Maine
Provider Communications

August 2019 Anthem Maine Provider News

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Title Category

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

Products & Programs

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

Products & Programs

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

Products & Programs

Streamlined access to Anthem Provider Manual

Administrative

Specialty pharmacy pre-service clinical review list expanded effective November 1, 2019

Pharmacy

Special needs plans - provider training required

Medicare

Reminder: Process change for medical non-oncology specialty drug reviews effective June 15, 2019

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

New service types added to Availity

Medicare

New reimbursement policy effective October 1, 2019 - Drug Screen Testing

Medicare

Medical policy updates are available on anthem.com

Medical Policy & Clinical Guidelines

Keep up with Medicare news

Medicare

Frequency Editing Reimbursement Policy update - professional

Reimbursement Policies

Clinical guideline updates are available on anthem.com

Medical Policy & Clinical Guidelines

Clinical criteria updates for specialty pharmacy

Medical Policy & Clinical Guidelines

Bundled Services Reimbursement Policy update - professional

Reimbursement Policies

Anthem customizations to MCG care guidelines 23rd edition

Administrative

AIM Specialty Health programs may require documentation

Medicare
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