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  • March 2023 Anthem Provider News - Connecticut
  • February 2023 Provider Newsletter - Connecticut
  • New ID cards for Anthem Blue Cross and Blue Shield members - Connecticut
  • January 2023 Provider Newsletter - Connecticut
  • Prior Authorization Suspension - In-network Hospital Transfers to In-network SNFs
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Connecticut
Provider Communications

July 2020 Anthem Connecticut Provider News

Download as PDF

Title Category

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

Products & Programs

Prior authorization updates for specialty pharmacy effective October 1, 2020

Pharmacy

Clinical criteria updates for specialty pharmacy

Pharmacy

Update: New go live date for level of care medical necessity review of upper and lower endoscopy procedures

Administrative

Interactive Care Reviewer: Anthem’s online prior authorization tool targeted to launch in Q3

Administrative

Availity’s Custom Learning Center

Administrative

New MCG 24th Edition Guidelines

Administrative

Commercial Risk Adjustment (CRA) 2020 Program Year Progression: What’s in it for you and your patients?

Administrative

Updated coverage for HIV PrEP medications

Administrative

Medical policy and clinical guideline updates available on anthem.com

Medical Policy & Clinical Guidelines

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

Federal Employee Plan (FEP)

Medical drug benefit clinical criteria updates

Medicare

In-office assessment program

Medicare

Prior authorization for BiPAP equipment and supplies moving from AIM Specialty Health effective July 1, 2020

Medicare

2020 Special Needs Plans

Medicare

Keep up with Medicare news

Medicare
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), which underwrites or administers the PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwrites or administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem websites constitutes your agreement with our Terms of Use.