Missouri
Provider Communications

April 2021 Anthem Provider News - Missouri

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Title Category

Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual

Administrative

The 2021 Provider Manual is now available

Administrative

Does your practice offer telehealth services? Let us know!

Administrative

Information Center - Access important policies, forms and helpful resources

Administrative

Understanding Availity roles for electronic data interchange (EDI)

Administrative

Make the change to digital authorization/referral and hospital admission notifications using EDI

Administrative

Attention facilities: Sending admission, discharge and transfer data results in improved care management for patients

Administrative

Chat directly with a prior authorization specialist

Administrative

Keeping up with routine vaccination during COVID-19

Administrative

Interactive bilingual website taking action for our health

Exclusively developed for the Latino Community
Administrative

Join Anthem in talking about racism and its impact on health

Administrative

The health of millennials: Trends in behavioral health conditions

Behavioral Health

HEDIS 2021 Federal Employee Program® medical record request requirements

Federal Employee Plan (FEP)

Medical policy and clinical guideline updates - April 2021

Medical Policy & Clinical Guidelines

Update: Clinical guideline adoption postponed

Medical Policy & Clinical Guidelines

MCG Care Guidelines 25th Edition available

Medical Policy & Clinical Guidelines

Updated guidance on prior authorization requirements for admissions to in-network skilled nursing facilities (SNFs)

Medical Policy & Clinical Guidelines

Maximizing efficient, high quality COVID-19 screenings

Medical Policy & Clinical Guidelines

Update for Commercial providers: AIM sleep program CPT code E1399, NOC: Durable medical equipment, miscellaneous

Medical Policy & Clinical Guidelines

Does your practice offer telehealth services? Let us know!

Medicare

In-Office Assessment program

Medicare

Oncology dose reduction program beginning July 1, 2021

Medicare

Clinical criteria updates notification - November 2020

Medicare

Clinical criteria updates notification - December 2020

Medicare

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

Pharmacy

Updates for specialty pharmacy are available - April 2021

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

New reimbursement policy: Newborn Inpatient Stays for facilities

Reimbursement Policies
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