CommercialAugust 1, 2019
August 2019 Anthem Connecticut Provider News
Administrative
CommercialJuly 31, 2019
New Prior Auth Pass Program available for providers who meet criteriaCommercialJuly 31, 2019
Anthem customizations to MCG care guidelines 23rd editionCommercialJuly 31, 2019
Streamlined access to Anthem Provider ManualCommercialJuly 31, 2019
Proprietary information reminder to participating providersPolicy Updates
CommercialJuly 31, 2019
Medical policy updates are available on anthem.comCommercialJuly 31, 2019
Clinical guideline updates are available on anthem.comCommercialJuly 31, 2019
Clinical criteria updates for specialty pharmacyCommercialJuly 31, 2019
Bundled Services Reimbursement Policy update - professionalCommercialJuly 31, 2019
Frequency Editing Reimbursement Policy update - professionalProducts & Programs
CommercialJuly 31, 2019
Updates to AIM Advanced Imaging Clinical Appropriateness GuidelinesCommercialJuly 31, 2019
Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness GuidelineCommercialJuly 31, 2019
Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness GuidelineCommercialJuly 31, 2019
Specialty pharmacy pre-service clinical review list expanded effective November 1, 2019CommercialJuly 31, 2019
Reminder: Process change for medical non-oncology specialty drug reviews effective June 15, 2019CommercialJuly 31, 2019
Pharmacy information available on anthem.comState & Federal
Medicare AdvantageJuly 31, 2019
New service types added to AvailityMedicare AdvantageJuly 31, 2019
New reimbursement policy effective October 1, 2019 - Drug Screen TestingMedicare AdvantageJuly 31, 2019
AIM Specialty Health programs may require documentationMedicare AdvantageJuly 31, 2019
Special needs plans - provider training requiredMedicare AdvantageJuly 31, 2019
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