New Hampshire
Provider Communications

December 2019 Anthem New Hampshire Provider News

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Title Category

2020 Medicare Advantage individual benefits and formularies

Medicare

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

Medicare

Case Management Program

Administrative

Clinical criteria updates for specialty pharmacy

Pharmacy

Clinical practice and preventive health guidelines available on anthem.com

Administrative

CMS reminder: expedited/urgent requests

Medicare

Coding reminder for psychological and neuropsychological testing

Behavioral Health

Coordination of benefits for an FEP® member

Federal Employee Plan (FEP)

Coordination of care

Administrative

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization updates

Medicare

Group Retiree PPO plans

Medicare

Important information about utilization management

Administrative

Medical drug clinical criteria updates

Medicare

Members’ Rights and Responsibilities

Administrative

New ID cards in 2020

Administrative

New Reimbursement Policies: Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers - professional

Administrative

Payment recovery process simplified for National Accounts membership

Administrative

Pharmacy information available on anthem.com

Pharmacy

Prior authorization requirements for E0784, K0553 and K0554

Medicare

Reminder: New AIM Rehabilitative Program effective November 1, 2019

Products & Programs

Reminder: refer Medicare Advantage members to in-network providers

Medicare

Retrieve Anthem member HEDIS® care gaps through Patient360 on the Availity Portal

Administrative

System updates for 2020 - professional

Administrative

Verifying and updating your provider information

Administrative
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