CommercialDecember 1, 2022

December 2022 Anthem Provider News - Georgia

Administrative

AdministrativeCommercialDecember 1, 2022

CAA: Timely updates help keep our provider directories current

AdministrativeCommercialDecember 1, 2022

Attention lab providers: COVID-19 update regarding reimbursement (MAC)

Material adverse change (MAC)

AdministrativeCommercialDecember 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

AdministrativeCommercialDecember 1, 2022

Member assessment of PCP after-hours messaging in 2022

AdministrativeCommercialDecember 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

AdministrativeCommercialDecember 1, 2022

Members’ rights and responsibilities

AdministrativeCommercialDecember 1, 2022

Coordination of care

AdministrativeCommercialDecember 1, 2022

Case management program

AdministrativeCommercialDecember 1, 2022

Important information about utilization management

AdministrativeCommercialDecember 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

AdministrativeCommercialDecember 1, 2022

Signature requirements for laboratory orders or requisitions

Policy Updates

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update (MAC)
Material adverse change (MAC)

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Reimbursement PoliciesCommercialDecember 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional (MAC)
Material adverse change (MAC)

Reimbursement PoliciesCommercialDecember 1, 2022

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

Material adverse change (MAC)

Reimbursement PoliciesCommercialDecember 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

Products & Programs

PharmacyCommercialDecember 1, 2022

Specialty pharmacy updates - December 2022 (MAC)
Material adverse change (MAC)

PharmacyCommercialDecember 1, 2022

Pharmacy information available on the provider website

PharmacyCommercialDecember 1, 2022

Clinical Criteria updates for specialty pharmacy are available

State & Federal

State & FederalMedicare AdvantageDecember 1, 2022

2023 Medicare Advantage service area and benefit updates

State & FederalMedicare AdvantageDecember 1, 2022

Personal home helper benefit ending

State & FederalMedicare AdvantageDecember 1, 2022

Keep up with Medicare news
Medicare Advantage