Georgia
Provider Communications

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Title Publication Category Date

Some HIV medication combinations may require prior authorization

March 2021 - Georgia Pharmacy Mar 1, 2021

Updates for Specialty Pharmacy are available (March 2021)

March 2021 - Georgia Pharmacy Mar 1, 2021

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

March 2021 - Georgia Pharmacy Mar 1, 2021

UPDATE: Notice of changes to the AIM small joint surgery guideline

March 2021 - Georgia Administrative Mar 1, 2021

Anthem to launch new provider data management system

March 2021 - Georgia Administrative Mar 1, 2021

Medical attachment capability now includes itemized bills and more!

March 2021 - Georgia Administrative Mar 1, 2021

New Reimbursement policy update: Place of Service Evaluation and Management Place of Service (Facility)

March 2021 - Georgia Reimbursement Policies Mar 1, 2021

Access to more claim denial information is now self-service

Medicare Advantage
March 2021 - Georgia Medicare Mar 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

Medicare Advantage
March 2021 - Georgia Medicare Mar 1, 2021

New provider directory indicator for telehealth services

Medicare Advantage
March 2021 - Georgia Medicare Mar 1, 2021

Keep up with Medicare news

Medicare Advantage
March 2021 - Georgia Medicare Mar 1, 2021

Important update: Prior authorization and other policy adjustments (Updated February 1, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to other settings.
COVID-19 Information Administrative Feb 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2021 - Georgia Pharmacy Feb 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

February 2021 - Georgia Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 - Georgia Pharmacy Feb 1, 2021

Prior authorization updates for specialty pharmacy are available (February 2021)

February 2021 - Georgia Pharmacy Feb 1, 2021

NECA/IBEW Family Medical Care Plan medical ID cards notice

February 2021 - Georgia Administrative Feb 1, 2021

New provider directory indicator for telehealth services

February 2021 - Georgia Administrative Feb 1, 2021

New Anthem utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

February 2021 - Georgia Administrative Feb 1, 2021

Reimbursement policy update: Professional Anesthesia Services (Professional)

February 2021 - Georgia Reimbursement Policies Feb 1, 2021

Reimbursement policy update: Emergency Room Transfers (Facility)

February 2021 - Georgia Reimbursement Policies Feb 1, 2021

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (Facility)

February 2021 - Georgia Reimbursement Policies Feb 1, 2021

Medical drug benefit Clinical Criteria updates

Medicare Advantage
February 2021 - Georgia Medicare Feb 1, 2021

Keep up with Medicare news

Medicare Advantage
February 2021 - Georgia Medicare Feb 1, 2021

Information from Anthem for Care Providers about COVID-19 (Updated January 26, 2021)

We recently updated information about COVID-19 vaccines.
COVID-19 Information Administrative Jan 26, 2021

Register today for the Racial Equity Forum hosted by Anthem and Motivo on February 3, 2021

The Road to Allyship: Playing Your Part in Racial Equity
Join us to hear from a diverse panel of experienced Motivo* and Anthem professionals about racial equity and the importance of allies.
Register today for the Racial Equity Forum hosted by Anthem and Motivo on February 3, 2021 - Georgia Administrative Jan 21, 2021

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information Administrative Jan 8, 2021

IngenioRx introduces new pharmacy network in 2021

January 2021 Anthem Provider News - Georgia Pharmacy Jan 1, 2021

Prior authorization updates for specialty pharmacy are available (January 2021)

January 2021 Anthem Provider News - Georgia Pharmacy Jan 1, 2021

Find out in minutes why your claim denied

January 2021 Anthem Provider News - Georgia Administrative Jan 1, 2021

Self-service, digital transactions are fast and easy

January 2021 Anthem Provider News - Georgia Administrative Jan 1, 2021

LabCorp is the exclusive laboratory for Anthem’s HMO, Open Access POS and Pathway members

January 2021 Anthem Provider News - Georgia Administrative Jan 1, 2021

Live webinar invitation: Availity attachment tools for Anthem and affiliate payers

January 2021 Anthem Provider News - Georgia Administrative Jan 1, 2021

Professional system updates for 2021

January 2021 Anthem Provider News - Georgia Administrative Jan 1, 2021

CAHPS survey

January 2021 Anthem Provider News - Georgia Administrative Jan 1, 2021

New features added to Interactive Care Reviewer

January 2021 Anthem Provider News - Georgia Administrative Jan 1, 2021

Procedure searches in Find Care: new sort option

January 2021 Anthem Provider News - Georgia Administrative Jan 1, 2021

Anthem Georgia preapproval list change notification 1/1/2021

January 2021 Anthem Provider News - Georgia Policy Updates Jan 1, 2021

Medical Policy and Clinical Guideline updates 1/1/2021

January 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jan 1, 2021

Reimbursement policy update: Multiple Diagnostic Imaging Procedures (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Frequency Editing (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Modifier Rules (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Unit Frequency Maximum for Drugs and Biologicals (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Evaluation and Management changes 2021

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Outpatient system updates for 2021 (Facility)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Clinic Charges (Facility)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

MCG Care Guidelines 24th Edition customization

January 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jan 1, 2021

2021 FEP® Benefit information available online

January 2021 Anthem Provider News - Georgia State & Federal Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

2021 Anthem Individual Health Plans

December 2020 Anthem Provider News - Georgia Products & Programs Dec 1, 2020

Case Management Program

December 2020 Anthem Provider News - Georgia Products & Programs Dec 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

December 2020 Anthem Provider News - Georgia Pharmacy Dec 1, 2020

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

December 2020 Anthem Provider News - Georgia Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

December 2020 Anthem Provider News - Georgia Pharmacy Dec 1, 2020

December 2020 prior authorization updates for specialty pharmacy are available

December 2020 Anthem Provider News - Georgia Pharmacy Dec 1, 2020

Designated specialty pharmacies in March 2021

December 2020 Anthem Provider News - Georgia Pharmacy Dec 1, 2020

Updated Provider Manual posted to anthem.com

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

Anthem Georgia contracted air ambulance providers

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

Coordination of Care

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

Important information about utilization management

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

2-minute videos to engage patients about preventive care

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

Anthem makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

Access to claim denial information is now self-service

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

Members’ rights and responsibilities

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

PCP after-hours access requirements

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

Access requirements for behavioral healthcare services

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

Reimbursement policy update: Bundled Services and Supplies (Professional)

December 2020 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2020

Reimbursement policy update: DRG Newborn Inpatient Stays (Facility)

December 2020 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Provider News - Georgia Policy Updates Dec 1, 2020

Updates to AIM Cardiology clinical appropriateness guidelines

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guideline

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Radiation Oncology clinical appropriateness guideline

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Bartow County Government offers Medicare Advantage option

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

Southern Company offers Medicare Advantage option

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

Medicare Advantage group retiree member eligibility, alpha prefix FAQ

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

Keep up with Medicare news

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

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

November 2020 Anthem Provider News - Georgia Administrative Nov 1, 2020

REMINDER: Post-service reviews using AIM

November 2020 Anthem Provider News - Georgia Administrative Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Anthem Provider News - Georgia Administrative Nov 1, 2020

Additional information about Clinical Laboratory Improvement Amendments (CLIA) number

November 2020 Anthem Provider News - Georgia Administrative Nov 1, 2020

NECA/IBEW Family Medical Care Plan medical ID cards notice

November 2020 Anthem Provider News - Georgia Administrative Nov 1, 2020

Claims editing update for ICD-10-CM Excludes 1 notes

November 2020 Anthem Provider News - Georgia Administrative Nov 1, 2020

Availity attachment tools for Anthem and affiliate payers: live webinars

November 2020 Anthem Provider News - Georgia Administrative Nov 1, 2020

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

November 2020 Anthem Provider News - Georgia Administrative Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Georgia Administrative Nov 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

November 2020 Anthem Provider News - Georgia Pharmacy Nov 1, 2020

November 2020 prior authorization updates for specialty pharmacy are available

November 2020 Anthem Provider News - Georgia Pharmacy Nov 1, 2020

IngenioRx introduces new pharmacy network in 2021

November 2020 Anthem Provider News - Georgia Pharmacy Nov 1, 2020

Anthem Georgia preapproval list change notification 11/1/2020

November 2020 Anthem Provider News - Georgia Policy Updates Nov 1, 2020

New reimbursement policy: Documentation Standards for Episodes of Care (Professional)

November 2020 Anthem Provider News - Georgia Reimbursement Policies Nov 1, 2020
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