Georgia
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

November 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Nov 1, 2022

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services (Professional)

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Georgia medical policy and clinical guideline updates 8/1/2019

August 2019 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2019

New MCG 24th Edition Guidelines

July 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2020

Georgia Medical Policy and Clinical Guideline updates 7/1/2020

July 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2020

Updates to AIM musculoskeletal surgery clinical appropriateness guidelines

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Update to AIM clinical appropriateness guidelines

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Restructure of AIM advanced imaging clinical appropriateness guidelines

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates (MAC)

Material adverse change (MAC)
March 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Mar 1, 2022

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 12/1/2018

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Georgia.
November 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Nov 1, 2022

CORRECTION: Georgia Medical Policy and Clinical Guideline updates July 1, 2022

CORRECTION: Georgia Medical Policy and Clinical Guideline updates July 1, 2022 Medical Policy & Clinical Guidelines Aug 4, 2022

Update to AIM Specialty Health Oncologic Imaging clinical appropriateness guidelines

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

Clinical guideline update

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

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

Updates to AIM advanced imaging clinical appropriateness guideline

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM musculoskeletal program clinical appropriateness guidelines

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy and clinical guideline updates

January 2019 Anthem Provider Newsletter - Georgia Medical Policy & Clinical Guidelines Jan 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 1/1/2019

January 2019 Anthem Provider Newsletter - Georgia Medical Policy & Clinical Guidelines Jan 1, 2019

Georgia Medical Policy and Clinical Guideline updates

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Effective date guidelines change

November 1, 2018 BCBSGa Network eUPDATE Medical Policy & Clinical Guidelines Nov 1, 2018

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2022

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

October 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines (MAC)

Material adverse change (MAC)

June 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2022

Update to AIM Specialty Health clinical appropriateness guidelines: advanced imaging appropriate use criteria: imaging of the heart

October 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy and clinical guideline updates 10/1/2018

October 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

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

Material adverse change (MAC)
December 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2022

Georgia Medical Policy and Clinical Guideline updates 11/1/2020

November 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Nov 1, 2020

Medical Policy and Clinical Guideline updates 1/1/2021

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

MCG Care Guidelines 24th Edition customization

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

Georgia Medical Policy and Clinical Guideline updates July 1, 2022

August 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2022

Archived medical policy

August 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Jul 31, 2018

Notification of preapproval list changes 8/1/18

August 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Jul 31, 2018

Medical policy and clinical guideline updates 8/1/2018

August 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Jul 31, 2018

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Georgia medical policy and clinical guideline updates 10/1/2021

January 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jan 1, 2022

Georgia medical policy and clinical guideline updates 10/1/2021

October 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Oct 1, 2021

Medical policy and clinical guideline updates 7/1/2021

July 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2021

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy and clinical guideline updates 4/1/2021

April 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Apr 1, 2021

MCG care guidelines 25th edition

Material adverse change (MAC)
April 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Apr 1, 2021

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Oct 1, 2022

Georgia Medical Policy and Clinical Guideline updates October 1, 2022

October 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Oct 1, 2022

New clinical guideline: Home Parenteral Nutrition, effective November 1, 2021

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2021

Transition to AIM Specialty Health Imaging of the heart clinical appropriateness guideline for Computed Tomography to Detect Coronary Artery Calcification

August 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2021

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2022

Georgia medical policy and clinical guideline updates 4/1/2021

April 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Apr 1, 2022

Georgia medical policy and clinical guideline updates 2/1/2020

February 2020 Anthem Provider News - Georgia Policy Updates Feb 1, 2020

Georgia preapproval list change notification 2/1/2020

February 2020 Anthem Provider News - Georgia Policy Updates Feb 1, 2020

System updates for 2019 (Professional)

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Coding tip: Claims processed with modifier 79 should be reported by the same health care professional

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin October 1, 2020

July 2020 Anthem Provider News - Georgia Policy Updates Jul 1, 2020

Notification of preapproval list changes (December 2018)

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Pelvic Organ Prolapse Repair clinical guideline update

January 2020 Anthem Provider News - Georgia Policy Updates Jan 1, 2020

Outpatient facility edit implementation

January 2020 Anthem Provider News - Georgia Policy Updates Jan 1, 2020

Notification of preapproval list changes (February 2019)

February 2019 Anthem Provider Newsletter - Georgia Policy Updates Feb 1, 2019

New Durable Medical Equipment reimbursement policies: Rent to Purchase and Modifiers (Professional)

December 2019 Anthem Provider News - Georgia Policy Updates Dec 1, 2019

MCG care guidelines 24th edition

April 2020 Anthem Provider News - Georgia Policy Updates Apr 1, 2020

Anthem Georgia preapproval list change notification 6/1/2020

June 2020 Anthem Provider News - Georgia Policy Updates Jun 1, 2020

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

June 2020 Anthem Provider News - Georgia Policy Updates Jun 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

June 2020 Anthem Provider News - Georgia Policy Updates Jun 1, 2020

Georgia Anthem preapproval list change notification 5/1/2021

Material adverse change (MAC)
May 2021 Anthem Provider News - Georgia Policy Updates May 1, 2021

Modifier 79 reminder (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Modifier 63 reminder (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

ICD-10-CM Coding Guidelines and Laterality (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Clinical Validation (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Anthem expands hospice policy

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

GA preapproval list change notification 5/1/2019

Anthem June 2019 Provider News - Georgia Policy Updates Jun 1, 2019

Georgia medical policy and clinical guideline updates 5/1/2019

Anthem June 2019 Provider News - Georgia Policy Updates Jun 1, 2019

Clinical guideline (CG-ANC-07) effective July 1, 2019

Anthem June 2019 Provider News - Georgia Policy Updates Jun 1, 2019

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

Anthem Blue Cross and Blue Shield Georgia preapproval list change notification 5/1/2020

May 2020 Anthem Provider News - Georgia Policy Updates May 1, 2020

Reimbursement policy update: Claims requiring additional documentation (Facility)

May 2020 Anthem Provider News - Georgia Policy Updates May 1, 2020

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 04/1/2020

May 2020 Anthem Provider News - Georgia Policy Updates May 1, 2020

New Autism codes effective January 1, 2019

January 2019 Anthem Provider Newsletter - Georgia Policy Updates Jan 1, 2019

Notification of preapproval list changes (January 2019)

January 2019 Anthem Provider Newsletter - Georgia Policy Updates Jan 1, 2019

Coverage Guideline not implemented - Cervical Cancer Screening Using Cytology and Human Papillomavirus Testing (CG-MED-53)

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

BCBSGa Adopts MCG Care Guidelines for Behavioral Health Services

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

6/01/18 Notification of Preapproval List Changes (Including Non-AIM and moving to AIM)

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

Medical Policy and Clinical Guideline Updates 4/1/2018

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

Review of Reimbursement Policies – Professional

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

Reimbursement Policy Reminder - Durable Medical Equipment (Professional)

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018
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