Georgia
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

2021 Anthem Individual Health Plans

December 2020 Anthem Provider News - Georgia Products & Programs Dec 1, 2020

Access patient-specific drug benefit information through EMR

October 2018 BCBSGa Provider Newsletter Pharmacy Oct 1, 2018

Additional support available for members with rare conditions

August 2018 BCBSGa Provider Newsletter Products & Programs Jul 31, 2018

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

December 2020 Anthem Provider News - Georgia Pharmacy Dec 1, 2020

Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019

Anthem June 2019 Provider News - Georgia Pharmacy Jun 1, 2019

Anthem announces early launch of IngenioRx

N/A Pharmacy Jan 30, 2019

Anthem clinical criteria and prior authorization updates for specialty pharmacy are available

November 2019 GA Provider News Pharmacy Nov 1, 2019

Anthem clinical criteria updates for specialty pharmacy are available

February 2020 Anthem Provider News - Georgia Pharmacy Feb 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

May 2021 Anthem Provider News - Georgia Pharmacy May 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

December 2020 Anthem Provider News - Georgia Pharmacy Dec 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

November 2020 Anthem Provider News - Georgia Pharmacy Nov 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

February 2021 Anthem Provider News - Georgia Pharmacy Feb 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

August 2020 Anthem Provider News - Georgia Pharmacy Aug 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Anthem Commercial Risk Adjustment (CRA) Program update: Medical chart collection for ACA members due March 31, 2019 at the latest

March 2019 Anthem Provider Newsletter - Georgia Products & Programs Mar 1, 2019

Anthem Commercial Risk Adjustment (CRA) program update: retrospective program begins; prospective program continues

June 2020 Anthem Provider News - Georgia Products & Programs Jun 1, 2020

Anthem Commercial Risk Adjustment (CRA) prospective program update: Assessing your patients for risk adjustable conditions

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Anthem enhances process for submitting Behavioral Health authorizations - now available

June 2020 Anthem Provider News - Georgia Behavioral Health Jun 1, 2020

Anthem expands specialty pharmacy medical step therapy drug list

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema

Anthem May 2019 Provider News - Georgia Pharmacy May 1, 2019

Anthem expands specialty pharmacy prior authorization list

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list

Anthem June 2019 Provider News - Georgia Pharmacy Jun 1, 2019

Anthem expands specialty pharmacy prior authorization list

April 2019 Anthem Provider Newsletter - Georgia Pharmacy Apr 1, 2019

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

July 2019 Anthem Provider News - Georgia Pharmacy Jul 1, 2019

Anthem prior authorization updates for specialty pharmacy are available

April 2020 Anthem Provider News - Georgia Pharmacy Apr 1, 2020

Anthem prior authorization updates for specialty pharmacy are available

May 2020 Anthem Provider News - Georgia Pharmacy May 1, 2020

Anthem prior authorization updates for specialty pharmacy are available - August 2020

August 2020 Anthem Provider News - Georgia Pharmacy Aug 1, 2020

Anthem prior authorization updates for specialty pharmacy are available - June 2020

June 2020 Anthem Provider News - Georgia Pharmacy Jun 1, 2020

Anthem prior authorization updates for specialty pharmacy are available October 2020

October 2020 Anthem Provider News - Georgia Pharmacy Oct 1, 2020

Anthem specialty pharmacy medical step therapy drug list clarification

October 2019 Provider News Pharmacy Oct 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

Anthem May 2019 Provider News - Georgia Pharmacy May 1, 2019

Anthem to delay most 4/1/2020 formulary list updates for commercial health plan pharmacy benefit

April 2020 Anthem Provider News - Georgia Pharmacy Apr 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News - Georgia Pharmacy Feb 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

September 2020 Anthem Provider News - Georgia Pharmacy Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2021 Anthem Provider News - Georgia Pharmacy Feb 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Anthem Provider News - Georgia Pharmacy Aug 1, 2020

Anthem updates formulary lists for commercial health plan pharmacy benefit

October 2020 Anthem Provider News - Georgia Pharmacy Oct 1, 2020

Anthem’s prior authorization updates for specialty pharmacy are available - July 2020

July 2020 Anthem Provider News - Georgia Pharmacy Jul 1, 2020

August 2021 updates for specialty pharmacy are available

Material adverse change (MAC): prior authorization updates
August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Back pain guide program effective July 19, 2021

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

BCBSGa accepts electronic prior authorization requests for prescription medications online

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

BCBSGa accepts prior authorization requests for prescription medications online

August 2018 BCBSGa Provider Newsletter Pharmacy Jul 31, 2018

BCBSGa applies daily morphine equivalent dosing limit

August 2018 BCBSGa Provider Newsletter Pharmacy Jul 31, 2018

BCBSGa Community Care Coordination expands relationship with Preferred Community Health Partners to support commercial members with complex needs

October 2018 BCBSGa Provider Newsletter Products & Programs Oct 1, 2018

BCBSGa expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list

June 2018 BCBSGa Provider Newsletter Products & Programs Jun 14, 2018

BCBSGa expands specialty pharmacy clinical site of care (level of care) drug list

August 2018 BCBSGa Provider Newsletter Pharmacy Jul 31, 2018

BCBSGa expands specialty pharmacy clinically equivalent drug list

October 2018 BCBSGa Provider Newsletter Pharmacy Oct 1, 2018

BCBSGa expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 BCBSGa Provider Newsletter Pharmacy Oct 1, 2018

BCBSGa expands specialty pharmacy prior authorization list

June 2018 BCBSGa Provider Newsletter Pharmacy Jun 14, 2018

BCBSGa expands specialty pharmacy prior authorization list

October 2018 BCBSGa Provider Newsletter Pharmacy Oct 1, 2018

BCBSGa expands specialty pharmacy prior authorization list

August 2018 BCBSGa Provider Newsletter Pharmacy Jul 31, 2018

BCBSGa fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 BCBSGa Provider Newsletter Products & Programs Oct 1, 2018

BCBSGa to update drug lists supporting commercial health plans

August 2018 BCBSGa Provider Newsletter Pharmacy Jul 31, 2018

BCBSGa’s Individualized Care Program to support palliative care for commercial members

June 2018 BCBSGa Provider Newsletter Products & Programs Jun 14, 2018

Beacon Health Options

N/A Behavioral Health Jun 6, 2019

Benefit change for Infliximab for Federal Employee Program

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

Case Management Program

December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

Case Management Program

December 2019 Anthem Provider News - Georgia Products & Programs Dec 1, 2019

Case Management Program

December 2020 Anthem Provider News - Georgia Products & Programs Dec 1, 2020

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Clinical Criteria and prior authorization updates for specialty pharmacy are available

August 2019 Anthem Provider News - Georgia Pharmacy Aug 1, 2019

Clinical criteria and prior authorization updates for specialty pharmacy are available

September 2019 Anthem Provider News - Georgia Pharmacy Sep 2, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News - Georgia Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News - Georgia Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Georgia Pharmacy Mar 1, 2019

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

ConditionCare Program benefits patients and physicians

December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

CORRECTION: New AIM Musculoskeletal Program will begin "December 1, 2019"

November 2019 GA Provider News Products & Programs Nov 1, 2019

CORRECTION: New AIM Musculoskeletal Program will begin "December 2, 2019"

December 2019 Anthem Provider News - Georgia Products & Programs Dec 1, 2019

CORRECTION: Reminder and update: new Rehabilitative Program effective July 1, 2019

July 2019 Anthem Provider News - Georgia Products & Programs Jul 1, 2019

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

April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

December 2020 prior authorization updates for specialty pharmacy are available

December 2020 Anthem Provider News - Georgia Pharmacy Dec 1, 2020

Designated specialty pharmacies in March 2021

December 2020 Anthem Provider News - Georgia Pharmacy Dec 1, 2020

Designated specialty pharmacy network updates

June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

Designated specialty pharmacy network updates

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Designated specialty pharmacy network updates effective January 1, 2022 (MAC)

Material adverse change (MAC)
October 2021 Anthem Provider News - Georgia Pharmacy Oct 1, 2021

Expansion of AIM Musculoskeletal Program effective November 1, 2020

August 2020 Anthem Provider News - Georgia Products & Programs Aug 1, 2020

FDA approvals and expedited pathways used - New Molecular Entities (NMEs)

October 2020 Anthem Provider News - Georgia Pharmacy Oct 1, 2020

Federal Employee Program® expands specialty pharmacy prior authorization list

October 2020 Anthem Provider News - Georgia Pharmacy Oct 1, 2020

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review

October 2019 Provider News Pharmacy Oct 1, 2019

Fewer repeat visits to the emergency room with follow-up care

May 2021 Anthem Provider News - Georgia Behavioral Health May 1, 2021

Follow-up after hospitalization for mental illness

June 2020 Anthem Provider News - Georgia Behavioral Health Jun 1, 2020

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

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Important update to Anthem’s commercial drug lists

October 2019 Provider News Pharmacy Oct 1, 2019

Important update to Anthem’s commercial drug lists

March 2019 Anthem Provider Newsletter - Georgia Pharmacy Mar 1, 2019

IngenioRx introduces new pharmacy network in 2021

January 2021 Anthem Provider News - Georgia Pharmacy Jan 1, 2021

IngenioRx introduces new pharmacy network in 2021

November 2020 Anthem Provider News - Georgia Pharmacy Nov 1, 2020

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

March 2019 Anthem Provider Newsletter - Georgia Pharmacy Mar 1, 2019

Introducing SmartShopper, the consumer shopping and savings program for medical care

SmartShopper is an incentive and engagement program that activates members to change behavior and shop for health care.
December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Let’s Vaccinate!

Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
June 2021 Anthem Provider News - Georgia Products & Programs Jun 1, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) enhanced reimbursement to begin July 1, 2021

May 2021 Anthem Provider News - Georgia Products & Programs May 1, 2021

National Drug Code requirement on outpatient claims

August 2019 Anthem Provider News - Georgia Pharmacy Aug 1, 2019

New AIM Rehabilitative program effective July 1, 2019

April 2019 Anthem Provider Newsletter - Georgia Products & Programs Apr 1, 2019
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