Maine
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

2019 Enhanced Personal Health Care Program releases myFHR

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

2020 Medicare Advantage individual benefits and formularies

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Maine Provider News Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Maine Provider News Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Maine Provider News Medicare Aug 1, 2020

2020 Special Needs Plans

July 2020 Anthem Maine Provider News Medicare Jul 1, 2020

AIM Musculoskeletal Program expansion

August 2020 Anthem Maine Provider News Medicare Aug 1, 2020

AIM Specialty Health programs may require documentation

August 2019 Anthem Maine Provider News Medicare Aug 1, 2019

AMH Health, LLC (Anthem | MaineHealth) reimbursement policies

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Anthem | MaineHealth to offer three new health maintenance organizations in 2020

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Aspire Health telephonic palliative care program for Medicare members

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Assisting your patients in managing the Donut Hole

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Bill Medicare Part D for shingles or tetanus vaccination claims

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Changes to prior authorization requirements effective December 1, 2019

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Clinical criteria updates

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Clinical laboratory improvement amendments

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective January 1, 2019

August 2018 Anthem Maine Provider Newsletter Medicare Aug 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

CMS reminder: expedited/urgent requests

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Cologuard covered for Medicare Advantage members

June 2018 Maine newsletter Medicare Jun 19, 2018

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Diabetes HbA1c HEDIS guidance

June 2020 Anthem Maine Provider News Medicare Jun 1, 2020

Dual eligible special needs plans: provider training required

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Electronic attachments coming soon

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Electronic data interchange

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Eye refraction and routine eye exam billing information

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Fall prevention tips

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization updates

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Group Retiree PPO plans

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Home health billing guidelines for contracted providers

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

In-office assessment program

July 2020 Anthem Maine Provider News Medicare Jul 1, 2020

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

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

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Introducing Interactive Care Reviewer

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Keep up with Medicare news

June 2018 Maine newsletter Medicare Jun 19, 2018

Keep up with Medicare news

August 2018 Anthem Maine Provider Newsletter Medicare Aug 1, 2018

Keep up with Medicare news

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

January 2019 Anthem Maine Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

April 2019 Anthem Maine Provider Newsletter Medicare Apr 1, 2019

Keep up with Medicare news

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

Keep up with Medicare news

June 2019 Anthem Maine Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Keep up with Medicare news

August 2019 Anthem Maine Provider News Medicare Aug 1, 2019

Keep up with Medicare news

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Keep up with Medicare news

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Keep up with Medicare news

February 2020 Anthem Maine Provider News Medicare Feb 1, 2020

Keep up with Medicare news

March 2020 Anthem Maine Provider News Medicare Mar 1, 2020

Keep up with Medicare news

April 2020 Anthem Maine Provider News Medicare Apr 1, 2020

Keep up with Medicare news

May 2020 Anthem Maine Provider News Medicare May 1, 2020

Keep up with Medicare news

June 2020 Anthem Maine Provider News Medicare Jun 1, 2020

Keep up with Medicare news

July 2020 Anthem Maine Provider News Medicare Jul 1, 2020

Keep up with Medicare news

August 2020 Anthem Maine Provider News Medicare Aug 1, 2020

Keep up with Medicare news

September 2020 Anthem Maine Provider News Medicare Sep 1, 2020

Lowering health risks with no-cost statins

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

MA back pain management and cardiology UM programs to transition from OrthoNet to AIM

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

MA home health network to be delegated to myNEXUS

June 2018 Maine newsletter Medicare Jun 19, 2018

MA members receive incentives for completing screenings

August 2018 Anthem Maine Provider Newsletter Medicare Aug 1, 2018

Maine Education Association Benefits Trust offers Medicare Advantage option

July 2020 Anthem Maine Provider News Medicare Jul 1, 2020

March 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

Medical drug benefit clinical criteria updates

July 2020 Anthem Maine Provider News Medicare Jul 1, 2020

Medical drug benefit clinical criteria updates

August 2020 Anthem Maine Provider News Medicare Aug 1, 2020

Medical drug benefit clinical criteria updates

September 2020 Anthem Maine Provider News Medicare Sep 1, 2020

Medical drug benefit clinical criteria updates - August 2019

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Medical drug benefit clinical criteria updates - December 2019

April 2020 Anthem Maine Provider News Medicare Apr 1, 2020

Medical drug benefit clinical criteria updates - November 2019

April 2020 Anthem Maine Provider News Medicare Apr 1, 2020

Medical drug benefit clinical criteria updates - September 2019

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Medical drug clinical criteria updates

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Medical drug clinical criteria updates

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Maine Provider Newsletter Medicare Jan 1, 2019

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

Medicare preferred continuous glucose monitors

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Medication adherence incentive offered to EPHC providers

June 2018 Maine newsletter Medicare Jun 19, 2018

Modifier 62 policy update: Co-Surgeons

February 2020 Anthem Maine Provider News Medicare Feb 1, 2020

Modifier use reminders

June 2020 Anthem Maine Provider News Medicare Jun 1, 2020

Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option

June 2018 Maine newsletter Medicare Jun 19, 2018

Multi-dose packaging

May 2020 Anthem Maine Provider News Medicare May 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Maine Provider News Medicare Feb 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Maine Provider News Medicare Aug 1, 2020

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

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

August 2019 Anthem Maine Provider News Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Maine Provider News Medicare Aug 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019
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