Maine
Provider Communications

Articles

Title Publication Category Date

Pharmacy information available on anthem.com

October 2018 Anthem Maine Provider Newsletter Pharmacy Oct 1, 2018

Introducing new clinical criteria page for injectable, infused or implanted drugs

December 2018 Anthem Maine Provider Newsletter Pharmacy Dec 1, 2018

Electronic prior authorization requests for prescription medications accepted online

December 2018 Anthem Maine Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available on anthem.com

December 2018 Anthem Maine Provider Newsletter Pharmacy Dec 1, 2018

Update regarding drugs not approved by the FDA

January 2019 Anthem Maine Provider Newsletter Pharmacy Jan 1, 2019

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Maine Provider Newsletter Pharmacy Feb 1, 2019

Specialty pharmacy prior authorization list expanded

February 2019 Anthem Maine Provider Newsletter Pharmacy Feb 1, 2019

Specialty pharmacy medical step therapy drug list expanded

February 2019 Anthem Maine Provider Newsletter Pharmacy Feb 1, 2019

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Specialty pharmacy clinical site of care program important reminder

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Commercial drug list important updates

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Pharmacy information available on anthem.com

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

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

April 2019 Anthem Maine Provider Newsletter Pharmacy Apr 1, 2019

Pharmacy information available on anthem.com

April 2019 Anthem Maine Provider Newsletter Pharmacy Apr 1, 2019

Specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Anthem Maine Provider Newsletter Pharmacy May 1, 2019

Specialty pharmacy medical step therapy drug list expanded

May 2019 Anthem Maine Provider Newsletter Pharmacy May 1, 2019

Pharmacy information available on anthem.com

May 2019 Anthem Maine Provider Newsletter Pharmacy May 1, 2019

Medical non-oncology specialty drug review changes effective June 15, 2019

June 2019 Anthem Maine Provider Newsletter Pharmacy Jun 1, 2019

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

June 2019 Anthem Maine Provider Newsletter Pharmacy Jun 1, 2019

Pharmacy information available on anthem.com

June 2019 Anthem Maine Provider Newsletter Pharmacy Jun 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Maine Provider News Pharmacy Jul 1, 2019

Clinical criteria coding updates for specialty pharmacy

July 2019 Anthem Maine Provider News Pharmacy Jul 1, 2019

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

August 2019 Anthem Maine Provider News Pharmacy Aug 1, 2019

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

August 2019 Anthem Maine Provider News Pharmacy Aug 1, 2019

Pharmacy information available on anthem.com

August 2019 Anthem Maine Provider News Pharmacy Aug 1, 2019

Clinical criteria updates for specialty pharmacy

September 2019 Anthem Maine Provider News Pharmacy Sep 1, 2019

Specialty pharmacy prior authorization list to be expanded effective December 1, 2019

September 2019 Anthem Maine Provider News Pharmacy Sep 1, 2019

Specialty pharmacy medical step therapy drug list clarification

October 2019 Anthem Maine Provider News Pharmacy Oct 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Maine Provider News Pharmacy Oct 1, 2019

Pharmacy information available on anthem.com

October 2019 Anthem Maine Provider News Pharmacy Oct 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Maine Provider News Pharmacy Nov 1, 2019

Pre-service clinical review and quantity limit updates for specialty pharmacy effective February 1, 2020

November 2019 Anthem Maine Provider News Pharmacy Nov 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

Pharmacy information available on anthem.com

December 2019 Anthem Maine Provider News Pharmacy Dec 1, 2019

Formulary lists updated for commercial health plans

February 2020 Anthem Maine Provider News Pharmacy Feb 1, 2020

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

Pharmacy information available on anthem.com

March 2020 Anthem Maine Provider News Pharmacy Mar 1, 2020

Anthem to delay most April 1 formulary list updates for commercial health plan pharmacy benefit

COVID-19 Information - Maine Pharmacy Apr 1, 2020

Specialty pharmacy updates effective July 1, 2020

April 2020 Anthem Maine Provider News Pharmacy Apr 1, 2020

Pharmacy information available on anthem.com

April 2020 Anthem Maine Provider News Pharmacy Apr 1, 2020

Clinical criteria updates for specialty pharmacy

May 2020 Anthem Maine Provider News Pharmacy May 1, 2020

Specialty pharmacy updates effective August 1, 2020

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

Prior authorization updates for specialty pharmacy effective September 1, 2020

June 2020 Anthem Maine Provider News Pharmacy Jun 1, 2020

Pharmacy information available on anthem.com

June 2020 Anthem Maine Provider News Pharmacy Jun 1, 2020

Prior authorization updates for specialty pharmacy effective October 1, 2020

July 2020 Anthem Maine Provider News Pharmacy Jul 1, 2020

Clinical criteria updates for specialty pharmacy

July 2020 Anthem Maine Provider News Pharmacy Jul 1, 2020

Formulary lists updated for Anthem commercial health plan pharmacy benefit

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Clinical criteria updates for specialty pharmacy

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Prior authorization updates for specialty pharmacy effective November 1, 2020

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Formulary lists updated for commercial health plan pharmacy benefit

September 2020 Anthem Maine Provider News Pharmacy Sep 1, 2020

Specialty pharmacy updates effective December 2020

September 2020 Anthem Maine Provider News Pharmacy Sep 1, 2020

Cologuard covered for Medicare Advantage members

June 2018 Maine newsletter Medicare Jun 19, 2018

Peer-to-peer process can help clarify clinical record

June 2018 Maine newsletter Medicare Jun 19, 2018

MA home health network to be delegated to myNEXUS

June 2018 Maine newsletter Medicare Jun 19, 2018

Medication adherence incentive offered to EPHC providers

June 2018 Maine newsletter Medicare Jun 19, 2018

Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option

June 2018 Maine newsletter Medicare Jun 19, 2018

Keep up with Medicare news

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

Wheelchair prior authorization information for DME providers and physicians

August 2018 Anthem Maine Provider Newsletter Medicare Aug 1, 2018

Submit PA medication requests electronically; new phone number for MA prescription PAs effective September 1, 2018

August 2018 Anthem Maine Provider Newsletter Medicare Aug 1, 2018

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

Keep up with Medicare news

August 2018 Anthem Maine Provider Newsletter Medicare Aug 1, 2018

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

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

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

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

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

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

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

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

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

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

Risk adjustment and documentation training offered

January 2019 Anthem Maine Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Maine Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Maine Provider Newsletter Medicare Jan 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Eye refraction and routine eye exam billing information

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Dual eligible special needs plans: provider training required

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

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

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

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

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Maine Provider Newsletter Medicare Apr 1, 2019

Reimbursement for select HEDIS related CPT II codes for Medicare Advantage members coming soon

April 2019 Anthem Maine Provider Newsletter Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Maine Provider Newsletter Medicare Apr 1, 2019

Fall prevention tips

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

Partial hospitalization services

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

Keep up with Medicare news

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019
Previous Page Page 2 of 6 Next Page