Indiana
Provider Communications

May 2020 Anthem Provider News - Indiana

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Title Category

COVID-19 information repository for Anthem Care Providers

Administrative

Notice of Changes to Prior Authorization Requirements - May 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
Administrative

Anthem Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

Administrative

Quality Corner: Diabetes HbA1c<8 HEDIS Guidance

Administrative

Normal newborn diagnosis-related group (DRG) claims processing update

Medicaid

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

Medicaid

Medical drug benefit Clinical Criteria updates - November 2019

Medicaid

Medical drug benefit Clinical Criteria updates - December 2019

Medicaid

Disease Management can help you care for patients with chronic health care needs

Medicaid

Right Choices Program update

Medicaid

Specialty pharmacy level of care

Medicaid

Use of Imaging Studies for Low Back Pain (LBP)

Medicaid

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline*

Medical Policy & Clinical Guidelines

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline*

Medical Policy & Clinical Guidelines

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline*

Medical Policy & Clinical Guidelines

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

Medicare News - May 2020

View these Medicare articles:
- Prior Authorization requirements
- New behavioral health Medicare Advantage individual and Group Retiree Solutions provider fax
Medicare

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

Medicare

Multi-dose packaging

Medicare

Anthem prior authorization updates for specialty pharmacy are available - May 2020*

Pharmacy

Reimbursement Policy Update: Claims requiring additional documentation (Facility)*

Reimbursement Policies

Reminder about system updates

Reimbursement Policies
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