Maine
Provider Communications

Articles

Title Publication Category Date

Information from Anthem for Care Providers about COVID-19 (updated August 8, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Maine Administrative Aug 8, 2022

Specialty pharmacy updates

Notice of material change/amendment to contract
August 2022 Anthem Maine Provider News Pharmacy Aug 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
August 2022 Anthem Maine Provider News Pharmacy Aug 1, 2022

Notices of material changes/amendments to contract - August 2022

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:

  • Reimbursement policy update: Place of Service - Facility
  • Medical policy and clinical guideline updates are available on anthem.com
  • Specialty pharmacy updates
  • Clinical criteria updates for specialty pharmacy
August 2022 Anthem Maine Provider News Administrative Aug 1, 2022

Performance enhancements to the authorization application on Availity Essentials

August 2022 Anthem Maine Provider News Digital Tools Aug 1, 2022

Reimbursement policy update: Place of Service - Facility

Notice of material change/amendment to contract
August 2022 Anthem Maine Provider News Reimbursement Policies Aug 1, 2022

Medical policy and clinical guideline updates are available on anthem.com

Notice of material change/amendment to contract
August 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2022

Pharmacy information available on anthem.com

August 2022 Anthem Maine Provider News Pharmacy Aug 1, 2022

Reminder: Inpatient/outpatient commercial claim denials

August 2022 Anthem Maine Provider News Administrative Aug 1, 2022

Timely updates help keep our provider directories current

August 2022 Anthem Maine Provider News Administrative Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Anthem Maine Provider News Digital Tools Aug 1, 2022

Add supporting documents directly to your claims with the new Claims Status Inquiry Send Attachments feature

August 2022 Anthem Maine Provider News Digital Tools Aug 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Maine Provider News Behavioral Health Aug 1, 2022

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Maine Administrative Jul 20, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Notices of material changes/amendments to contract - July 2022

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:

  • Clinical criteria updates for specialty pharmacy
July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality Program to be discontinued effective December 31, 2022

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Update to facility editing: HCPCS code G0463

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesity

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Enhancing claims attachment processes through digital applications: Add attachments through Claims Status Inquiry

July 2022 Anthem Maine Provider News Digital Tools Jul 1, 2022

Coming soon: Anthem Provider Learning Hub makes Availity learning easier

July 2022 Anthem Maine Provider News Digital Tools Jul 1, 2022

New reimbursement policy: Transitional Care Management - Professional

July 2022 Anthem Maine Provider News Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy - Sexually Transmitted Infections – Professional

July 2022 Anthem Maine Provider News Reimbursement Policies Jul 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of Material Change/Amendment to Contract
July 2022 Anthem Maine Provider News Pharmacy Jul 1, 2022

Pharmacy information available online

July 2022 Anthem Maine Provider News Pharmacy Jul 1, 2022

Prior authorization required for hip and knee services for State of Maine Health Plan members effective July 1, 2022

July 2022 Anthem Maine Provider News State Health Benefit Plan Jul 1, 2022

Cancer Care Navigator

July 2022 Anthem Maine Provider News Medicare Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Anthem Maine Provider News Medicare Jul 1, 2022

Keep up with Medicare news

New specialty pharmacy medical step therapy requirements
July 2022 Anthem Maine Provider News Medicare Jul 1, 2022

Prior authorization required for hip and knee services for State of Maine Health Plan members effective July 1, 2022

New Prior Authorization Requirements for State of Maine Health Plan Members Administrative Jun 20, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 15, 2022

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield and Motivo* for Anthem providers on June 22, 2022.
Exploring the Intersection of Race and Disability forum - Maine Administrative Jun 8, 2022

Notices of material changes/amendments to contract - June 2022

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

Exploring the Intersection of Race and Disability forum

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (facility)

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Reimbursement Policies Jun 1, 2022

Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Updated AIM Musculoskeletal Program effective October 1, 2022

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Products & Programs Jun 1, 2022

Specialty pharmacy updates - June 2022

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Pharmacy Jun 1, 2022

Medical policies and clinical utilization management guidelines update

June 2022 Anthem Maine Provider News Medicare Jun 1, 2022

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

June 2022 Anthem Maine Provider News Medicare Jun 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Maine Provider News Medicare Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Maine Provider News Medicare Jun 1, 2022

Keep up with Medicare news

  • Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
  • New specialty pharmacy medical step therapy requirements
  • AMH Health, LLC. expands specialty pharmacy precertification list
  • Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
June 2022 Anthem Maine Provider News Medicare Jun 1, 2022

Provider outreach to validate your provider data

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Maine Provider News Behavioral Health Jun 1, 2022

Process change for Federal Employee Program® third-party correspondence requests

June 2022 Anthem Maine Provider News Federal Employee Plan (FEP) Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Anthem Maine Provider News Medicare Jun 1, 2022

Notices of material changes/amendments to contract - May 2022

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:

  • Provider Manual updated effective July 1, 2022
  • Medical policy and clinical guideline updates available on anthem.com
  • Clinical criteria updates for specialty pharmacy
  • Specialty pharmacy updates - May 2022
May 2022 Anthem Maine Provider News Administrative May 1, 2022

Provider Manual updated effective July 1, 2022

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Administrative May 1, 2022

Primary care appointment access and open panels

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Medical policy and clinical guideline updates available on anthem.com

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines May 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Pharmacy May 1, 2022

Specialty pharmacy updates - May 2022

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Pharmacy May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP® Quality Reimbursement Program for PPO providers

May 2022 Anthem Maine Provider News Federal Employee Plan (FEP) May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Maine Provider News Medicare May 1, 2022

Keep up with Medicare news

  • AMH Health, LLC expands specialty pharmacy precertification list
  • AMH Health, LLC expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirements

 

May 2022 Anthem Maine Provider News Medicare May 1, 2022

Anthem announces changes to post-payment audits conducted on our behalf

May 2022 Anthem Maine Provider News Administrative May 1, 2022

May is National High Blood Pressure Education Month: We’ve got this!

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Coding tips for reporting administration of Spravato®

May 2022 Anthem Maine Provider News Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Join us for an FEP Quality Learning Program live webinar

May 2022 Anthem Maine Provider News Federal Employee Plan (FEP) May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Maine Provider News Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Maine Provider News Medicare May 1, 2022

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe & Effective Antibiotic Prescribing - Maine Administrative Apr 5, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

HEDIS 2022: Summary of changes from NCQA

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Catching up on routine vaccines

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Reminder on Botox® for Anthem members

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

CAA: Update your provider directory information

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Procedure searches in Find Care

April 2022 Anthem Maine Provider News Digital Tools Apr 1, 2022

Pharmacy information available on anthem.com

April 2022 Anthem Maine Provider News Pharmacy Apr 1, 2022

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Maine Provider News Federal Employee Plan (FEP) Apr 1, 2022

Notices of material changes/amendments to contract – April 2022

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following article:

  • Specialty pharmacy updates - April 2022
April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Specialty pharmacy updates - April 2022

Notice of material change/amendment to contract
April 2022 Anthem Maine Provider News Pharmacy Apr 1, 2022

Model of Care required training

April 2022 Anthem Maine Provider News Medicare Apr 1, 2022

Clinical criteria updates

April 2022 Anthem Maine Provider News Medicare Apr 1, 2022

Update - Inpatient Readmissions Policy G-13001 effective July 1, 2022

April 2022 Anthem Maine Provider News Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Maine Provider News Medicare Apr 1, 2022

Keep up with Medicare news

April 2022 Anthem Maine Provider News Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date. Read important information about this change here.
Transition to NYC Medicare Advantage Plus Delayed - Maine Medicare Mar 15, 2022

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Register today for the Exploring Implicit Bias in Healthcare for Historically Marginalized Body:
Register today for Exploring Implicit Bias Forum on March 16, 2022 - Maine Administrative Mar 2, 2022

Notices of material changes/amendments to contract – March 2022

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:

  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
  • Clinical criteria updates for specialty pharmacy
  • Correction to February 2022 specialty pharmacy updates
  • Specialty pharmacy updates - March 2022
March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Consolidated Appropriations Act (CAA): Have you reviewed your online provider directory information lately?

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Enhancements to the Availity Authorization application are now available

March 2022 Anthem Maine Provider News Digital Tools Mar 1, 2022

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Mar 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

Specialty pharmacy updates - March 2022

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

New address for Federal Employee Program® clinical grievances and appeals

March 2022 Anthem Maine Provider News Federal Employee Plan (FEP) Mar 1, 2022

Prior authorization requirement change effective June 1, 2022

March 2022 Anthem Maine Provider News Medicare Mar 1, 2022
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