Ohio
Provider Communications

April 2022 Anthem Provider News - Ohio

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Title Category

CAA: Update your provider directory information

Administrative

Catching up on routine vaccines

Administrative

Clinical Criteria updates

Medicare

Designated specialty pharmacy network updates*

*Notice of Material Amendment/Change to Contract (MAC)
Pharmacy

Evaluation and management documentation guidelines

Administrative

Evaluation and management documentation guidelines

Medicare

HEDIS 2022: Summary of changes from NCQA

Administrative

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

Medicare

Importance of behavioral healthcare after-hours messaging

Administrative

Keep up with Medicare News - April 2022

- Medical Policies and Clinical Utilization Management Guidelines update
- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Anthem expands specialty pharmacy precertification list
Medicare

Model of Care required training

Medicare

Pharmacy information available at anthem.com

Pharmacy

Procedure searches in Find Care

Digital Tools

Reimbursement policy update: Inpatient readmissions

Medicare

Reminder on Botox for Anthem members

Administrative

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

Federal Employee Plan (FEP)

Specialty pharmacy updates - April 2022*

*Notice of Material Amendment/Change to Contract (MAC)
Pharmacy

The Anthem, Inc. name is changing

Administrative

The Anthem, Inc. name is changing

Medicare

The impact of listening

Medicare

Updated provider manual now available

Administrative
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