Missouri
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Medical Policy and Clinical Guidelines Updates

October 2018 Anthem Missouri Provider Newsletter Medical Policy & Clinical Guidelines Sep 28, 2018

Clinical practice and preventive health guidelines available on anthem.com

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

Medical Polices and Clinical Guidelines Updates - December 2018

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

Medical Policy and Clinical Guidelines: February 2019*

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

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

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

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

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

Medical Policy and Clinical Guidelines Updates - April 2019*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Clinical Guideline Update - May 2019*

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

MCG care guidelines 23rd Edition*

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

Medical Policy and Clinical Guideline Updates -- June 2019*

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

New Clinical Guideline: Inpatient Inter-Facility Transfers effective September 1, 2019*

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

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

July 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jul 1, 2019

Medical Policy and Clinical Guideline Updates -- August 2019*

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

Anthem customizations to MCG care guidelines 23rd edition*

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

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

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

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

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

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

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

Clinical Guideline Updates -- September 2019*

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

Medical Policy and Clinical Guidelines Updates -- November 2019*

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

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline*

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

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline*

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

Updates to AIM Spine Surgery Clinical Appropriateness Guideline*

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

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline*

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

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair*

January 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jan 1, 2020

Medical Policy and Clinical Guideline Updates - February 2020*

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

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

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

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

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

MCG Care Guidelines 24th Edition*

April 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Apr 1, 2020

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements*

April 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Apr 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines May 1, 2020

Medical Policy and Clinical Guideline Updates - June 2020

June 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jun 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

June 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jun 1, 2020

REMINDER: AIM Rehabilitative Program Pediatric Exclusions

June 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jun 1, 2020

New MCG 24th Edition Guidelines

July 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jul 1, 2020

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

July 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jul 1, 2020

Medical policy and clinical guideline updates - August 2020

August 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Aug 1, 2020

Expansion of AIM Musculoskeletal Program effective November 1, 2020

August 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Aug 1, 2020

Medical policy and clinical guideline updates - October 2020

October 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Oct 1, 2020

Prior authorization update for Commercial Individual Business

October 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Oct 1, 2020

Transition to AIM rehabilitative service clinical appropriateness guidelines

October 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Oct 1, 2020

Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Oct 1, 2020

Correction to Prior Authorization Update for Commercial business

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

Medical policy and clinical guideline updates - November 2020

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

Reminder: Post-service reviews using AIM

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

Medical policy and clinical guideline updates - December 2020

December 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Cardiology clinical appropriateness guidelines

December 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guideline

December 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Radiation Oncology clinical appropriateness guideline

December 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

December 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2020

Medical Policy and Clinical Guideline Updates - January 2021

January 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jan 1, 2021

MCG Care Guidelines 24th Edition Customization

January 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jan 1, 2021

Medical Policy and Clinical Guideline Updates - February 2021

February 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Feb 1, 2021

Update: Notice of changes to the AIM Small Joint Surgery guideline

March 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Mar 1, 2021

Medical policy and clinical guideline updates - April 2021

April 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Apr 1, 2021

Update: Clinical guideline adoption postponed

April 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Apr 1, 2021

MCG Care Guidelines 25th Edition available

April 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Apr 1, 2021

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

April 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information - Missouri Medical Policy & Clinical Guidelines Apr 1, 2021

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

April 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Apr 1, 2021

New prior authorization requirement: Kidney transplantation

May 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines May 1, 2021

Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines

May 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines May 1, 2021

Updated AIM rehabilitative program effective August 1, 2021 - Initial evaluations and site of service reviews

May 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines May 1, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) enhanced reimbursement to begin July 1, 2021

May 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines May 1, 2021

Medical policy and clinical guideline updates - June 2021

June 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jun 1, 2021

Prior authorization for genetic testing medical policy effective September 1, 2021

June 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM advanced imaging clinical appropriateness guidelines

June 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM musculoskeletal program clinical appropriateness guidelines

June 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jun 1, 2021

Medical Policy and Clinical Guideline Updates - July 2021

July 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jul 1, 2021

Reminder: Updated AIM rehabilitative program effective August 1, 2021 - Site of service reviews

July 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jul 1, 2021

Transition to AIM Specialty Health imaging of the heart clinical appropriateness guideline for computed tomography to detect coronary artery calcification

August 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Aug 1, 2021

Medical policy and clinical guideline updates - October 2021

October 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Oct 1, 2021

Continuation of skilled nursing facility (SNF) program in Missouri

October 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Oct 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2021

Medical policy and clinical guideline updates - December 2021

December 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2021

New Reimbursement Policy - Facility Revenue Code Billing

October 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Sep 28, 2018

Reimbursement Policy Update - Readmissions (Facility)

October 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Sep 28, 2018

View reimbursement policies online at anthem.com

October 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Sep 28, 2018

View reimbursement policies online at anthem.com

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Updates - December 2018

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Update - Scope of License (Professional)

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Updates: February 2019*

February 2019 Anthem Missouri Provider Newsletter Reimbursement Policies Feb 1, 2019

Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*

February 2019 Anthem Missouri Provider Newsletter Reimbursement Policies Feb 1, 2019

New Reimbursement Policy: Partial Hospitalization Program and Intensive Outpatient Program Services Facility*

April 2019 Anthem Provider Newsletter - Missouri Reimbursement Policies Apr 1, 2019

Update: Drug Screen Testing - Professional*

May 2019 Anthem Provider Newsletter - Missouri Reimbursement Policies May 1, 2019

New Reimbursement Policy: Ambulance Transportation -- Professional*

June 2019 Anthem Provider Newsletter - Missouri Reimbursement Policies Jun 1, 2019

Reimbursement Policy Update: Frequency Editing -- Professional*

June 2019 Anthem Provider Newsletter - Missouri Reimbursement Policies Jun 1, 2019

Clinical Validation: Professional*

July 2019 Anthem Provider News - Missouri Reimbursement Policies Jul 1, 2019

Modifier 79 reminder: Professional

July 2019 Anthem Provider News - Missouri Reimbursement Policies Jul 1, 2019
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