Connecticut
Provider Communications

Articles Recent

Title Publication Category Date

Clinical criteria updates

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Changes to prior authorization requirements effective December 1, 2019

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Keep up with Medicare news

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Access requirements for behavioral healthcare services

September 2019 Anthem Connecticut Provider News Behavioral Health Sep 1, 2019

Clinical criteria updates for specialty pharmacy

September 2019 Anthem Connecticut Provider News Pharmacy Sep 1, 2019

Specialty pharmacy prior authorization list to be expanded effective December 1, 2019

September 2019 Anthem Connecticut Provider News Pharmacy Sep 1, 2019

Anthem launches Sydney on September 1; new app offers better digital health care support to members

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

Reminder: Changes to timely filing requirements coming in October

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

Reimbursement rate for non-participating providers of durable medical equipment to change

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

Provider transparency update

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

Appointment access standards for primary care, specialty care and behavioral health practitioners

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

PCP after-hours access requirements

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

New Reimbursement Policies - Maternity Services and Multiple Delivery - professional

September 2019 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2019

New Reimbursement Policy - Intensity Modulated Radiation Therapy Planning and Delivery - professional

September 2019 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2019

Claims requiring additional documentation facility reimbursement policy update

September 2019 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2019

Claim editing update for Excludes1 notes

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

Medical policy updates are available on anthem.com

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

Clinical guideline updates are available on anthem.com

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

New Clinical Guideline: Pneumatic Compression Devices effective December 1, 2019

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

Electronic attachments coming soon

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

August 2019 Anthem Connecticut Provider News Products & Programs Aug 1, 2019

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

August 2019 Anthem Connecticut Provider News Products & Programs Aug 1, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Connecticut Provider News Products & Programs Aug 1, 2019

Specialty pharmacy pre-service clinical review list expanded effective November 1, 2019

August 2019 Anthem Connecticut Provider News Pharmacy Aug 1, 2019

Reminder: Process change for medical non-oncology specialty drug reviews effective June 15, 2019

August 2019 Anthem Connecticut Provider News Pharmacy Aug 1, 2019

Pharmacy information available on anthem.com

August 2019 Anthem Connecticut Provider News Pharmacy Aug 1, 2019

New Prior Auth Pass Program available for providers who meet criteria

August 2019 Anthem Connecticut Provider News Administrative Aug 1, 2019

Anthem customizations to MCG care guidelines 23rd edition

August 2019 Anthem Connecticut Provider News Administrative Aug 1, 2019

Streamlined access to Anthem Provider Manual

August 2019 Anthem Connecticut Provider News Administrative Aug 1, 2019

Proprietary information reminder to participating providers

August 2019 Anthem Connecticut Provider News Administrative Aug 1, 2019

Bundled Services Reimbursement Policy update - professional

August 2019 Anthem Connecticut Provider News Reimbursement Policies Aug 1, 2019

Frequency Editing Reimbursement Policy update - professional

August 2019 Anthem Connecticut Provider News Reimbursement Policies Aug 1, 2019

Medical policy updates are available on anthem.com

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

Clinical guideline updates are available on anthem.com

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

Clinical criteria updates for specialty pharmacy

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

Keep up with Medicare news

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

New reimbursement policy effective October 1, 2019 - Drug Screen Testing

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

Special needs plans - provider training required

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

UPDATE: new Rehabilitative Program remains temporarily delayed

Connecticut - UPDATE: New Rehabilitative Program Remains Temporarily Delayed Products & Programs Jul 16, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019

Connecticut - July UPDATE: New Rehabilitative Program Now Effective August 1, 2019 Products & Programs Jul 3, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

July 2019 Anthem Connecticut Provider News Products & Programs Jul 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Connecticut Provider News Pharmacy Jul 1, 2019

Clinical criteria coding updates for specialty pharmacy

July 2019 Anthem Connecticut Provider News Pharmacy Jul 1, 2019

Update to provider/facility UM reimbursement penalties and corresponding update to Provider/Facility Manual

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Clinical validation - professional

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Payment recovery process simplified for National Accounts membership

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Make the move to the Availity EDI Gateway today

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

State-supplied vaccines reminder - professional

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Modifier 79 reminder - professional

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Modifier 63 reminder - professional

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

ICD-10-CM coding guidelines and laterality - professional

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Un-adopted clinical guidelines effective June 1, 2019

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

Federal Employee Health Benefit Program® (FEP) PPO members will now require prior approval for specific specialty drugs and site of care

July 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Anthem to acquire Beacon Health Options

Anthem to acquire Beacon Health Options Administrative Jun 6, 2019

Reminder and update: new Rehabilitative Program effective July 1, 2019

June 2019 Anthem Connecticut Provider Newsletter Products & Programs Jun 1, 2019

AIM programs may require additional prior authorization documentation

June 2019 Anthem Connecticut Provider Newsletter Products & Programs Jun 1, 2019

Medical non-oncology specialty drug review changes effective June 15, 2019

June 2019 Anthem Connecticut Provider Newsletter Pharmacy Jun 1, 2019

Specialty pharmacy pre-service clinical review list expanded effective September 1, 2019

June 2019 Anthem Connecticut Provider Newsletter Pharmacy Jun 1, 2019

Pharmacy information available on anthem.com

June 2019 Anthem Connecticut Provider Newsletter Pharmacy Jun 1, 2019

Additional changes launched to anthem.com for Q2

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Find a Doctor - new sort option

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Electronic attachments coming soon

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Claim Status Inquiry and Secure Messaging changes on the Availity Portal

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Sepsis coding update

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Commercial Risk Adjustment (CRA) reporting update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Adult BMI Assessment

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Misrouted protected health information (PHI)

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

New Reimbursement Policy - Ambulance Transportation - professional

June 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Jun 1, 2019

Medical policy updates are available on anthem.com

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

Coding Updates

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

Clinical guideline updates are available on anthem.com

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

Coding Updates

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

Clinical Guideline CG-ANC-07 effective September 1, 2019

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

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Connecticut Provider Newsletter Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Connecticut Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Anthem Connecticut Provider Newsletter Medicare Jun 1, 2019

Frequency Editing - professional

June 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Jun 1, 2019

Electronic member ID cards – Easy online access on the Availity portal

May 2019 Anthem Connecticut Provider Newsletter Administrative May 1, 2019

Provider Manual for professional and facility providers to be updated July 1, 2019

May 2019 Anthem Connecticut Provider Newsletter Administrative May 1, 2019

Advance patient notice reminder

May 2019 Anthem Connecticut Provider Newsletter Administrative May 1, 2019

Referring to contracted ambulance providers

May 2019 Anthem Connecticut Provider Newsletter Administrative May 1, 2019

Drug Screen Testing update: professional

May 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies May 1, 2019

Medical policy updates are available on anthem.com

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

Clinical guideline updates are available on anthem.com

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

Keep up with Medicare news

May 2019 Anthem Connecticut Provider Newsletter Medicare May 1, 2019

Specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Anthem Connecticut Provider Newsletter Pharmacy May 1, 2019

Specialty pharmacy medical step therapy drug list expanded

May 2019 Anthem Connecticut Provider Newsletter Pharmacy May 1, 2019

Pharmacy information available on anthem.com

May 2019 Anthem Connecticut Provider Newsletter Pharmacy May 1, 2019
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