Connecticut
Provider Communications

Articles

Title Publication Category Date

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

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them, Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis. 
COVID-19 Information - Connecticut Administrative Apr 10, 2020

Find a Doctor - new sort option

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Formulary lists updated for Anthem commercial health plan pharmacy benefit

August 2020 Anthem Connecticut Provider News Pharmacy Aug 1, 2020

Formulary lists updated for commercial health plan pharmacy benefit

September 2020 Anthem Connecticut Provider News Pharmacy Sep 1, 2020

Formulary lists updated for commercial health plans

February 2020 Anthem Connecticut Provider News Pharmacy Feb 1, 2020

Frequency Editing - professional

June 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Jun 1, 2019

Frequency Editing Reimbursement Policy update - professional

August 2019 Anthem Connecticut Provider News Reimbursement Policies Aug 1, 2019

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

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

Gestational age required for professional delivery claims effective November 1, 2018

August 2018 Anthem Connecticut Provider Newsletter Administrative Aug 1, 2018

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization updates

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Grievance and appeal update

June 2018 Connecticut newsletter Administrative Jun 22, 2018

Group Retiree PPO plans

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Healthsync tiered health benefit plans to be offered January 1, 2019

October 2018 Anthem Connecticut Provider Newsletter Administrative Oct 1, 2018

HEDIS 2020 Federal Employee Program® medical records request requirements

April 2020 Anthem Connecticut Provider News Administrative Apr 1, 2020

HEDIS® 2018 commercial results are in

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018: provider incentive winners announced

October 2018 Anthem Connecticut Provider Newsletter Administrative Oct 1, 2018

HEDIS® 2019 Federal Employee Program medical record request requirements

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

HEDIS® 2019 starts early February

January 2019 Anthem Connecticut Provider Newsletter Administrative Jan 1, 2019

HEDIS® 2019: Controlling High Blood Pressure

March 2019 Anthem Connecticut Provider Newsletter Administrative Mar 1, 2019

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Home health billing guidelines for contracted providers

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

ICD-10-CM coding guidelines and laterality - professional

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Important coding reminder for Walk-in Retail Health Clinics

March 2020 Anthem Connecticut Provider News Administrative Mar 1, 2020

Important COVID-19 update: Prior authorization and other policy adjustments (updated May 29, 2020)

We’ve updated guidance about prior authorization requirements and other policy adjustments in response to unprecedented demands on health care providers.
COVID-19 Information - Connecticut Administrative May 29, 2020

Important Information about Utilization Management

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Important information about utilization management

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Important State of Connecticut Employer Group, Connecticut Partnership Plan changes

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Important update to Anthem’s commercial drug lists

October 2019 Anthem Connecticut Provider News Pharmacy Oct 1, 2019

Important update: Milliman Care Guideline (MCG), 23rd Edition, Pelvic Organ Prolapse Repair

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

In-office assessment program

July 2020 Anthem Connecticut Provider News Medicare Jul 1, 2020

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

Individualized Care Program to support palliative care for commercial members

June 2018 Connecticut newsletter Products & Programs Jun 19, 2018

Information from Anthem for Care Providers about COVID-19

Bookmark Provider News Home for the latest information for Care Providers about COVID-19.
April 2020 Anthem Connecticut Provider News Administrative Apr 1, 2020

Information from Anthem for Care Providers about COVID-19 (updated August 10, 2020)

We recently updated FAQs with information about the use of modifier CS on claims related to evaluation for COVID-19 testing.
COVID-19 Information - Connecticut Administrative Aug 10, 2020

Injectable Substances with Related Injection Services reimbursement policy update: professional

February 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Feb 1, 2019

Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits members and physicians

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Integrated Medical and Behavioral Healthcare Services

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

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

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

July 2020 Anthem Connecticut Provider News Administrative Jul 1, 2020

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

Introducing a new Medicare Advantage special needs plan for 2020

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 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

Introducing new clinical criteria page for injectable, infused or implanted drugs

December 2018 Anthem Connecticut Provider Newsletter Pharmacy Dec 1, 2018

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Keep up with Medicare news

June 2018 Connecticut newsletter Medicare Jun 19, 2018

Keep up with Medicare news

August 2018 Anthem Connecticut Provider Newsletter Medicare Aug 1, 2018

Keep up with Medicare news

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

January 2019 Anthem Connecticut Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

February 2019 Anthem Connecticut Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

April 2019 Anthem Connecticut Provider Newsletter Medicare Apr 1, 2019

Keep up with Medicare news

May 2019 Anthem Connecticut Provider Newsletter Medicare May 1, 2019

Keep up with Medicare news

June 2019 Anthem Connecticut Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Keep up with Medicare news

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

Keep up with Medicare news

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Keep up with Medicare news

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Keep up with Medicare news

February 2020 Anthem Connecticut Provider News Medicare Feb 1, 2020

Keep up with Medicare news

March 2020 Anthem Connecticut Provider News Medicare Mar 1, 2020

Keep up with Medicare news

April 2020 Anthem Connecticut Provider News Medicare Apr 1, 2020

Keep up with Medicare news

May 2020 Anthem Connecticut Provider News Medicare May 1, 2020

Keep up with Medicare news

June 2020 Anthem Connecticut Provider News Medicare Jun 1, 2020

Keep up with Medicare news

July 2020 Anthem Connecticut Provider News Medicare Jul 1, 2020

Keep up with Medicare news

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

Keep up with Medicare news

September 2020 Anthem Connecticut Provider News Medicare Sep 1, 2020

Let us help you accomplish your 2020 “To Do” list early - EDI migration

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

Level of care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020

March 2020 Anthem Connecticut Provider News Products & Programs Mar 1, 2020

Level of care pre-service clinical review drug list changes effective November 1, 2018

August 2018 Anthem Connecticut Provider Newsletter Pharmacy Aug 1, 2018

Level of care pre-service clinical review drug list changes effective September 1, 2018

June 2018 Connecticut newsletter Administrative Jun 19, 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

Lowering health risks with no-cost statins

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

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

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

MA home health network to be delegated to myNEXUS

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

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

Make the move to the Availity EDI Gateway today

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Many Anthem members received new ID numbers effective January 1, 2020

Many Anthem members received new ID numbers effective January 1, 2020 - Connecticut Administrative Jan 9, 2020

March 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Matrix to provide mobile health clinic assessments to ACA members

October 2019 Anthem Connecticut Provider News Administrative Oct 1, 2019

MCG care guidelines 23rd Edition

May 2019 Anthem Connecticut Provider Newsletter Administrative May 1, 2019

MCG Care Guidelines 24th Edition

April 2020 Anthem Connecticut Provider News Administrative Apr 1, 2020

MCG Care Guidelines adopted for behavioral health services

June 2018 Connecticut newsletter Behavioral Health Jun 22, 2018

Medical drug benefit clinical criteria updates

July 2020 Anthem Connecticut Provider News Medicare Jul 1, 2020

Medical drug benefit clinical criteria updates

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

Medical drug benefit clinical criteria updates

September 2020 Anthem Connecticut Provider News Medicare Sep 1, 2020

Medical drug benefit clinical criteria updates - August 2019

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Medical drug benefit clinical criteria updates - December 2019

April 2020 Anthem Connecticut Provider News Medicare Apr 1, 2020

Medical drug benefit clinical criteria updates - November 2019

April 2020 Anthem Connecticut Provider News Medicare Apr 1, 2020

Medical drug benefit clinical criteria updates - September 2019

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Medical drug clinical criteria updates

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Medical drug clinical criteria updates

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Medical non-oncology specialty drug review changes effective June 15, 2019

June 2019 Anthem Connecticut Provider Newsletter Pharmacy Jun 1, 2019

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

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

Medical policy updates are available on anthem.com

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