Maine
Provider Communications

October 2019 Anthem Maine Provider News

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Title Category

Additional changes launched to anthem.com

Administrative

Aspire Health telephonic palliative care program for Medicare members

Medicare

Assisting your patients in managing the Donut Hole

Medicare

Clinical laboratory improvement amendments

Medicare

Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

Administrative

Federal Employee Program® specialty pharmacy clinical site-of-care prior authorization review

Federal Employee Plan (FEP)

Important update to Anthem’s commercial drug lists

Pharmacy

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Lowering health risks with no-cost statins

Medicare

Matrix to provide mobile health clinic assessments to ACA members

Administrative

Medical drug clinical criteria updates

Medicare

Medicare preferred continuous glucose monitors

Medicare

National Accounts 2020 precertification list

Administrative

Pharmacy information available on anthem.com

Pharmacy

Precertification request turnaround times for the Federal Employee Program

Federal Employee Plan (FEP)

Prior authorization requirements changes effective November 1, 2019

Medicare

Prior authorization requirements for continuous positive airway pressure supplies

Medicare

Reimbursement Policy update - Place of Service – professional

Reimbursement Policies

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Administrative

Specialty pharmacy medical step therapy drug list clarification

Pharmacy

U.S. Antibiotic Awareness Week November 11-18

Administrative

Update: 2019 risk adjustment provider trainings

Medicare

UPDATE: new AIM Rehabilitative Program will begin November 1, 2019

Products & Programs
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