CommercialDecember 1, 2018
December 2018 Anthem Connecticut Provider Newsletter
Administrative
CommercialDecember 1, 2018
Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid available on anthem.comCommercialDecember 1, 2018
Availity to serve as EDI entry point for electronic submissionsCommercialDecember 1, 2018
Sign up today for provider eUpdatesCommercialDecember 1, 2018
Anthem Pathway Network consolidation clarificationsCommercialDecember 1, 2018
Payment recovery process simplified for National Accounts membershipCommercialDecember 1, 2018
Misrouted protected health information (PHI)CommercialDecember 1, 2018
HEDIS® 2018 commercial results are inCommercialDecember 1, 2018
Clinical practice and preventive health guidelines available on anthem.comCommercialDecember 1, 2018
Case Management ProgramCommercialDecember 1, 2018
ConditionCare Program benefits members and physiciansCommercialDecember 1, 2018
Coordination of careCommercialDecember 1, 2018
Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits members and physiciansCommercialDecember 1, 2018
Important Information about Utilization ManagementCommercialDecember 1, 2018
Members’ Rights and ResponsibilitiesBehavioral Health
CommercialDecember 1, 2018
Member’s access to behavioral health carePolicy Updates
CommercialDecember 1, 2018
Medical policy updates are available on anthem.comCommercialDecember 1, 2018
Clinical guideline updates are available on anthem.comCommercialDecember 1, 2018
Update on clinical guideline communication in October 2018 provider newsletterCommercialDecember 1, 2018
Bundled Services and Supplies: professionalCommercialDecember 1, 2018
Reimbursement for convenience surgical supply kits: professionalCommercialDecember 1, 2018
Scope of License reimbursement policy update: professionalCommercialDecember 1, 2018
“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services: professionalCommercialDecember 1, 2018
System updates for 2019: professionalProducts & Programs
CommercialDecember 1, 2018
Restructure of AIM Advanced Imaging Clinical Appropriateness GuidelinesCommercialDecember 1, 2018
Updates to AIM Musculoskeletal Surgery Clinical Appropriateness GuidelinesCommercialDecember 1, 2018
Update to AIM Clinical Appropriateness GuidelinesCommercialDecember 1, 2018
Coordination of benefits for a Federal Employee Program® (FEP®) memberCommercialDecember 1, 2018
Benefit change for Infliximab for Federal Employee Program®CommercialDecember 1, 2018
2019 FEP® benefit information available onlineCommercialDecember 1, 2018
Introducing new clinical criteria page for injectable, infused or implanted drugsCommercialDecember 1, 2018
Electronic prior authorization requests for prescription medications accepted onlineCommercialDecember 1, 2018
Pharmacy information available on anthem.comState & Federal
Medicare AdvantageDecember 1, 2018
New Medicare Advantage provider service phone number beginning January 1, 2019Medicare AdvantageDecember 1, 2018
2019 Medicare Advantage individual benefits and formulariesMedicare AdvantageDecember 1, 2018
CMS Medicare Preclusion List effective April 1, 2019Medicare AdvantageDecember 1, 2018
When and how to initiate Medicare Advantage reopeningsMedicare AdvantageDecember 1, 2018
Individual Medicare plans move compound drugs off formulary beginning January 1, 2019Medicare AdvantageDecember 1, 2018
Medicare Part B drugs may include Step Therapy beginning January 1, 2019Medicare AdvantageDecember 1, 2018
City of New Haven moves to Anthem Medicare Advantage PlanMedicare AdvantageDecember 1, 2018
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