

June 2018 Connecticut newsletter Behavioral Health Jun 22, 2018

Anthem engages with Alliant Health Solutions

August 2018 Anthem Connecticut Provider Newsletter Behavioral Health Aug 1, 2018

Integrated Medical and Behavioral Healthcare Services

October 2018 Anthem Connecticut Provider Newsletter Behavioral Health Oct 1, 2018

LiveHealth Online Psychology: easy access to therapists and psychologists from the comfort of home

October 2018 Anthem Connecticut Provider Newsletter Behavioral Health Oct 1, 2018

Member’s access to behavioral health care

December 2018 Anthem Connecticut Provider Newsletter Behavioral Health Dec 1, 2018

New autism codes effective January 1, 2019

January 2019 Anthem Connecticut Provider Newsletter Behavioral Health Jan 1, 2019

Behavioral health: split claims spanning from 2018 into 2019

January 2019 Anthem Connecticut Provider Newsletter Behavioral Health Jan 1, 2019

New APA testing codes and definitions effective January 1, 2019

January 2019 Anthem Connecticut Provider Newsletter Behavioral Health Jan 1, 2019

Aware Recovery Care provides comprehensive drug and alcohol addiction rehab programs

February 2019 Anthem Connecticut Provider Newsletter Behavioral Health Feb 1, 2019

Member satisfaction with behavioral health outpatient services

February 2019 Anthem Connecticut Provider Newsletter Behavioral Health Feb 1, 2019

Access requirements for behavioral healthcare services

September 2019 Anthem Connecticut Provider News Behavioral Health Sep 1, 2019

Coding reminder for psychological and neuropsychological testing

December 2019 Anthem Connecticut Provider News Behavioral Health Dec 1, 2019

Behavioral health outpatient visits for 2020

February 2020 Anthem Connecticut Provider News Behavioral Health Feb 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

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

Emergency room overdose notification effective August 1, 2020

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

Mailing address for Federal Employee Program® (FEP) paper claims and claims-related correspondence

August 2018 Anthem Connecticut Provider Newsletter Federal Employee Plan (FEP) Aug 1, 2018

Benefit change for Infliximab for Federal Employee Program®

December 2018 Anthem Connecticut Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of benefits for a Federal Employee Program® (FEP®) member

December 2018 Anthem Connecticut Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

2019 FEP® benefit information available online

December 2018 Anthem Connecticut Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

HEDIS® 2019 Federal Employee Program medical record request requirements

February 2019 Anthem Connecticut Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

Federal Employee Health Benefit Program® (FEP) PPO members will now require prior approval for specific specialty drugs and site of care

July 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Jul 1, 2019

Federal Employee Program® specialty pharmacy clinical site-of-care prior authorization review

October 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Oct 1, 2019

Precertification request turnaround times for the Federal Employee Program

October 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Oct 1, 2019

Coordination of benefits for an FEP® member

December 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Dec 1, 2019

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 policy and clinical guidelines updates are available on anthem.com

June 2018 Connecticut newsletter Medical Policy & Clinical Guidelines Jun 22, 2018

Medical policy updates are available on anthem.com

August 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Clinical guideline updates are available on anthem.com

August 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Medical policy updates are available on anthem.com

October 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Clinical guideline updates are available on anthem.com

October 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Medical policy updates are available on anthem.com

December 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Clinical guideline updates are available on anthem.com

December 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Update on clinical guideline communication in October 2018 provider newsletter

December 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Medical policy updates are available on anthem.com

January 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical guideline updates are available on anthem.com

January 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Update on clinical guideline communication in October 2018 provider newsletter

January 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical guideline updates are available on anthem.com

February 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Medical policy updates are available on anthem.com

May 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Clinical guideline updates are available on anthem.com

May 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Medical policy updates are available on anthem.com

June 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Coding Updates

June 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical guideline updates are available on anthem.com

June 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Coding Updates

June 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical Guideline CG-ANC-07 effective September 1, 2019

June 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Un-adopted clinical guidelines effective June 1, 2019

July 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

Medical policy updates are available on anthem.com

August 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical guideline updates are available on anthem.com

August 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical criteria updates for specialty pharmacy

August 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Medical policy updates are available on anthem.com

September 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

Clinical guideline updates are available on anthem.com

September 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

New Clinical Guideline: Pneumatic Compression Devices effective December 1, 2019

September 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

Medical policy updates are available on anthem.com

November 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Clinical guideline updates are available on anthem.com

November 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Medical policy updates are available on anthem.com

February 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Clinical guideline updates are available on anthem.com

February 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Clinical guideline update effective June 1, 2020 - Paraesophageal Hernia Repair

March 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Mar 1, 2020

Medical policy and clinical guideline updates are available on anthem.com

May 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines May 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

Cologuard covered for Medicare Advantage members

June 2018 Connecticut newsletter Medicare Jun 19, 2018

Peer-to-peer process can help clarify clinical record

June 2018 Connecticut newsletter Medicare Jun 19, 2018

MA home health network to be delegated to myNEXUS

June 2018 Connecticut newsletter Medicare Jun 19, 2018

Medication adherence incentive offered to EPHC providers

June 2018 Connecticut newsletter Medicare Jun 19, 2018

Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option

June 2018 Connecticut newsletter Medicare Jun 19, 2018

Connecticut Teachers’ Retirement Board Offers Anthem Medicare Advantage Option

June 2018 Connecticut newsletter Medicare Jun 22, 2018

Keep up with Medicare news

June 2018 Connecticut newsletter Medicare Jun 19, 2018

MA members receive incentives for completing screenings

August 2018 Anthem Connecticut Provider Newsletter Medicare Aug 1, 2018

Wheelchair prior authorization information for DME providers and physicians

August 2018 Anthem Connecticut Provider Newsletter Medicare Aug 1, 2018

Submit PA medication requests electronically; new phone number for MA prescription PAs effective September 1, 2018

August 2018 Anthem Connecticut Provider Newsletter Medicare Aug 1, 2018

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective January 1, 2019

August 2018 Anthem Connecticut Provider Newsletter Medicare Aug 1, 2018

Keep up with Medicare news

August 2018 Anthem Connecticut Provider Newsletter Medicare Aug 1, 2018

Delegation of functions under Anthem Medicare Advantage Plans effective July 1, 2018

August 2018 Anthem Connecticut Provider Newsletter Medicare Aug 1, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

MA back pain management and cardiology UM programs to transition from OrthoNet to AIM

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018
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