Ohio
Provider Communications

May 2020 Anthem Provider News - Ohio

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Title Category

Anthem Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

Administrative

Anthem prior authorization updates for specialty pharmacy are available - May 2020*

Pharmacy

COVID-19 information repository for Anthem Care Providers

Administrative

Medicare News - May 2020

View these Medicare articles:
- Prior Authorization requirements
- New behavioral health Medicare Advantage individual and Group Retiree Solutions provider fax
Medicare

Multi-dose packaging

Medicare

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - May 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
Administrative

Quality Corner: Diabetes HbA1c<8 HEDIS Guidance

Administrative

Reimbursement Policy Update: Claims requiring additional documentation (Facility)*

Reimbursement Policies

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

Medicare

Reminder about system updates

Reimbursement Policies

The 2020 Provider Manual is now available

Administrative

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline*

Medical Policy & Clinical Guidelines

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline*

Medical Policy & Clinical Guidelines

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline*

Medical Policy & Clinical Guidelines
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