Indiana
Provider Communications

Provider Spotlight

May 1, 2021

Notice of Changes to Prior Authorization Requirements - May 2021

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.

Apr 28, 2021

Information from Anthem for Care Providers about COVID-19 (updated April 28, 2021)

We recently updated the effective date about reimbursement for the administration of the COVID-19 vaccine.


Articles Recent

Title Publication Category Date

Notice of Changes to Prior Authorization Requirements - May 2021

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Pharmacy May 1, 2021

Updates for specialty pharmacy are available - May 2021*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Pharmacy May 1, 2021

Updated Provider Manual posted to anthem.com

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

2021 Affirmative statement regarding utilization management decisions

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

A helpful and complete guide to covered well-child visits

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

May is National High Blood Pressure Education Month

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Digital online scheduling feature now available in the Availity Portal

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Provider bulletins for medical and itemized bill attachments: Electronic solutions at your fingertips

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Sending larger digital attachments through Availity

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

New prior authorization requirement: Kidney transplantation*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines May 1, 2021

Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines

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

Updated AIM rehabilitative program effective August 1, 2021 - Initial evaluations and site of service reviews*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines May 1, 2021

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

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

Reimbursement policy update: Claims Requiring Additional Documentation - Facility*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Reimbursement Policies May 1, 2021

Reimbursement policy reminder: Readmission - Facility

May 2021 Anthem Provider News - Indiana Reimbursement Policies May 1, 2021

Reimbursement policy update: Frequency editing - Professional

May 2021 Anthem Provider News - Indiana Reimbursement Policies May 1, 2021

Medicaid news - May 2021

View these Medicaid articles:
- Some HIV medication combinations may require prior authorization
- Ocrevus/Vyepti Medical Step Therapy Notice
- Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines
May 2021 Anthem Provider News - Indiana Medicaid May 1, 2021

Keep up with Medicare news - May 2021

View these Medicare articles:
- Anthem working with Optum to collect medical records for Medicare Risk Adjustment (MRA)
- Helping our senior members
- Updates to AIM Specialty Health cardiac clinical appropriateness guidelines
- Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines
May 2021 Anthem Provider News - Indiana Medicare May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News - Indiana Medicare May 1, 2021

Information from Anthem for Care Providers about COVID-19 (updated April 28, 2021)

We recently updated the effective date about reimbursement for the administration of the COVID-19 vaccine.
COVID-19 Information - Indiana Administrative Apr 28, 2021

Notice of Changes to Prior Authorization Requirements - April 2021

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

The health of millennials: Trends in behavioral health conditions

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

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

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

Updates for specialty pharmacy are available - April 2021*

*Change to Prior Authorization Requirements
April 2021 Anthem Provider News - Indiana Pharmacy Apr 1, 2021

Pharmacy information available at anthem.com

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

Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual*

*Change to Prior Authorization Requirements
April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Information Center - Access important policies, forms and helpful resources

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Understanding Availity roles for electronic data interchange (EDI)

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Attention facilities: Sending admission, discharge and transfer data results in improved care management for patients

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Chat directly with a prior authorization specialist

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Keeping up with routine vaccination during COVID-19

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Interactive bilingual website taking action for our health

Exclusively developed for the Latino Community
April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Join Anthem in talking about racism and its impact on health

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Medical policy and clinical guideline updates - April 2021*

*Change to Prior Authorization Requirements
April 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Apr 1, 2021

Update: Clinical guideline adoption postponed*

*Change to Prior Authorization Requirements
April 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Apr 1, 2021

MCG Care Guidelines 25th Edition available*

*Change to Prior Authorization Requirements
April 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings*

*Change to Prior Authorization Requirements
COVID-19 Information - Indiana Medical Policy & Clinical Guidelines Apr 1, 2021

Update for Commercial providers: AIM sleep program CPT code E1399, NOC: Durable medical equipment, miscellaneous

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

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News - Indiana Federal Employee Plan (FEP) Apr 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

April 2021 Anthem Provider News - Indiana Medicaid Apr 1, 2021

Updates to AIM clinical appropriateness guidelines for advanced imaging

April 2021 Anthem Provider News - Indiana Medicaid Apr 1, 2021

Access to more claim denial information is now self-service

April 2021 Anthem Provider News - Indiana Medicaid Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Access to more claim denial information is now self-service

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Clinical criteria updates notification - November 2020

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Clinical criteria updates notification - December 2020

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Updates to AIM clinical appropriateness guidelines for advanced imaging

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Medical attachment capability now includes itemized bills and more!

March 2021 Anthem Provider News - Indiana Administrative Mar 1, 2021

Update: Notice of changes to the AIM Small Joint Surgery guideline

March 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Mar 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

March 2021 Anthem Provider News - Indiana Reimbursement Policies Mar 1, 2021

Medicare News - March 2021

View these Medicare articles:
- MCG Care Guidelines 24th edition customization
- DME checklist of information needed from providers
March 2021 Anthem Provider News - Indiana Medicare Mar 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem Provider News - Indiana Medicare Mar 1, 2021

Medical policies and clinical utilization management guidelines update

March 2021 Anthem Provider News - Indiana Medicare Mar 1, 2021

Notice of Changes to Prior Authorization Requirements - March 2021

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
March 2021 Anthem Provider News - Indiana Administrative Mar 1, 2021

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

*Change to Prior Authorization Requirements
March 2021 Anthem Provider News - Indiana Pharmacy Mar 1, 2021

Updates for specialty pharmacy are available - March 2021*

*Change to Prior Authorization Requirements
March 2021 Anthem Provider News - Indiana Pharmacy Mar 1, 2021

Some HIV medication combinations may require prior authorization*

*Change to Prior Authorization Requirements
March 2021 Anthem Provider News - Indiana Pharmacy Mar 1, 2021

Anthem clarifies guidance on prior authorization requirements for admissions to in-network skilled nursing facilities (SNFs)

March 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Mar 1, 2021

New reimbursement policy update: Place of Service Evaluation and Management - Facility*

*Change to Prior Authorization Requirements
March 2021 Anthem Provider News - Indiana Reimbursement Policies Mar 1, 2021

New Hoosier Care Connect contract starting April 2021

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID cards

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Digital transactions cut administrative tasks in half

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Neulasta medical step therapy requirements

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Prior authorization requirements for HCPCS code 55899

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Disease Management/Population Health program

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

CAHPS® survey

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Digital transactions cut administrative tasks in half

March 2021 Anthem Provider News - Indiana Medicare Mar 1, 2021

Notice of Changes to Prior Authorization Requirements - February 2021

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
February 2021 Anthem Provider News - Indiana Administrative Feb 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Prior authorization updates for specialty pharmacy are available - February 2021*

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

Pharmacy information available at anthem.com

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

New provider directory indicator for telehealth services

February 2021 Anthem Provider News - Indiana Administrative Feb 1, 2021

Fully insured or third party administrator information included on ID cards

February 2021 Anthem Provider News - Indiana Administrative Feb 1, 2021

New Anthem utilization management tool now available on Availity: Authorization Rules Lookup tool

February 2021 Anthem Provider News - Indiana Administrative Feb 1, 2021

Medical Policy and Clinical Guideline Updates - February 2021*

February 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2021

Reimbursement policy update: Emergency Room Transfers - Facility*

February 2021 Anthem Provider News - Indiana Reimbursement Policies Feb 1, 2021

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

February 2021 Anthem Provider News - Indiana Reimbursement Policies Feb 1, 2021

Medicaid News - February 2021

View these Medicaid articles:
- Transition to AIM small joint guidelines
- New specialty pharmacy medical step therapy requirements
- Prior authorizations to be submitted electronically
February 2021 Anthem Provider News - Indiana Medicaid Feb 1, 2021

Coding spotlight: HEDIS MY 2021

February 2021 Anthem Provider News - Indiana Medicaid Feb 1, 2021

PN for UM AROW Item 1330

February 2021 Anthem Provider News - Indiana Medicare Feb 1, 2021

Medical drug benefit clinical criteria updates - February 2021

February 2021 Anthem Provider News - Indiana Medicare Feb 1, 2021

Transition to AIM small joint guidelines

February 2021 Anthem Provider News - Indiana Medicare Feb 1, 2021

Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and the importance of allies.
The Road to Allyship Forum Invitation Administrative Jan 21, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 13, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Indiana Administrative Jan 13, 2021

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care. 
COVID-19 Information - Indiana Administrative Jan 8, 2021

Notice of Changes to Prior Authorization Requirements - January 2021

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

IngenioRx introduces new pharmacy network in 2021

January 2021 Anthem Provider News - Indiana Pharmacy Jan 1, 2021

Designated specialty pharmacy network*

January 2021 Anthem Provider News - Indiana Pharmacy Jan 1, 2021

Prior authorization updates for specialty pharmacy are available - January 2021*

January 2021 Anthem Provider News - Indiana Pharmacy Jan 1, 2021

Attention Workers’ Compensation network providers

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

Join the Anthem Foundation and Dare to Care Hunger Challenge in Kentuckiana

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

It is almost CAHPS survey time!

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021
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