CommercialNovember 1, 2019
November 2019 Anthem Connecticut Provider News
Administrative
CommercialOctober 31, 2019
Additional improvements coming to anthem.comCommercialOctober 31, 2019
Reminder: new AIM Rehabilitative Program effective November 1, 2019CommercialOctober 31, 2019
Appropriate coding helps provide a comprehensive picture of patients’ healthCommercialOctober 31, 2019
Modifier use remindersPolicy Updates
CommercialOctober 31, 2019
Medical policy updates are available on anthem.comCommercialOctober 31, 2019
Clinical guideline updates are available on anthem.comProducts & Programs
CommercialOctober 31, 2019
Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness GuidelinesCommercialOctober 31, 2019
Updates to AIM Radiation Therapy Clinical Appropriateness GuidelineCommercialOctober 31, 2019
Updates to AIM Spine Surgery Clinical Appropriateness GuidelineCommercialOctober 31, 2019
Updates to AIM Sleep Disorder Management Clinical Appropriateness GuidelineCommercialOctober 31, 2019
Remaining members will transition to new PBM, IngenioRx, on January 1, 2020CommercialOctober 31, 2019
Pre-service clinical review and quantity limit updates for specialty pharmacy effective February 1, 2020CommercialOctober 31, 2019
Clinical criteria updates for specialty pharmacyState & Federal
Medicare AdvantageOctober 31, 2019
March 2019 Medical Policies and Clinical Utilization Management Guidelines updateMedicare AdvantageOctober 31, 2019
2019 Enhanced Personal Health Care Program releases myFHRMedicare AdvantageOctober 31, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagementMedicare AdvantageOctober 31, 2019
Reimbursement Policy update: Drug Screen TestingMedicare AdvantageOctober 31, 2019
Rehabilitative services prior authorization review update for Medicare Advantage membersMedicare AdvantageOctober 31, 2019
CMS reminder: expedited/urgent requestsMedicare AdvantageOctober 31, 2019
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