Connecticut
Provider Communications

December 2022 Provider Newsletter - Connecticut

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Title Category

Coordination of care

Administrative

Attention lab providers: COVID-19 update regarding reimbursement

Administrative

IngenioRx will become CarelonRx on January 1, 2023

Administrative

Case management program

Administrative

Important information about utilization management

Administrative

CAA: Timely updates help keep our provider directories current

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Member assessment of PCP after-hours messaging in 2022

Administrative

Members’ rights and responsibilities

Administrative

Member’s assessment of behavioral healthcare after-hours messaging in 2022

Administrative

Signature requirements for laboratory orders or requisitions

Administrative

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

Policy Updates

Pharmacy information available on the provider website

Pharmacy

Clinical Criteria updates for specialty pharmacy

Pharmacy

Specialty pharmacy updates - December 2022

Pharmacy

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Medical Policy & Clinical Guidelines

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

Medical Policy & Clinical Guidelines

Reimbursement policy update: Multiple Surgery - Facility

Reimbursement Policies

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

Reimbursement Policies

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

Reimbursement Policies

Reimbursement policy update: Bundled Services and Supplies - Professional

Reimbursement Policies

Personal home helper benefit ending

Medicare

2023 Medicare Advantage service area and benefit updates

Medicare

Keep up with Medicare news

Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
Medicare
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