Connecticut
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Modifier 62 policy update: Co-Surgeons

February 2020 Anthem Connecticut Provider News Medicare Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Connecticut Provider News Medicare Feb 1, 2020

Keep up with Medicare news

February 2020 Anthem Connecticut Provider News Medicare Feb 1, 2020

Introducing a new Medicare Advantage special needs plan for 2020

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Delegation of functions for Medicare Advantage plans

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Medical drug benefit clinical criteria updates - August 2019

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Medical drug benefit clinical criteria updates - September 2019

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Keep up with Medicare news

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Coordination of benefits for an FEP® member

December 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Dec 1, 2019

2020 Medicare Advantage individual benefits and formularies

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

CMS reminder: expedited/urgent requests

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Group Retiree PPO plans

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization updates

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Prior authorization requirements for E0784, K0553 and K0554

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Medical drug clinical criteria updates

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Reminder: refer Medicare Advantage members to in-network providers

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

March 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

2019 Enhanced Personal Health Care Program releases myFHR

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Reimbursement Policy update: Drug Screen Testing

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Rehabilitative services prior authorization review update for Medicare Advantage members

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Bill Medicare Part D for shingles or tetanus vaccination claims

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Federal Employee Program® specialty pharmacy clinical site-of-care prior authorization review

October 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Oct 1, 2019

Precertification request turnaround times for the Federal Employee Program

October 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Aspire Health telephonic palliative care program for Medicare members

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Medical drug clinical criteria updates

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Clinical laboratory improvement amendments

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Lowering health risks with no-cost statins

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Prior authorization requirements for continuous positive airway pressure supplies

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Assisting your patients in managing the Donut Hole

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Clinical criteria updates

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Changes to prior authorization requirements effective December 1, 2019

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Keep up with Medicare news

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Electronic attachments coming soon

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Keep up with Medicare news

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

New reimbursement policy effective October 1, 2019 - Drug Screen Testing

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

Special needs plans - provider training required

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

Federal Employee Health Benefit Program® (FEP) PPO members will now require prior approval for specific specialty drugs and site of care

July 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Connecticut Provider Newsletter Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Connecticut Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Anthem Connecticut Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

May 2019 Anthem Connecticut Provider Newsletter Medicare May 1, 2019

Fall prevention tips

May 2019 Anthem Connecticut Provider Newsletter Medicare May 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Connecticut Provider Newsletter Medicare May 1, 2019

Partial hospitalization services

May 2019 Anthem Connecticut Provider Newsletter Medicare May 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Connecticut Provider Newsletter Medicare Apr 1, 2019

Reimbursement for select HEDIS related CPT II codes for Medicare Advantage members coming soon

April 2019 Anthem Connecticut Provider Newsletter Medicare Apr 1, 2019

Medicare Preferred PPO plan available to Bridgeport, CT City and Board of Education retirees

April 2019 Anthem Connecticut Provider Newsletter Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Connecticut Provider Newsletter Medicare Apr 1, 2019

Dual eligible special needs plans: provider training required

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

HEDIS® 2019 Federal Employee Program medical record request requirements

February 2019 Anthem Connecticut Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Connecticut Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Connecticut Provider Newsletter Medicare Feb 1, 2019

Eye refraction and routine eye exam billing information

February 2019 Anthem Connecticut Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Connecticut Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Connecticut Provider Newsletter Medicare Feb 1, 2019

Risk adjustment and documentation training offered

January 2019 Anthem Connecticut Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Connecticut Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Connecticut Provider Newsletter Medicare Jan 1, 2019

Benefit change for Infliximab for Federal Employee Program®

December 2018 Anthem Connecticut Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of benefits for a Federal Employee Program® (FEP®) member

December 2018 Anthem Connecticut Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

2019 FEP® benefit information available online

December 2018 Anthem Connecticut Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

City of New Haven moves to Anthem Medicare Advantage Plan

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

MA back pain management and cardiology UM programs to transition from OrthoNet to AIM

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018
Page 1 of 2 Next Page