Connecticut
Provider Communications

Articles

Title Publication Category Date

Prior authorization updates for specialty pharmacy effective January 2021

October 2020 Anthem Connecticut Provider News Pharmacy Oct 1, 2020

Pharmacy information available on anthem.com

June 2021 Anthem Connecticut Provider News Pharmacy Jun 1, 2021

Clinical criteria updates for specialty pharmacy

February 2022 Anthem Connecticut Provider News Pharmacy Feb 1, 2022

Pharmacy information available on our provider website

March 2023 Anthem Provider News - Connecticut Pharmacy Mar 1, 2023

Clinical criteria updates for specialty pharmacy

October 2020 Anthem Connecticut Provider News Pharmacy Oct 1, 2020

Pharmacy information available on anthem.com

February 2022 Anthem Connecticut Provider News Pharmacy Feb 1, 2022

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

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

August 2019 Anthem Connecticut Provider News Pharmacy Aug 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

Prior authorization updates for specialty pharmacy effective May 1, 2021

February 2021 Anthem Connecticut Provider News Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

August 2019 Anthem Connecticut Provider News Pharmacy Aug 1, 2019

Clinical criteria updates for specialty pharmacy

February 2021 Anthem Connecticut Provider News Pharmacy Feb 1, 2021

Formulary lists updated for commercial health plan pharmacy benefit

February 2021 Anthem Connecticut Provider News Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Connecticut Provider News Pharmacy Feb 1, 2021

Specialty pharmacy updates effective November 1, 2021

August 2021 Connecticut Provider News Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Connecticut Provider News Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Connecticut Provider News Pharmacy Oct 1, 2021

Clinical criteria updates for specialty pharmacy

October 2021 Anthem Connecticut Provider News Pharmacy Oct 1, 2021

Specialty pharmacy updates - October 2021

October 2021 Anthem Connecticut Provider News Pharmacy Oct 1, 2021

Update on requirement to obtain certain specialty drugs from CVS Specialty Pharmacy effective January 1, 2022

October 2021 Anthem Connecticut Provider News Pharmacy Oct 1, 2021

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Connecticut Provider News Medicare Sep 1, 2020

Clinical criteria updates

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Keep up with Medicare news

September 2020 Anthem Connecticut Provider News Medicare Sep 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Connecticut Provider News Medicare Nov 1, 2020

Town of Manchester and Manchester BOE, CT moves to Anthem Medicare Advantage Plan

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Keep up with Medicare news

November 2020 Anthem Connecticut Provider News Medicare Nov 1, 2020

Keep up with Medicare news

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

Changes to prior authorization requirements effective December 1, 2019

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

New medical step therapy requirements

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Information about 2021 Special Needs Plans

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

Keep up with Medicare news

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

New reimbursement policy effective January 1, 2022 - Sexually Transmitted Infections Testing - professional

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

Keep up with Medicare news

Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
November 2022 Provider Newsletter - Connecticut Medicare Nov 1, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

January 2023 Provider Newsletter - Connecticut Medicare Dec 30, 2022

New York City Medicare Advantage announcement

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Anthem offering advance medical directives program for 2022

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem and AMH Health LLC results in improved patient care management

July 2021 Connecticut Provider News Medicare Jul 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Let’s Vaccinate

July 2021 Connecticut Provider News Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

July 2021 Connecticut Provider News Medicare Jul 1, 2021

Clinical criteria updates

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Keep up with Medicare news

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Medical drug benefit clinical criteria update

July 2021 Connecticut Provider News Medicare Jul 1, 2021

New Policy - Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (effective 10/1/21)

July 2021 Connecticut Provider News Medicare Jul 1, 2021

Keep up with Medicare news

July 2021 Connecticut Provider News Medicare Jul 1, 2021

Keep up with Medicare news

  • MCG care guidelines 26th edition
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Medical drug benefit Clinical Criteria updates
August 2022 Anthem Connecticut Provider News Medicare Aug 1, 2022

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan - Connecticut Medicare Oct 19, 2021

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

Availity Authorization app available to Anthem providers in 2022

January 2022 Anthem Connecticut Provider News Medicare Jan 1, 2022

Keep up with Medicare news

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Connecticut Provider News Medicare Jan 1, 2022

Professional claims - billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem Connecticut Provider News Medicare Jan 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

September 2022 Anthem Connecticut Provider News Medicare Sep 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

October 2022 Provider Newsletter - Connecticut Medicare Oct 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Anthem Connecticut Provider News Medicare Sep 1, 2022

Important update on Botox® for Medicare members of Anthem

January 2022 Anthem Connecticut Provider News Medicare Jan 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

October 2022 Provider Newsletter - Connecticut Medicare Oct 1, 2022

Prior authorization requirement changes effective December 1, 2022

September 2022 Anthem Connecticut Provider News Medicare Sep 1, 2022

Keep up with Medicare news

January 2022 Anthem Connecticut Provider News Medicare Jan 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Provider Newsletter - Connecticut Medicare Oct 1, 2022

Reimbursement policy update - Modifiers 25 and 57: Evaluation and Management with Global Procedures (Policy G- 06003)

September 2022 Anthem Connecticut Provider News Medicare Sep 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Connecticut Provider News Medicare May 1, 2022

Medical drug benefit clinical criteria updates

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

September 2022 Anthem Connecticut Provider News Medicare Sep 1, 2022

Keep up with Medicare news

October 2022 Provider Newsletter - Connecticut Medicare Oct 1, 2022

New MCG Care Guidelines 24th edition

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Connecticut Provider News Medicare May 1, 2022

AIM Musculoskeletal Program expansion

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Connecticut Provider News Medicare May 1, 2022

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

Keep up with Medicare news

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirements

 

May 2022 Anthem Connecticut Provider News Medicare May 1, 2022

Keep up with Medicare news    

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

 



 

September 2022 Anthem Connecticut Provider News Medicare Sep 1, 2022

Keep up with Medicare news

August 2020 Anthem Connecticut Provider News Medicare Aug 1, 2020

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing providers nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.


Important Update for New 200k Group Retiree PPO Plan - Connecticut Medicare Jan 5, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Anthem Connecticut Provider News Medicare Jun 1, 2022

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

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

June 2022 Anthem Connecticut Provider News Medicare Jun 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Connecticut Provider News Medicare Jul 1, 2022

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

Cancer Care Navigator

July 2022 Anthem Connecticut Provider News Medicare Jul 1, 2022

Keep up with Medicare news

July 2019 Anthem Connecticut Provider News Medicare Jul 1, 2019

Evaluation and management services for COVID testing - professional

June 2022 Anthem Connecticut Provider News Medicare Jun 1, 2022

Keep up with Medicare news

  • Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
  • New specialty pharmacy medical step therapy requirements
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
June 2022 Anthem Connecticut Provider News Medicare Jun 1, 2022

Keep up with Medicare news

New specialty pharmacy medical step therapy requirements
July 2022 Anthem Connecticut Provider News Medicare Jul 1, 2022

Modifier 62 policy update: Co-Surgeons

February 2020 Anthem Connecticut Provider News Medicare Feb 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Connecticut Provider News Medicare Dec 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

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Connecticut Provider News Medicare Feb 1, 2020
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