Georgia
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

Specialty pharmacy updates - December 2022 (MAC)

Material adverse change (MAC)
December 2022 Anthem Provider News - Georgia Pharmacy Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Georgia Pharmacy Dec 1, 2022

Clinical Criteria updates for specialty pharmacy are available

December 2022 Anthem Provider News - Georgia Pharmacy Dec 1, 2022

Clinical Criteria updates for specialty pharmacy are available

November 2022 Anthem Provider News - Georgia Pharmacy Nov 1, 2022

Specialty pharmacy updates - November 2022

November 2022 Anthem Provider News - Georgia Pharmacy Nov 1, 2022

Clinical Criteria updates for specialty pharmacy are available

October 2022 Anthem Provider News - Georgia Pharmacy Oct 1, 2022

October 2022 Specialty pharmacy updates (MAC)

Material adverse change (MAC)
October 2022 Anthem Provider News - Georgia Pharmacy Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Georgia.
October 2022 Anthem Provider News - Georgia Pharmacy Oct 1, 2022

Pharmacy information available on provider website

October 2022 Anthem Provider News - Georgia Pharmacy Oct 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available

September 2022 Anthem Provider News - Georgia Pharmacy Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Provider News - Georgia Pharmacy Sep 1, 2022

September 2022 Specialty pharmacy updates (MAC)

Material Adverse Change (MAC)
September 2022 Anthem Provider News - Georgia Pharmacy Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Provider News - Georgia Pharmacy Sep 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Provider News - Georgia Behavioral Health Aug 1, 2022

Clinical Criteria updates for specialty pharmacy are available

August 2022 Anthem Provider News - Georgia Pharmacy Aug 1, 2022

Pharmacy information available on the provider website

August 2022 Anthem Provider News - Georgia Pharmacy Aug 1, 2022

Specialty pharmacy updates (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Georgia Pharmacy Aug 1, 2022

Clinical criteria updates are available for specialty pharmacy

July 2022 Anthem Provider News - Georgia Pharmacy Jul 1, 2022

Pharmacy information available online

July 2022 Anthem Provider News - Georgia Pharmacy Jul 1, 2022

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care Reviews (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Georgia Products & Programs Jun 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available

June 2022 Anthem Provider News - Georgia Pharmacy Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Georgia Behavioral Health Jun 1, 2022

June 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Georgia Pharmacy Jun 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available

May 2022 Anthem Provider News - Georgia Pharmacy May 1, 2022

May 2022 Specialty pharmacy updates (MAC)

Material adverse change (MAC)

May 2022 Anthem Provider News - Georgia Pharmacy May 1, 2022

Pharmacy information available on anthem.com

April 2022 Anthem Provider News - Georgia Pharmacy Apr 1, 2022

April 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
April 2022 Anthem Provider News - Georgia Pharmacy Apr 1, 2022

Designated specialty pharmacy network updates (MAC)

Material adverse change (MAC)
April 2022 Anthem Provider News - Georgia Pharmacy Apr 1, 2022

Updated Preventive Care Guidance regarding screening colonoscopies

March 2022 Anthem Provider News - Georgia Products & Programs Mar 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available

March 2022 Anthem Provider News - Georgia Pharmacy Mar 1, 2022

March 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
March 2022 Anthem Provider News - Georgia Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
March 2022 Anthem Provider News - Georgia Pharmacy Mar 1, 2022

Cancer Care Navigator

February 2022 Anthem Provider News - Georgia Products & Programs Feb 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Provider News - Georgia Pharmacy Feb 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available

February 2022 Anthem Provider News - Georgia Pharmacy Feb 1, 2022

February 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
February 2022 Anthem Provider News - Georgia Pharmacy Feb 1, 2022

Updated AIM musculoskeletal program site of care reviews delayed

December 2021 Anthem Provider News - Georgia Products & Programs Dec 1, 2021

Case Management Program

December 2021 Anthem Provider News - Georgia Products & Programs Dec 1, 2021

Anthem Blue Cross and Blue Shield clinical criteria updates for specialty pharmacy are available

December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

December 2021 specialty pharmacy updates (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News - Georgia Products & Programs Nov 1, 2021

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Georgia Products & Programs Nov 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

November 2021 Anthem Provider News - Georgia Pharmacy Nov 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Provider News - Georgia Pharmacy Nov 1, 2021

November 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
November 2021 Anthem Provider News - Georgia Pharmacy Nov 1, 2021

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

October 2021 Anthem Provider News - Georgia Products & Programs Oct 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Provider News - Georgia Pharmacy Oct 1, 2021

October 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
October 2021 Anthem Provider News - Georgia Pharmacy Oct 1, 2021

Designated specialty pharmacy network updates effective January 1, 2022 (MAC)

Material adverse change (MAC)
October 2021 Anthem Provider News - Georgia Pharmacy Oct 1, 2021

September 2021 updates for specialty pharmacy are available (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Georgia Pharmacy Sep 1, 2021

Updated AIM musculoskeletal program effective November 1, 2021: site of care reviews

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Products & Programs Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

August 2021 updates for specialty pharmacy are available

Material adverse change (MAC): prior authorization updates
August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program beginning August 1, 2021

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviews

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

Back pain guide program effective July 19, 2021

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Designated specialty pharmacy network updates

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Designated specialty pharmacy network updates

June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

Let’s Vaccinate!

Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
June 2021 Anthem Provider News - Georgia Products & Programs Jun 1, 2021

New back pain management program effective July 19, 2021

June 2021 Anthem Provider News - Georgia Products & Programs Jun 1, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) enhanced reimbursement to begin July 1, 2021

May 2021 Anthem Provider News - Georgia Products & Programs May 1, 2021

Updated AIM Rehabilitative program effective August 1, 2021: initial evaluations and site of service reviews

Material adverse change (MAC)
May 2021 Anthem Provider News - Georgia Products & Programs May 1, 2021

Fewer repeat visits to the emergency room with follow-up care

May 2021 Anthem Provider News - Georgia Behavioral Health May 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

May 2021 Anthem Provider News - Georgia Pharmacy May 1, 2021

Updates for specialty pharmacy are available (May 2021)

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

UPDATE for commercial providers regarding the AIM sleep therapy program CPT code E1399, NOC: durable medical equipment, miscellaneous.

April 2021 Anthem Provider News - Georgia Products & Programs Apr 1, 2021

Correction: updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021

April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Updates for specialty pharmacy are available (April 2021)

Material adverse change (MAC)
April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

The heath of millennials: trends in behavioral health conditions

April 2021 Anthem Provider News - Georgia Behavioral Health Apr 1, 2021

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News - Georgia Pharmacy Mar 1, 2021

Updates for Specialty Pharmacy are available (March 2021)

March 2021 Anthem Provider News - Georgia Pharmacy Mar 1, 2021

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

March 2021 Anthem Provider News - Georgia Pharmacy Mar 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2021 Anthem Provider News - Georgia Pharmacy Feb 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

February 2021 Anthem Provider News - Georgia Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Provider News - Georgia Pharmacy Feb 1, 2021

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

February 2021 Anthem Provider News - Georgia Pharmacy Feb 1, 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

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
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