Georgia
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

Updated AIM musculoskeletal program site of care reviews delayed

December 2021 Anthem Provider News - Georgia Products & Programs Dec 1, 2021

Case Management Program

December 2021 Anthem Provider News - Georgia Products & Programs Dec 1, 2021

Anthem Blue Cross and Blue Shield clinical criteria updates for specialty pharmacy are available

December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

December 2021 specialty pharmacy updates (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News - Georgia Products & Programs Nov 1, 2021

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Georgia Products & Programs Nov 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

November 2021 Anthem Provider News - Georgia Pharmacy Nov 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Provider News - Georgia Pharmacy Nov 1, 2021

November 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
November 2021 Anthem Provider News - Georgia Pharmacy Nov 1, 2021

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

October 2021 Anthem Provider News - Georgia Products & Programs Oct 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Provider News - Georgia Pharmacy Oct 1, 2021

October 2021 specialty pharmacy updates are available (MAC)

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

September 2021 updates for specialty pharmacy are available (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Georgia Pharmacy Sep 1, 2021

Updated AIM musculoskeletal program effective November 1, 2021: site of care reviews

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Products & Programs Aug 1, 2021

Specialty dose rounding program for certain oncology medications

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

Pharmacy information available on anthem.com

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

Anthem clinical criteria updates for specialty pharmacy are available

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

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

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

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

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

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

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

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

REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviews

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

Back pain guide program effective July 19, 2021

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

Certain specialty medication precertification requests may require additional documentation

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

Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

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

June 2021 updates for specialty pharmacy are available

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

Designated specialty pharmacy network updates

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

New back pain management program effective July 19, 2021

June 2021 Anthem Provider News - Georgia Products & Programs Jun 1, 2021

Designated specialty pharmacy network updates

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

Pharmacy information available on anthem.com

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

Anthem clinical criteria updates for specialty pharmacy are available

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

June 2021 updates for specialty pharmacy are available

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

Updated AIM Rehabilitative program effective August 1, 2021: initial evaluations and site of service reviews

Material adverse change (MAC)
May 2021 Anthem Provider News - Georgia Products & Programs May 1, 2021

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

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

Anthem clinical criteria updates for specialty pharmacy are available

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

Updates for specialty pharmacy are available (May 2021)

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

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

April 2021 Anthem Provider News - Georgia Products & Programs Apr 1, 2021

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

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

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

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

Pharmacy information available on anthem.com

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

Anthem clinical criteria updates for specialty pharmacy are available

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

Updates for specialty pharmacy are available (April 2021)

Material adverse change (MAC)
April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

The heath of millennials: trends in behavioral health conditions

April 2021 Anthem Provider News - Georgia Behavioral Health Apr 1, 2021

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News - Georgia Pharmacy Mar 1, 2021

Updates for Specialty Pharmacy are available (March 2021)

March 2021 Anthem Provider News - Georgia Pharmacy Mar 1, 2021

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

March 2021 Anthem Provider News - Georgia Pharmacy Mar 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Anthem clinical criteria updates for specialty pharmacy are available

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

Pharmacy information available on anthem.com

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

Prior authorization updates for specialty pharmacy are available (February 2021)

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

IngenioRx introduces new pharmacy network in 2021

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

Prior authorization updates for specialty pharmacy are available (January 2021)

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

2021 Anthem Individual Health Plans

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

Case Management Program

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

Anthem clinical criteria updates for specialty pharmacy are available

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

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

Pharmacy information available on anthem.com

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

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

Anthem clinical criteria updates for specialty pharmacy are available

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

November 2020 prior authorization updates for specialty pharmacy are available

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

IngenioRx introduces new pharmacy network in 2021

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

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum invitation - Georgia Behavioral Health Oct 14, 2020

REMINDER: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Provider News - Georgia Products & Programs Oct 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayed to December 1, 2020

October 2020 Anthem Provider News - Georgia Products & Programs Oct 1, 2020

New Blue HPN® network included in plans available for employee fall 2020 open enrollment

October 2020 Anthem Provider News - Georgia Products & Programs Oct 1, 2020

Updated Coverage for breast cancer prevention medications

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

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

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

Pharmacy information available on anthem.com

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

Anthem updates formulary lists for commercial health plan pharmacy benefit

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

Anthem prior authorization updates for specialty pharmacy are available October 2020

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

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

September 2020 Anthem Provider News - Georgia Products & Programs Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Updates for specialty pharmacy are available (September 2020)

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

Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

September 2020 Anthem Provider News - Georgia Products & Programs Sep 1, 2020

Expansion of AIM Musculoskeletal Program effective November 1, 2020

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

Resources to support diverse patients and communities

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

Anthem clinical criteria updates for specialty pharmacy are available

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

Pharmacy information available on anthem.com

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

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

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

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

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

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

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

July 2020 Anthem Provider News - Georgia Products & Programs Jul 1, 2020

Updated coverage for HIV PrEP medications

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

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

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

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 prior authorization updates for specialty pharmacy are available - June 2020

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

Pharmacy information available on anthem.com

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

Follow-up after hospitalization for mental illness

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

Anthem enhances process for submitting Behavioral Health authorizations - now available

June 2020 Anthem Provider News - Georgia Behavioral Health 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

Updates to AIM Advanced Imaging clinical appropriateness guideline

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

Updates to AIM Sleep Disorder Management clinical appropriateness guideline

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

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

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