Connecticut
Provider Communications

Articles

Title Publication Category Date

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services: professional

December 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Dec 1, 2018

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

April 2019 Anthem Connecticut Provider Newsletter Administrative Apr 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

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

Wheelchair prior authorization information for DME providers and physicians

August 2018 Anthem Connecticut Provider Newsletter Medicare Aug 1, 2018

Verifying eligibility for expanded hospice benefits

June 2018 Connecticut newsletter Administrative Jun 19, 2018

Verifying and updating your provider information

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid available on anthem.com

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Vaginal birth after cesarean (VBAC) certified shared decision making aid available on anthem.com

August 2018 Anthem Connecticut Provider Newsletter Administrative Aug 1, 2018

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Connecticut Provider Newsletter Medicare Feb 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 Anthem Connecticut Provider News Products & Programs Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Anthem Connecticut Provider News Products & Programs Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

November 2019 Anthem Connecticut Provider News Products & Programs Nov 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Anthem Connecticut Provider News Products & Programs Aug 1, 2019

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Connecticut Provider Newsletter Products & Programs Dec 1, 2018

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Connecticut Provider News Products & Programs Aug 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guidelines

November 2019 Anthem Connecticut Provider News Products & Programs Nov 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

July 2019 Anthem Connecticut Provider News Products & Programs Jul 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

August 2019 Anthem Connecticut Provider News Products & Programs Aug 1, 2019

UPDATE: new Rehabilitative Program remains temporarily delayed

Connecticut - UPDATE: New Rehabilitative Program Remains Temporarily Delayed Products & Programs Jul 16, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019

Connecticut - July UPDATE: New Rehabilitative Program Now Effective August 1, 2019 Products & Programs Jul 3, 2019

UPDATE: new AIM Rehabilitative Program will begin November 1, 2019

October 2019 Anthem Connecticut Provider News Products & Programs Oct 1, 2019

Update: E/M with modifier 25 same day as procedure when prior E/M for the same or similar service has occurred: professional

February 2019 Anthem Connecticut Provider Newsletter Administrative Feb 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

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

June 2018 Connecticut newsletter Reimbursement Policies Jun 22, 2018

Update to provider/facility UM reimbursement penalties and corresponding update to Provider/Facility Manual

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

April 2019 Anthem Connecticut Provider Newsletter Products & Programs Apr 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2019 Anthem Connecticut Provider Newsletter Products & Programs Feb 1, 2019

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Connecticut Provider Newsletter Products & Programs Dec 1, 2018

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

April 2019 Anthem Connecticut Provider Newsletter Products & Programs Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

April 2019 Anthem Connecticut Provider Newsletter Products & Programs Apr 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

Update regarding drugs not approved by the FDA

January 2019 Anthem Connecticut Provider Newsletter Pharmacy 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

Update on clinical guideline communication in October 2018 provider newsletter

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

Upcoming retirement planned for legacy medical attachment submission tool

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

Un-adopted clinical guidelines effective June 1, 2019

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

U.S. Antibiotic Awareness Week November 11-18

October 2019 Anthem Connecticut Provider News Administrative Oct 1, 2019

Tips for billing CPT modifier 33

October 2018 Anthem Connecticut Provider Newsletter Administrative Oct 1, 2018

System updates for 2020 - professional

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

System updates for 2019: professional

December 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Dec 1, 2018

Submit PA medication requests electronically; new phone number for MA prescription PAs effective September 1, 2018

August 2018 Anthem Connecticut Provider Newsletter Medicare Aug 1, 2018

Submit electronic SOAP notes today using ePASS® and receive $100 each

September 2018 Anthem Connecticut Network eUpdate Administrative Aug 30, 2018

Streamlined access to Anthem Provider Manual

August 2019 Anthem Connecticut Provider News Administrative Aug 1, 2019

Streamline workflow with medical attachments tool

January 2019 Anthem Connecticut Provider Newsletter Administrative Jan 1, 2019

State-supplied vaccines reminder - professional

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Specialty pharmacy prior authorization list to be expanded effective December 1, 2019

September 2019 Anthem Connecticut Provider News Pharmacy Sep 1, 2019

Specialty pharmacy prior authorization list expanded

February 2019 Anthem Connecticut Provider Newsletter Pharmacy Feb 1, 2019

Specialty pharmacy pre-service clinical review list expanded January 1, 2019

October 2018 Anthem Connecticut Provider Newsletter Pharmacy Oct 1, 2018

Specialty pharmacy pre-service clinical review list expanded effective September 1, 2019

June 2019 Anthem Connecticut Provider Newsletter Pharmacy Jun 1, 2019

Specialty pharmacy pre-service clinical review list expanded effective November 1, 2019

August 2019 Anthem Connecticut Provider News Pharmacy Aug 1, 2019

Specialty pharmacy pre-service clinical review list expanded effective July 1, 2019

April 2019 Anthem Connecticut Provider Newsletter Pharmacy Apr 1, 2019

Specialty pharmacy medical step therapy drug list expanded

February 2019 Anthem Connecticut Provider Newsletter Pharmacy Feb 1, 2019

Specialty pharmacy medical step therapy drug list expanded

May 2019 Anthem Connecticut Provider Newsletter Pharmacy May 1, 2019

Specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Anthem Connecticut Provider Newsletter Pharmacy May 1, 2019

Specialty pharmacy medical step therapy drug list clarification

October 2019 Anthem Connecticut Provider News Pharmacy Oct 1, 2019

Specialty pharmacy level of care (clinical site of care) drug list expanded effective January 1, 2019

October 2018 Anthem Connecticut Provider Newsletter Pharmacy Oct 1, 2018

Specialty pharmacy clinically equivalent drug list expanded effective January 1, 2019

October 2018 Anthem Connecticut Provider Newsletter Pharmacy Oct 1, 2018

Specialty pharmacy clinical site of care program important reminder

March 2019 Anthem Connecticut Provider Newsletter Pharmacy Mar 1, 2019

Special needs plans - provider training required

August 2019 Anthem Connecticut Provider News Medicare Aug 1, 2019

Special Investigations Unit updates: recent FDA warnings

October 2018 Anthem Connecticut Provider Newsletter Administrative Oct 1, 2018

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Connecticut Provider Newsletter Pharmacy Mar 1, 2019

Simplifying medication prior authorization processes

January 2019 Anthem Connecticut Provider Newsletter Administrative Jan 1, 2019

Significant Edits: professional

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

Sign-up today for Network eUPDATE – it’s free!

June 2018 Connecticut newsletter Administrative Jun 19, 2018

Sign-up today for Network eUPDATE - it’s free!

August 2018 Anthem Connecticut Provider Newsletter Administrative Aug 1, 2018

Sign up today for provider eUpdates

March 2019 Anthem Connecticut Provider Newsletter Administrative Mar 1, 2019

Sign up today for provider eUpdates

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Sign up today for provider eUpdates

October 2018 Anthem Connecticut Provider Newsletter Administrative Oct 1, 2018

Sign up today for provider eUpdates

February 2019 Anthem Connecticut Provider Newsletter Administrative Feb 1, 2019

Sign up today for provider eUpdates

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

Sign up today for provider eUpdates

January 2019 Anthem Connecticut Provider Newsletter Administrative Jan 1, 2019

Sign up today for provider eUpdates

October 2019 Anthem Connecticut Provider News Administrative Oct 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Sepsis coding update

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Scope of License reimbursement policy update: professional

December 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Dec 1, 2018

Routine Obstetrical Services update: professional

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

Risk adjustment and documentation training offered

January 2019 Anthem Connecticut Provider Newsletter Medicare Jan 1, 2019

Review of reimbursement policies – professional

June 2018 Connecticut newsletter Reimbursement Policies Jun 19, 2018

Review of professional claims with emergency room level 5 E/M codes

May 2019 Anthem Connecticut Provider Newsletter Administrative May 1, 2019

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

June 2019 Anthem Connecticut Provider Newsletter Medicare Jun 1, 2019

Retrieve Anthem member HEDIS® care gaps through Patient360 on the Availity Portal

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Connecticut Provider Newsletter Products & Programs Dec 1, 2018

Reminder: review ICD-10-CM coding guidelines: professional

February 2019 Anthem Connecticut Provider Newsletter Administrative Feb 1, 2019

Reminder: refer Medicare Advantage members to in-network providers

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Reminder: Process change for medical non-oncology specialty drug reviews effective June 15, 2019

August 2019 Anthem Connecticut Provider News Pharmacy Aug 1, 2019

Reminder: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Connecticut Provider News Products & Programs Dec 1, 2019

Reminder: new AIM Rehabilitative Program effective November 1, 2019

November 2019 Anthem Connecticut Provider News Administrative Nov 1, 2019

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

Reminder: HCPCS code A0998 is active and available for use

January 2019 Anthem Connecticut Provider Newsletter Administrative Jan 1, 2019

Reminder: Changes to timely filing requirements coming in October

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Connecticut Provider Newsletter Medicare Feb 1, 2019

Reminder and update: new Rehabilitative Program effective July 1, 2019

June 2019 Anthem Connecticut Provider Newsletter Products & Programs Jun 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Connecticut Provider News Pharmacy Nov 1, 2019

Reimbursement rate for non-participating providers of durable medical equipment to change

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

Reimbursement Policy update: Drug Screen Testing

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Reimbursement Policy update - Place of Service – professional

October 2019 Anthem Connecticut Provider News Reimbursement Policies Oct 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

Reimbursement for convenience surgical supply kits: professional

December 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Dec 1, 2018

Rehabilitative services prior authorization review update for Medicare Advantage members

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019
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