Connecticut
Provider Communications

Articles

Title Publication Category Date

Medical drug benefit clinical criteria updates

January 2021 Anthem Connecticut Provider News Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Connecticut Provider News Medicare Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Anthem Connecticut Provider News Medicare Jan 1, 2021

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

January 2021 Anthem Connecticut Provider News Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Anthem Connecticut Provider News Medicare Jan 1, 2021

AIM IVR changes for non-oncology medical specialty drug reviews effective January 1, 2021

December 2020 Anthem Connecticut Provider News Products & Programs Dec 1, 2020

Updates to AIM Cardiology Clinical Appropriateness Guidelines

December 2020 Anthem Connecticut Provider News Products & Programs Dec 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2020 Anthem Connecticut Provider News Products & Programs Dec 1, 2020

Updates to AIM Radiation Oncology Clinical Appropriateness Guidelines

December 2020 Anthem Connecticut Provider News Products & Programs Dec 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

December 2020 Anthem Connecticut Provider News Products & Programs Dec 1, 2020

Prior authorization updates for specialty pharmacy effective March 1, 2021

December 2020 Anthem Connecticut Provider News Pharmacy Dec 1, 2020

Clinical criteria updates for specialty pharmacy

December 2020 Anthem Connecticut Provider News Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

December 2020 Anthem Connecticut Provider News Pharmacy Dec 1, 2020

Anthem and Quest Diagnostics form strategic relationship

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Access to claim denial information is now self-service

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Anthem makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Two-minute videos to engage patients about preventive care

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

New Quick Reference Guide for Blue Care Prime Network

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Prior authorization updates for commercial business effective March 1, 2021

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Updated BlueCard® Program Provider Manual available January 1, 2021

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

PCP after-hours access requirements

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Access requirements for behavioral healthcare services

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Contracted air ambulance providers effective December 1, 2020

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Coordination of care

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Members’ Rights and Responsibilities

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Case Management Program

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Important information about utilization management

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Reimbursement policy update: Bundled Services and Supplies - professional

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

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Connecticut Provider News Medicare Dec 1, 2020

Medicare Advantage Group Retiree member eligibility, alpha prefix FAQs

December 2020 Anthem Connecticut Provider News Medicare Dec 1, 2020

Medical policies and clinical utilization management guidelines update

December 2020 Anthem Connecticut Provider News Medicare Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Connecticut Provider News Medicare Dec 1, 2020

Keep up with Medicare news

December 2020 Anthem Connecticut Provider News Medicare Dec 1, 2020

Reminder: Post-service reviews performed by AIM

November 2020 Anthem Connecticut Provider News Products & Programs Nov 1, 2020

IngenioRx introduces new pharmacy network in 2021

November 2020 Anthem Connecticut Provider News Pharmacy Nov 1, 2020

Prior authorization updates for specialty pharmacy effective February 1, 2021

November 2020 Anthem Connecticut Provider News Pharmacy Nov 1, 2020

Clinical criteria updates for specialty pharmacy

November 2020 Anthem Connecticut Provider News Pharmacy Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Connecticut Provider News Administrative Nov 1, 2020

Get the full picture of your patient’s health through their smartphone

November 2020 Anthem Connecticut Provider News Administrative Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Anthem Connecticut Provider News Administrative Nov 1, 2020

Availity attachment tools live webinars

November 2020 Anthem Connecticut Provider News Administrative Nov 1, 2020

2020 appointment access standards for PCPs, specialty care practitioners and behavioral health practitioners

November 2020 Anthem Connecticut Provider News Administrative Nov 1, 2020

New reimbursement policy: Documentation Standards for Episodes of Care - professional

November 2020 Anthem Connecticut Provider News Administrative Nov 1, 2020

Reimbursement policy update: Modifier Rules - professional

November 2020 Anthem Connecticut Provider News Administrative Nov 1, 2020

Reimbursement policy update:  Bundled Services and Supplies - professional

November 2020 Anthem Connecticut Provider News Administrative Nov 1, 2020

Clinical guideline updates are available on anthem.com

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

Preferred continuous glucose monitors

November 2020 Anthem Connecticut Provider News Medicare Nov 1, 2020

Provider Chat - a fast, easy way to get your questions answered

November 2020 Anthem Connecticut Provider News Medicare Nov 1, 2020

Medical drug benefit clinical criteria updates

November 2020 Anthem Connecticut Provider News Medicare Nov 1, 2020

FDA approvals and expedited pathways used - new molecular entities

November 2020 Anthem Connecticut Provider News Medicare Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Connecticut Provider News Medicare Nov 1, 2020

Keep up with Medicare news

November 2020 Anthem Connecticut Provider News Medicare Nov 1, 2020

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum Invitation - Connecticut Behavioral Health Oct 14, 2020

Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Connecticut Provider News Products & Programs Oct 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayed until December 1, 2020

October 2020 Anthem Connecticut Provider News Products & Programs Oct 1, 2020

FDA approvals and expedited pathways used - new molecular entities (NMEs)

October 2020 Anthem Connecticut Provider News Pharmacy Oct 1, 2020

Prior authorization updates for specialty pharmacy effective January 2021

October 2020 Anthem Connecticut Provider News Pharmacy Oct 1, 2020

Clinical criteria updates for specialty pharmacy

October 2020 Anthem Connecticut Provider News Pharmacy Oct 1, 2020

Formulary lists updated for commercial health plan pharmacy benefit

October 2020 Anthem Connecticut Provider News Pharmacy Oct 1, 2020

Pharmacy information available on anthem.com

October 2020 Anthem Connecticut Provider News Pharmacy Oct 1, 2020

Anthem Chat: A fast, easy way to have your questions answered

October 2020 Anthem Connecticut Provider News Administrative Oct 1, 2020

New Blue HPN network included in plans available for employee open enrollment Fall 2020

October 2020 Anthem Connecticut Provider News Administrative Oct 1, 2020

Predictive analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

October 2020 Anthem Connecticut Provider News Administrative Oct 1, 2020

Participating provider network for custom fitted oral sleep alliances for sleep apnea

October 2020 Anthem Connecticut Provider News Administrative Oct 1, 2020

Updated coverage for breast cancer prevention medications

October 2020 Anthem Connecticut Provider News Administrative Oct 1, 2020

Commercial Risk Adjustment reporting update: New guidance on telephone-only service CPT codes for risk adjustment program

October 2020 Anthem Connecticut Provider News Administrative Oct 1, 2020

National Accounts 2021 Pre-certification list

October 2020 Anthem Connecticut Provider News Administrative Oct 1, 2020

New Availity medical claim attachment webinars: register today

October 2020 Anthem Connecticut Provider News Administrative Oct 1, 2020

Electronic member ID cards available on the Availity portal

October 2020 Anthem Connecticut Provider News Administrative Oct 1, 2020

What Matters Most online CME course: Improving the Patient Experience

October 2020 Anthem Connecticut Provider News Administrative Oct 1, 2020

Reimbursement policy update: Laboratory and Venipuncture - professional

October 2020 Anthem Connecticut Provider News Reimbursement Policies Oct 1, 2020

Medical policy and clinical guideline updates

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

Federal Employee Program expands specialty pharmacy prior authorization list

October 2020 Anthem Connecticut Provider News Federal Employee Plan (FEP) Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Prior authorization requirement changes effective December 1, 2020

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Prior authorization requirement changes effective January 1, 2021

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Provider transparency update

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Medical drug benefit clinical criteria updates

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Anthem Connecticut Provider News Medicare Oct 1, 2020

Telehealth Updates for Anthem Connecticut Providers Due to COVID-19 (updated September 23, 2020)

We recently updated information about the temporary suspension of telehealth certification requirements and reimbursement rates.
COVID-19 Information - Connecticut Administrative Sep 23, 2020

Site of care medical necessity reviews expands to additional surgical procedures beginning December 1, 2020

September 2020 Anthem Connecticut Provider News Products & Programs Sep 1, 2020

Formulary lists updated for commercial health plan pharmacy benefit

September 2020 Anthem Connecticut Provider News Pharmacy Sep 1, 2020

Specialty pharmacy updates effective December 2020

September 2020 Anthem Connecticut Provider News Pharmacy Sep 1, 2020

New provider directory indicators for medication assisted treatment (MAT) providers

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Interactive Care Reviewer self-service, online prior authorization tool now available for Anthem and FEP membership

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

EDI Gateway migration deadline is September 15, 2020

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Patient360 adds care gap alert feedback for medical providers

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Enhanced medical records submission process to support claims processing

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

BlueCare Prime HMO Plans’ PCP referral requirements

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Important State of Connecticut Employer Group, Connecticut Partnership Plan changes

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Receive and respond to medical record requests for postpay audit via Change Healthcare’s Assurance Attach Assist Module

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Commercial Risk Adjustment (CRA) reporting update: 2020 prospective program continues

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Reimbursement policy update: Distinct Procedural Services - Modifiers 59, XE, XP, XS, XU - professional

September 2020 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Frequency Editing - professional

September 2020 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2020

Medical drug benefit clinical criteria updates

September 2020 Anthem Connecticut Provider News Medicare Sep 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Connecticut Provider News Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Anthem Connecticut Provider News Medicare Sep 1, 2020
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