Georgia
Provider Communications

October 2019 Provider News

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Title Category

Update: new AIM Rehabilitative Program will begin November 1, 2019

Products & Programs

Update: 2019 risk adjustment provider training

Medicare

Prior authorization requirements changes effective November 1, 2019

Medicare

Precertification request turnaround times for the Federal Employee Program

Administrative

Place of Service Reimbursement Policy update (Professional)

Reimbursement Policies

Pharmacy information available on anthem.com

Pharmacy

Observation Services or Hours Billing reimbursement policy update (Facility)

Reimbursement Policies

National Accounts 2020 precertification list

Administrative

Medicare preferred continuous glucose monitors

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Medical drug Clinical Criteria updates

Medicare

Keep up with Medicare news

Medicare

Important update to Anthem’s commercial drug lists

Pharmacy

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review

Pharmacy

Aspire Telehealth Palliative Care program

Medicare

Article title: US Antibiotic Awareness Week is November 11-18, 2019

Administrative

Anthem specialty pharmacy medical step therapy drug list clarification

Pharmacy

Anthem launches additional changes to anthem.com

Administrative

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

Administrative

Anthem Commercial Risk Adjustment (CRA) reporting update: Retrospective Program continues

Administrative
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