Connecticut
Provider Communications

Articles

Title Publication Category Date

Clinical practice and preventive health guidelines available on anthem.com

June 2018 Connecticut newsletter Administrative Jun 19, 2018

Clinical practice and preventive health guidelines available on anthem.com

October 2018 Anthem Connecticut Provider Newsletter Administrative Oct 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

April 2019 Anthem Connecticut Provider Newsletter Administrative Apr 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

May 2019 Anthem Connecticut Provider Newsletter Administrative May 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

August 2018 Anthem Connecticut Provider Newsletter Administrative Aug 1, 2018

Clinical validation - professional

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective January 1, 2019

August 2018 Anthem Connecticut Provider Newsletter Medicare Aug 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

CMS reminder: expedited/urgent requests

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Coding reminder for psychological and neuropsychological testing

December 2019 Anthem Connecticut Provider News Behavioral Health Dec 1, 2019

Coding Updates

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

Cologuard covered for Medicare Advantage members

June 2018 Connecticut newsletter Medicare Jun 19, 2018

Colonoscopy and related anesthesia services billing

August 2018 Anthem Connecticut Provider Newsletter Administrative Aug 1, 2018

Commercial drug list important updates

March 2019 Anthem Connecticut Provider Newsletter Pharmacy Mar 1, 2019

Commercial risk adjustment (CRA) reporting update

April 2019 Anthem Connecticut Provider Newsletter Administrative Apr 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Connecticut Provider Newsletter Administrative May 1, 2019

Commercial Risk Adjustment (CRA) reporting update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

October 2019 Anthem Connecticut Provider News Administrative Oct 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

Commercial Risk Adjustment Program update: Medical chart collection for ACA members due March 31, 2019

March 2019 Anthem Connecticut Provider Newsletter Administrative Mar 1, 2019

ConditionCare Program benefits members and physicians

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Connecticut Teachers’ Retirement Board Offers Anthem Medicare Advantage Option

June 2018 Connecticut newsletter Medicare Jun 22, 2018

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

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

Coordination of benefits for an FEP® member

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

Coordination of care

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Coordination of care

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Coverage change for contraceptives and contraceptive supplies effective January 1, 2019

February 2019 Anthem Connecticut Provider Newsletter Administrative Feb 1, 2019

Crisis stabilization

June 2018 Connecticut newsletter Behavioral Health Jun 22, 2018

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Daily morphine equivalent dosing limit to apply effective September 1, 2018

August 2018 Anthem Connecticut Provider Newsletter Pharmacy Aug 1, 2018

Delegation of functions for Medicare Advantage plans

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Delegation of functions under Anthem Medicare Advantage Plans effective July 1, 2018

August 2018 Anthem Connecticut Provider Newsletter Medicare Aug 1, 2018

Diagnosis-Related Group Newborn Inpatient Stays facility reimbursement policy update

June 2018 Connecticut newsletter Reimbursement Policies Jun 19, 2018

Digital Provider Enrollment application now available

March 2019 Anthem Connecticut Provider Newsletter Administrative Mar 1, 2019

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

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

Drug lists supporting commercial health plans updated

August 2018 Anthem Connecticut Provider Newsletter Pharmacy Aug 1, 2018

Drug Screen Testing update: professional

May 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies May 1, 2019

Dual eligible special needs plans: provider training required

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

Durable medical equipment miscellaneous code E1399 reminder

June 2018 Connecticut newsletter Administrative Jun 19, 2018

Durable Medical Equipment professional reimbursement policy reminders

June 2018 Connecticut newsletter Reimbursement Policies Jun 22, 2018

Durable medical equipment update effective October 14, 2018

October 2018 Anthem Connecticut Provider Newsletter Administrative Oct 1, 2018

EDI collaboration with Availity effective June 1, 2018

June 2018 Connecticut newsletter Administrative Jun 19, 2018

EDI Gateway migration updates

March 2019 Anthem Connecticut Provider Newsletter Administrative Mar 1, 2019

Electric Boat offers Medicare Advantage

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Electronic attachments coming soon

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Electronic attachments coming soon

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Electronic member ID cards – Easy online access on the Availity portal

May 2019 Anthem Connecticut Provider Newsletter Administrative May 1, 2019

Electronic prior authorization requests for prescription medications accepted online

December 2018 Anthem Connecticut Provider Newsletter Pharmacy Dec 1, 2018

Enhanced search and download options allow easy access to information at your fingertips

Enhanced search and download options allow easy access to information at your fingertips - Connecticut Administrative Oct 8, 2019

Explore new enhancements to Availity’s Education and Reference Center

October 2018 Anthem Connecticut Provider Newsletter Administrative Oct 1, 2018

Explore updates to medical attachment tool

March 2019 Anthem Connecticut Provider Newsletter Administrative Mar 1, 2019

Eye refraction and routine eye exam billing information

February 2019 Anthem Connecticut Provider Newsletter Medicare Feb 1, 2019

Fall prevention tips

May 2019 Anthem Connecticut Provider Newsletter Medicare May 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

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

Find a Doctor - new sort option

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Formulary lists updated for commercial health plans

February 2020 Anthem Connecticut Provider News Pharmacy Feb 1, 2020

Frequency Editing - professional

June 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Jun 1, 2019

Frequency Editing Reimbursement Policy update - professional

August 2019 Anthem Connecticut Provider News Reimbursement Policies Aug 1, 2019

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

October 2018 Anthem Connecticut Provider Newsletter Medicare Oct 1, 2018

Gestational age required for professional delivery claims effective November 1, 2018

August 2018 Anthem Connecticut Provider Newsletter Administrative Aug 1, 2018

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

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Grievance and appeal update

June 2018 Connecticut newsletter Administrative Jun 22, 2018

Group Retiree PPO plans

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Healthsync tiered health benefit plans to be offered January 1, 2019

October 2018 Anthem Connecticut Provider Newsletter Administrative Oct 1, 2018

HEDIS® 2018 commercial results are in

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018: provider incentive winners announced

October 2018 Anthem Connecticut Provider Newsletter Administrative Oct 1, 2018

HEDIS® 2019 Federal Employee Program medical record request requirements

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

HEDIS® 2019 starts early February

January 2019 Anthem Connecticut Provider Newsletter Administrative Jan 1, 2019

HEDIS® 2019: Controlling High Blood Pressure

March 2019 Anthem Connecticut Provider Newsletter Administrative Mar 1, 2019

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

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Home health billing guidelines for contracted providers

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

ICD-10-CM coding guidelines and laterality - professional

July 2019 Anthem Connecticut Provider News Administrative Jul 1, 2019

Important Information about Utilization Management

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Important information about utilization management

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Connecticut Provider News Pharmacy Oct 1, 2019

Important update: Milliman Care Guideline (MCG), 23rd Edition, Pelvic Organ Prolapse Repair

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

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

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

Individualized Care Program to support palliative care for commercial members

June 2018 Connecticut newsletter Products & Programs Jun 19, 2018

Injectable Substances with Related Injection Services reimbursement policy update: professional

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

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

Integrated Medical and Behavioral Healthcare Services

October 2018 Anthem Connecticut Provider Newsletter Behavioral Health Oct 1, 2018

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

Introducing a new Medicare Advantage special needs plan for 2020

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

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

December 2018 Anthem Connecticut Provider Newsletter Pharmacy Dec 1, 2018

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Connecticut Provider News Medicare Oct 1, 2019

Keep up with Medicare news

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Keep up with Medicare news

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Keep up with Medicare news

February 2020 Anthem Connecticut Provider News Medicare Feb 1, 2020

Keep up with Medicare news

June 2018 Connecticut newsletter Medicare Jun 19, 2018

Keep up with Medicare news

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020
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