Connecticut
Provider Communications

Articles Month: December 2018

Title Publication Category Date

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

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

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

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

Member’s access to behavioral health care

December 2018 Anthem Connecticut Provider Newsletter Behavioral Health Dec 1, 2018

Introducing new clinical criteria page for injectable, infused or implanted drugs

December 2018 Anthem Connecticut Provider Newsletter Pharmacy Dec 1, 2018

Electronic prior authorization requests for prescription medications accepted online

December 2018 Anthem Connecticut Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available on anthem.com

December 2018 Anthem Connecticut Provider Newsletter Pharmacy Dec 1, 2018

Sign up today for provider eUpdates

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Anthem Pathway Network consolidation clarifications

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Payment recovery process simplified for National Accounts membership

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Availity to serve as EDI entry point for electronic submissions

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Misrouted protected health information (PHI)

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018 commercial results are in

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Case Management Program

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

ConditionCare Program benefits members and physicians

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Coordination of care

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits members and physicians

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Important Information about Utilization Management

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Members’ Rights and Responsibilities

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

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

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Bundled Services and Supplies: professional

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

Reimbursement for convenience surgical supply kits: professional

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

Scope of License reimbursement policy update: professional

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

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

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

System updates for 2019: professional

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

Modifier 79: Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional during the Postoperative Period: professional

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

Medical policy updates are available on anthem.com

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

Clinical guideline updates are available on anthem.com

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

Update on clinical guideline communication in October 2018 provider newsletter

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

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

Update to AIM Clinical Appropriateness Guidelines

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