CommercialJuly 1, 2020
July 2020 Anthem Connecticut Provider News
Administrative
CommercialJuly 1, 2020
Update: New go live date for level of care medical necessity review of upper and lower endoscopy proceduresCommercialJuly 1, 2020
Interactive Care Reviewer: Anthem’s online prior authorization tool targeted to launch in Q3CommercialJuly 1, 2020
Availity’s Custom Learning CenterCommercialJuly 1, 2020
New MCG 24th Edition GuidelinesCommercialJuly 1, 2020
Commercial Risk Adjustment (CRA) 2020 Program Year Progression: What’s in it for you and your patients?CommercialJuly 1, 2020
Updated coverage for HIV PrEP medicationsPolicy Updates
CommercialJuly 1, 2020
Medical policy and clinical guideline updates available on anthem.comProducts & Programs
CommercialJuly 1, 2020
Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinationsCommercialJuly 1, 2020
Prior authorization updates for specialty pharmacy effective October 1, 2020CommercialJuly 1, 2020
Clinical criteria updates for specialty pharmacyState & Federal
Medicare AdvantageJuly 1, 2020
Medical drug benefit clinical criteria updatesMedicare AdvantageJuly 1, 2020
In-office assessment programMedicare AdvantageJuly 1, 2020
Prior authorization for BiPAP equipment and supplies moving from AIM Specialty Health effective July 1, 2020Medicare AdvantageJuly 1, 2020
2020 Special Needs PlansMedicare AdvantageJuly 1, 2020
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