Connecticut
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Medical policy and clinical guideline updates available on anthem.com

November 2022 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Nov 1, 2022

Medical policy updates are available on anthem.com

July 2021 Connecticut Provider News Medical Policy & Clinical Guidelines Jul 1, 2021

Medical policy and clinical guideline updates

January 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jan 1, 2022

Medical policy and clinical guideline updates available on anthem.com

May 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines May 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Nov 1, 2022

Medical Policy and Clinical Guideline updates are available on our provider website

February 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Feb 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

February 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

February 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Feb 1, 2023

Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines

June 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines

Notice of material change/amendment to contract
June 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Un-adopted clinical guidelines effective June 1, 2019

July 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates

March 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Mar 1, 2022

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

December 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

December 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy updates are available on anthem.com

February 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

December 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

December 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Clinical guideline updates are available on anthem.com

February 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Medical policy and clinical guidelines updates are available on anthem.com

June 2018 Connecticut newsletter Medical Policy & Clinical Guidelines Jun 22, 2018

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

January 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Dec 30, 2022

Clinical guideline updates are available on anthem.com

February 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

December 2022 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Dec 1, 2022

Medical policy updates are available on anthem.com

January 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical guideline updates are available on anthem.com

January 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Update on clinical guideline communication in October 2018 provider newsletter

January 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

January 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy and clinical guideline updates available on anthem.com

July 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jul 1, 2020

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

December 2022 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Dec 1, 2022

Medical policy updates are available on anthem.com

October 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Clinical guideline updates are available on anthem.com

October 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Medical policy updates are available on anthem.com

June 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Medical policy updates are available on anthem.com

November 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Clinical guideline updates are available on anthem.com

November 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Medical policy and clinical guideline updates are available on anthem.com

April 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Apr 1, 2021

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

March 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Mar 1, 2020

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change

January 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy updates are available on anthem.com

May 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Medical policy updates are available on anthem.com

December 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Correction to July 2021 Provider News medical policy update SURG.00017

September 2021 Connecticut Provider News Medical Policy & Clinical Guidelines Sep 1, 2021

Clinical guideline updates are available on anthem.com

May 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Clinical guideline updates are available on anthem.com

December 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Medical policy and clinical guideline updates available on our provider website

January 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Dec 30, 2022

Update on clinical guideline communication in October 2018 provider newsletter

December 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines

January 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy and clinical guideline updates are available on anthem.com

August 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Aug 1, 2022

Coding Updates

June 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical guideline updates are available on anthem.com

June 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Coding Updates

June 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Medical policy updates are available on anthem.com

August 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Clinical Guideline CG-ANC-07 effective September 1, 2019

June 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Medical policy and clinical guideline updates are available on anthem.com

May 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines May 1, 2020

Clinical guideline updates are available on anthem.com

August 2018 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Medical policy and clinical guideline updates

October 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Oct 1, 2020

Medical policy and clinical guideline updates are available on anthem.com

January 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jan 1, 2021

Clinical guideline update available on anthem.com

May 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines May 1, 2021

Medical policy updates are available on anthem.com

September 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

Medical policy updates are available on anthem.com

August 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical guideline updates are available on anthem.com

August 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical criteria updates for specialty pharmacy

August 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical guideline updates are available on anthem.com

September 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

New Clinical Guideline: Pneumatic Compression Devices effective December 1, 2019

September 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

Clinical guideline updates are available on anthem.com

November 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Nov 1, 2020

Medical policy and clinical guideline updates are available on anthem.com

October 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Oct 1, 2021

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

December 2022 Provider Newsletter - Connecticut Policy Updates Dec 1, 2022

Reimbursement policy clarification: Claims Requiring Additional Documentation - facility

October 2021 Anthem Connecticut Provider News Reimbursement Policies Oct 1, 2021

Reimbursement policy update: Consultations - professional

July 2021 Connecticut Provider News Reimbursement Policies Jul 1, 2021

New reimbursement policy: Non-patient Laboratory Services - facility

July 2021 Connecticut Provider News Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Modifier Rules - Professional

September 2022 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Modifier 66: Surgical Teams - Professional

September 2022 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

September 2022 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Professional Anesthesia Services

January 2022 Anthem Connecticut Provider News Reimbursement Policies Jan 1, 2022

New reimbursement policy: Place of Service - Facility

October 2022 Provider Newsletter - Connecticut Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

October 2022 Provider Newsletter - Connecticut Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

October 2022 Provider Newsletter - Connecticut Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

December 2022 Provider Newsletter - Connecticut Reimbursement Policies Dec 1, 2022

New reimbursement policy: Transitional Care Management - Professional

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

New reimbursement policy: Modifier FB - Professional and Facility

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (facility)

June 2022 Anthem Connecticut Provider News Reimbursement Policies Jun 1, 2022

Reimbursement policy update: Laboratory and Venipuncture Services - Professional and Facility

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifier Rules - Professional

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU - Professional

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy - Sexually Transmitted Infections – Professional

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

Outpatient facility revenue code billing requirements

January 2023 Provider Newsletter - Connecticut Reimbursement Policies Dec 30, 2022

Durable Medical Equipment professional reimbursement policy reminders

June 2018 Connecticut newsletter Reimbursement Policies Jun 22, 2018

Diagnosis-Related Group Newborn Inpatient Stays facility reimbursement policy update

June 2018 Connecticut newsletter Reimbursement Policies Jun 19, 2018

Cervical Cancer Screening using Cytology and Human Papillomavirus Testing (CG-MED-43) not implemented

June 2018 Connecticut newsletter Reimbursement Policies Jun 19, 2018

Injectable Substances with Related Injection Services reimbursement policy update: professional

February 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Feb 1, 2019

Review of reimbursement policies – professional

June 2018 Connecticut newsletter Reimbursement Policies Jun 19, 2018

Reimbursement policy update: Bundled Services and Supplies - professional

December 2020 Anthem Connecticut Provider News Reimbursement Policies Dec 1, 2020

Update to Use of a Non-Participating Provider Advance Patient Notice Policy

June 2018 Connecticut newsletter Reimbursement Policies Jun 22, 2018

Body Mass Index reimbursement policy: facility

February 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Feb 1, 2019

Assistant Surgeon Coding update: professional

October 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Oct 1, 2018

Significant Edits: professional

February 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Feb 1, 2019

Documentation and Reporting Guidelines for E/M Services update: professional

October 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Oct 1, 2018

Reimbursement policy update: Claims requiring additional documentation (facility)

August 2021 Connecticut Provider News Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU

August 2021 Connecticut Provider News Reimbursement Policies Aug 1, 2021

Routine Obstetrical Services update: professional

October 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Oct 1, 2018

Reimbursement policy update:  Virtual Visits - professional and facility

August 2021 Connecticut Provider News Reimbursement Policies Aug 1, 2021
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