Connecticut
Provider Communications

May 2021 Anthem Connecticut Provider News

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Title Category

Modification to voluntary Cancer Care Quality Program (CCQP) - enhanced reimbursement to begin July 1, 2021

Products & Programs

Updated AIM Rehabilitative Program effective August 1, 2021 - initial evaluations and site of service reviews

Products & Programs

Update to AIM Specialty Health Oncologic Imaging Clinical Appropriateness Guidelines

Products & Programs

Clinical criteria updates for specialty pharmacy

Pharmacy

Specialty pharmacy prior authorization update - certain drugs for treatment of ocular conditions continue to require prior authorization

Pharmacy

Prior authorization updates for specialty pharmacy effective August 2021

Pharmacy

A helpful guide to covered well-child visits 

Administrative

May is National High Blood Pressure Education Month

Administrative

Send larger digital attachments through Availity

Administrative

Appointment Scheduler application

Administrative

Provider bulletins for medical and itemized bill attachments

Administrative

Refer to network DME providers for negative pressure wound therapy to help members save on out-of-pocket costs

Administrative

Billing for deluxe hearing aids

Administrative

Resources to support diverse patients and communities

Administrative

2021 affirmative statement regarding utilization management decisions

Administrative

Reimbursement policy reminder: Readmission - facility

Reimbursement Policies

Reimbursement policy update: Frequency Editing - professional

Reimbursement Policies

Reimbursement policy update: Claims Requiring Additional Documentation - facility

Reimbursement Policies

Clinical guideline update available on anthem.com

Medical Policy & Clinical Guidelines

Maximizing efficient, high quality COVID-19 screenings

Medicare

Keep up with Medicare news

Medicare
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