Connecticut
Provider Communications

March 2020 Anthem Connecticut Provider News

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Title Category

Level of care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020

Products & Programs

Clinical criteria updates for specialty pharmacy

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

New enhancements with Provider News

Administrative

Reminder: non-physical, occupational or speech therapists must include modifiers on physical, occupational, or speech therapy claims

Administrative

Patient360 enhancement for medical providers

Administrative

Commercial Risk Adjustment (CRA) Program update: Medical chart collection for ACA members due March 31, 2020

Administrative

Modifier use reminders

Administrative

Please notify us of changes to your practice

Administrative

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

Administrative

Important coding reminder for Walk-in Retail Health Clinics

Administrative

Provider Maintenance Form (PMF) enhancement

Administrative

Clinical guideline update effective June 1, 2020 - Paraesophageal Hernia Repair

Medical Policy & Clinical Guidelines

Outpatient Rehabilitation Program transition: new prior authorization requirements effective April 1, 2020

Medicare

Reminder: mid-level practitioners are required to file using their NPI

Medicare

Non-preferred products and corresponding preferred alternatives

Medicare

Keep up with Medicare news

Medicare
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