Maine
Provider Communications

Articles

Title Publication Category Date

Claims requiring additional documentation facility reimbursement policy update

September 2019 Anthem Maine Provider News Reimbursement Policies Sep 1, 2019

CLIA claim requirements effective May 1, 2020

February 2020 Anthem Maine Provider News Administrative Feb 1, 2020

Clinical criteria coding updates for specialty pharmacy

July 2019 Anthem Maine Provider News Pharmacy Jul 1, 2019

Clinical criteria updates

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Maine Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Maine Provider News Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

August 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical criteria updates for specialty pharmacy

September 2019 Anthem Maine Provider News Pharmacy Sep 1, 2019

Clinical criteria updates for specialty pharmacy

November 2019 Anthem Maine Provider News Pharmacy Nov 1, 2019

Clinical criteria updates for specialty pharmacy

December 2019 Anthem Maine Provider News Pharmacy Dec 1, 2019

Clinical criteria updates for specialty pharmacy

February 2020 Anthem Maine Provider News Pharmacy Feb 1, 2020

Clinical criteria updates for specialty pharmacy

March 2020 Anthem Maine Provider News Pharmacy Mar 1, 2020

Clinical criteria updates for specialty pharmacy

May 2020 Anthem Maine Provider News Pharmacy May 1, 2020

Clinical criteria updates for specialty pharmacy

June 2020 Anthem Maine Provider News Pharmacy Jun 1, 2020

Clinical criteria updates for specialty pharmacy

July 2020 Anthem Maine Provider News Pharmacy Jul 1, 2020

Clinical criteria updates for specialty pharmacy

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Clinical criteria updates for specialty pharmacy

October 2020 Anthem Maine Provider News Pharmacy Oct 1, 2020

Clinical criteria updates for specialty pharmacy

November 2020 Anthem Maine Provider News Pharmacy Nov 1, 2020

Clinical criteria updates for specialty pharmacy

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Clinical Guideline CG-ANC-07 effective September 1, 2019

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical guideline update effective June 1, 2020 - Paraesophageal Hernia Repair

March 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines Mar 1, 2020

Clinical guideline updates are available on anthem.com

August 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Clinical guideline updates are available on anthem.com

October 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Clinical guideline updates are available on anthem.com

December 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Clinical guideline updates are available on anthem.com

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical guideline updates are available on anthem.com

February 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Clinical guideline updates are available on anthem.com

May 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Clinical guideline updates are available on anthem.com

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical guideline updates are available on anthem.com

August 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical guideline updates are available on anthem.com

September 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

Clinical guideline updates are available on anthem.com

November 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Clinical guideline updates are available on anthem.com

February 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Clinical guideline updates are available on anthem.com

November 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines Nov 1, 2020

Clinical laboratory improvement amendments

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Clinical Laboratory Improvement Amendments (CLIA) ID number required for electronic claims submissions

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

June 2018 Maine newsletter Administrative Jun 19, 2018

Clinical practice and preventive health guidelines available on anthem.com

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Clinical validation - professional

July 2019 Anthem Maine Provider News Administrative Jul 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

Coding reminder for psychological and neuropsychological testing

December 2019 Anthem Maine Provider News Behavioral Health Dec 1, 2019

Coding Updates

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Coding Updates

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Cologuard covered for Medicare Advantage members

June 2018 Maine newsletter Medicare Jun 19, 2018

Colonoscopy and related anesthesia services billing

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Coming soon - Interactive Care Reviewer Anthem’s self-service online prior authorization tool

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Commercial drug list important updates

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Commercial Risk Adjustment (CRA) 2020 Program Year Progression: What’s in it for you and your patients?

July 2020 Anthem Maine Provider News Administrative Jul 1, 2020

Commercial Risk Adjustment (CRA) Program update: Medical chart collection for ACA members due March 31, 2020

March 2020 Anthem Maine Provider News Administrative Mar 1, 2020

Commercial Risk Adjustment (CRA) Program update: Retrospective Program begins; Prospective Program continues

June 2020 Anthem Maine Provider News Administrative Jun 1, 2020

Commercial Risk Adjustment (CRA) Prospective Program update: Assessing patients for risk adjustable conditions

May 2020 Anthem Maine Provider News Administrative May 1, 2020

Commercial risk adjustment (CRA) reporting update

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Commercial Risk Adjustment (CRA) reporting update: 2020 prospective program continues

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Commercial Risk Adjustment (CRA) reporting update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

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

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Commercial Risk Adjustment Program update: Medical chart collection for ACA members due March 31, 2019

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Commercial Risk Adjustment reporting update: New guidance on telephone-only service CPT codes for risk adjustment program

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

ConditionCare Program benefits members and physicians

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Continued focus on updates to public provider website

April 2020 Anthem Maine Provider News Administrative Apr 1, 2020

Contracted air ambulance providers effective December 1, 2020

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Controlling high blood pressure

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Coordination of benefits for a Federal Employee Program® (FEP®) member

December 2018 Anthem Maine Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of benefits for an FEP® member

December 2019 Anthem Maine Provider News Federal Employee Plan (FEP) Dec 1, 2019

Coordination of care

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Coordination of care

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

Coordination of care

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Copay reduction for walk-in center services effective January 1, 2019

November 2018 Anthem Maine Network eUpdate Administrative Nov 1, 2018

Coverage change for contraceptives and contraceptive supplies effective January 1, 2019

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information - Maine Administrative Jan 8, 2021

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Daily morphine equivalent dosing limit to apply effective September 1, 2018

August 2018 Anthem Maine Provider Newsletter Pharmacy Aug 1, 2018

Diabetes HbA1c HEDIS guidance

June 2020 Anthem Maine Provider News Medicare Jun 1, 2020

Diagnosis-Related Group Newborn Inpatient Stays facility reimbursement policy update

June 2018 Maine newsletter Reimbursement Policies Jun 19, 2018

Digital Provider Enrollment application now available

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Digital transactions cut administrative tasks in half

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Maine Provider News Medicare Dec 1, 2020

Documentation and Reporting Guidelines for E/M Services update: professional

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

Drug lists supporting commercial health plans updated

August 2018 Anthem Maine Provider Newsletter Pharmacy Aug 1, 2018

Drug Screen Testing update: professional

May 2019 Anthem Maine Provider Newsletter Reimbursement Policies May 1, 2019

Dual eligible special needs plans: provider training required

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Durable medical equipment miscellaneous code E1399 reminder

June 2018 Maine newsletter Administrative Jun 19, 2018

Durable Medical Equipment professional reimbursement policy reminders

June 2018 Maine newsletter Reimbursement Policies Jun 22, 2018

Durable medical equipment update effective October 14, 2018

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

Easter Seals relationship expanded to support commercial members with complex needs

June 2018 Maine newsletter Products & Programs Jun 22, 2018
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