Missouri
Provider Communications

July 2020 Anthem Provider News - Missouri

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Title Category

Important change to prior authorization requests for inpatient hospital admissions

Administrative

Welcome to the Custom Learning Center in Availity

Administrative

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

Administrative

2019 Commercial member satisfaction with behavioral health care and services survey results

Behavioral Health

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

Federal Employee Plan (FEP)

New MCG 24th Edition Guidelines

Medical Policy & Clinical Guidelines

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determination

Medical Policy & Clinical Guidelines

Medicare News - July 2020

View these Medicare articles:
- New behavioral health discharge call-in line
- Medical policies and clinical utilization management guidelines update
- Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines
- Transition to AIM rehabilitative services clinical appropriateness guidelines
- Modifier use reminders
Medicare

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

Medicare

2020 affirmative statement concerning utilization management decisions

Medicare

Medical drug benefit clinical criteria updates

Medicare

In-Office Assessment Program

Medicare

2020 Special Needs Plans

Medicare

Updated coverage for HIV PrEP medications

Pharmacy

Anthem prior authorization updates for specialty pharmacy are available - July 2020

Pharmacy

Update: New go-live date for level of care medical necessity review of upper and lower endoscopy procedures

Products & Programs
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