Georgia
Provider Communications

June 2020 Anthem Provider News - Georgia

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Title Category

A special thank you to care providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
Administrative

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Administrative

Availity Portal Notification Center

Administrative

Quality Corner: CPT® Category II codes - Collaborating for enhanced patient care

Administrative

Anthem Commercial Risk Adjustment (CRA) program update: retrospective program begins; prospective program continues

Products & Programs

Anthem prior authorization updates for specialty pharmacy are available - June 2020

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Follow-up after hospitalization for mental illness

Behavioral Health

Anthem enhances process for submitting Behavioral Health authorizations - now available

Behavioral Health

Anthem Georgia preapproval list change notification 6/1/2020

Policy Updates

Georgia Medical Policy and Clinical Guideline Updates 6/1/2020

Policy Updates

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

Policy Updates

New Reimbursement Policies: Nurse Practitioner and Physician Assistant Services (Professional)

Reimbursement Policies

Modifier use reminders

Medicare

Diabetes HbA1c < 8 HEDIS guidance

Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

Medicare

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medicare

Keep up with Medicare news

Medicare
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