Georgia
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

Updates to AIM Musculoskeletal Program clinical appropriateness guidelines

February 2020 Anthem Provider News - Georgia Products & Programs Feb 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guidelines

February 2020 Anthem Provider News - Georgia Products & Programs Feb 1, 2020

Introducing SmartShopper, the consumer shopping and savings program for medical care

SmartShopper is an incentive and engagement program that activates members to change behavior and shop for health care.
December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

Case Management Program

December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

ConditionCare Program benefits patients and physicians

December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

Updates to AIM Advanced Imaging clinical appropriateness guidelines

August 2019 Anthem Provider News - Georgia Products & Programs Aug 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy clinical appropriateness guideline

August 2019 Anthem Provider News - Georgia Products & Programs Aug 1, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Georgia Products & Programs Aug 1, 2019

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

July 2020 Anthem Provider News - Georgia Products & Programs Jul 1, 2020

Updated Preventive Care Guidance regarding screening colonoscopies

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

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

March 2023 Anthem Provider News - Georgia Products & Programs Mar 1, 2023

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

New Musculoskeletal and Pain Management Solution effective for select national ASO accounts January 1, 2020

January 2020 Anthem Provider News - Georgia Products & Programs Jan 1, 2020

REMINDER: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Provider News - Georgia Products & Programs Dec 1, 2019

Case Management Program

December 2019 Anthem Provider News - Georgia Products & Programs Dec 1, 2019

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

June 2020 Anthem Provider News - Georgia Products & Programs Jun 1, 2020

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

CORRECTION: New AIM Musculoskeletal Program will begin "December 2, 2019"

December 2019 Anthem Provider News - Georgia Products & Programs Dec 1, 2019

CORRECTION: Reminder and update: new Rehabilitative Program effective July 1, 2019

July 2019 Anthem Provider News - Georgia Products & Programs Jul 1, 2019

Reminder and update: new Rehabilitative Program effective September 1, 2019

Anthem June 2019 Provider News - Georgia Products & Programs Jun 1, 2019

REMINDER: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Provider News - Georgia Products & Programs Oct 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayed to December 1, 2020

October 2020 Anthem Provider News - Georgia Products & Programs Oct 1, 2020

New Blue HPN® network included in plans available for employee fall 2020 open enrollment

October 2020 Anthem Provider News - Georgia Products & Programs Oct 1, 2020

Update to claim processing for services requiring AIM prior authorization

June 2018 BCBSGa Provider Newsletter Products & Programs Jun 14, 2018

BCBSGa expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list

June 2018 BCBSGa Provider Newsletter Products & Programs Jun 14, 2018

BCBSGa’s Individualized Care Program to support palliative care for commercial members

June 2018 BCBSGa Provider Newsletter Products & Programs Jun 14, 2018

Anthem Commercial Risk Adjustment (CRA) prospective program update: Assessing your patients for risk adjustable conditions

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guideline

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM Sleep Disorder Management clinical appropriateness guideline

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery clinical appropriateness guidelines

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

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

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

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

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

Notice about the PAR Network

October 2018 BCBSGa Provider Newsletter Products & Programs Oct 1, 2018

BCBSGa Community Care Coordination expands relationship with Preferred Community Health Partners to support commercial members with complex needs

October 2018 BCBSGa Provider Newsletter Products & Programs Oct 1, 2018

BCBSGa fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 BCBSGa Provider Newsletter Products & Programs Oct 1, 2018

Let’s Vaccinate

April 2023 Provider News - Georgia Products & Programs Mar 31, 2023

Pay Doctor Bill (provider payment option) - General FAQ

April 2023 Provider News - Georgia Products & Programs Mar 31, 2023

Cancer Care Navigator

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

Site of care* medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020

September 2020 Anthem Provider News - Georgia Products & Programs Sep 1, 2020

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

October 2019 Provider News Products & Programs Oct 1, 2019

Additional support available for members with rare conditions

August 2018 BCBSGa Provider Newsletter Products & Programs Jul 31, 2018

New AIM Rehabilitative program effective July 1, 2019

April 2019 Anthem Provider Newsletter - Georgia Products & Programs Apr 1, 2019

Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

September 2020 Anthem Provider News - Georgia Products & Programs Sep 1, 2020

Reminder: new AIM Rehabilitative Program effective November 1, 2019

November 2019 GA Provider News Products & Programs Nov 1, 2019

CORRECTION: New AIM Musculoskeletal Program will begin "December 1, 2019"

November 2019 GA Provider News Products & Programs Nov 1, 2019

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

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

UPDATE: new Rehabilitative Program now effective August 1, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019 Products & Programs Jul 3, 2019

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

Expansion of AIM Musculoskeletal Program effective November 1, 2020

August 2020 Anthem Provider News - Georgia Products & Programs Aug 1, 2020

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

Resources to support diverse patients and communities

August 2020 Anthem Provider News - Georgia Products & Programs Aug 1, 2020

UPDATE: new Rehabilitative Program remains temporarily delayed

UPDATE: new Rehabilitative Program remains temporarily delayed Products & Programs Jul 16, 2019

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

Anthem Commercial Risk Adjustment (CRA) Program update: Medical chart collection for ACA members due March 31, 2019 at the latest

March 2019 Anthem Provider Newsletter - Georgia Products & Programs Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - Georgia Pharmacy Mar 1, 2019

Clinical Criteria updates for specialty pharmacy

March 2023 Anthem Provider News - Georgia Pharmacy Mar 1, 2023

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - Georgia Pharmacy Mar 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

March 2019 Anthem Provider Newsletter - Georgia Pharmacy Mar 1, 2019

Pharmacy information available on the web

March 2019 Anthem Provider Newsletter - Georgia Pharmacy Mar 1, 2019

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News - Georgia Pharmacy Feb 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

February 2020 Anthem Provider News - Georgia Pharmacy Feb 1, 2020

Specialty pharmacy updates - November 2022

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

Benefit change for Infliximab for Federal Employee Program

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

Clinical Criteria updates for specialty pharmacy are available

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

BCBSGa accepts electronic prior authorization requests for prescription medications online

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available on anthem.com

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

National Drug Code requirement on outpatient claims

August 2019 Anthem Provider News - Georgia Pharmacy Aug 1, 2019

Clinical Criteria and prior authorization updates for specialty pharmacy are available

August 2019 Anthem Provider News - Georgia Pharmacy Aug 1, 2019

Reminder: changes to the process for medical non-oncology specialty drug reviews effective June 15, 2019

August 2019 Anthem Provider News - Georgia Pharmacy Aug 1, 2019

Specialty pharmacy updates for March 2023 (MAC)

Material adverse change (MAC)

March 2023 Anthem Provider News - Georgia Pharmacy Mar 1, 2023

Pharmacy information available on the web

August 2019 Anthem Provider News - Georgia Pharmacy Aug 1, 2019

Updated coverage for HIV PrEP medications

July 2020 Anthem Provider News - Georgia Pharmacy Jul 1, 2020

Anthem’s prior authorization updates for specialty pharmacy are available - July 2020

July 2020 Anthem Provider News - Georgia Pharmacy Jul 1, 2020

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

Anthem expands specialty pharmacy prior authorization list

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Pharmacy information available on the web

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

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

Pharmacy information available on anthem.com

December 2019 Anthem Provider News - Georgia Pharmacy Dec 1, 2019

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

June 2020 Anthem Provider News - Georgia Pharmacy Jun 1, 2020

Pharmacy information available on anthem.com

June 2020 Anthem Provider News - Georgia Pharmacy Jun 1, 2020

Pharmacy information available on anthem.com

April 2020 Anthem Provider News - Georgia Pharmacy Apr 1, 2020

Anthem prior authorization updates for specialty pharmacy are available

April 2020 Anthem Provider News - Georgia Pharmacy Apr 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

December 2020 Anthem Provider News - Georgia Pharmacy Dec 1, 2020

Anthem to delay most 4/1/2020 formulary list updates for commercial health plan pharmacy benefit

April 2020 Anthem Provider News - Georgia Pharmacy Apr 1, 2020
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