Georgia
Provider Communications

April 2021 Anthem Provider News - Georgia

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Title Category

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

Administrative

Chat directly with a prior authorization specialist

Administrative

Correction: updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

Pharmacy

Does your practice offer telehealth services? Let us know!

Administrative

Georgia Anthem preapproval list change notification 3/1/2021

Material adverse change (MAC)
Policy Updates

HEDIS 2021 Federal Employee Program® medical record request requirements

Federal Employee Program® (FEP)
State & Federal

In-office assessment program

Medicare Advantage
Medicare

Interactive bilingual website taking action for our health

Exclusively developed for the Latino community
Administrative

Join Anthem in talking about racism and its impact on health

Administrative

Keeping up with routine vaccination during COVID-19: well-child visits and vaccinations are essential services

Administrative

Make the change to digital authorization/referral and hospital admission notifications using EDI

Administrative

Maximizing efficient, high quality COVID-19 screenings

Administrative

MCG care guidelines 25th edition

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Medical drug benefit clinical criteria updates

Medicare Advantage
Medicare

Medical drug benefit clinical criteria updates

Medicare Advantage
Medicare

Medical policy and clinical guideline updates 4/1/2021

Medical Policy & Clinical Guidelines

New billing requirements for provider data management system launching in April

Administrative

Notify us of telehealth services

Medicare Advantage
Medicare

Oncology dose reduction program beginning July 1, 2021

Medicare Advantage
Medicare

Payer Spaces: name change announcement (Availity)

Administrative

Pharmacy information available on anthem.com

Pharmacy

The heath of millennials: trends in behavioral health conditions

Behavioral Health

Understanding Availity roles for electronic data interchange (EDI)

Administrative

UPDATE for commercial providers regarding the AIM sleep therapy program CPT code E1399, NOC: durable medical equipment, miscellaneous.

Products & Programs

Update: site of care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021

Pharmacy

Updates for specialty pharmacy are available (April 2021)

Material adverse change (MAC)
Pharmacy
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