Indiana
Provider Communications

Provider Spotlight

Nov 25, 2020

Important COVID-19 update: Prior authorization and other policy adjustments (Updated November 25, 2020)

We’ve updated guidance about prior authorization requirements.

Nov 12, 2020

Information from Anthem for Care Providers about COVID-19 (Updated November 12, 2020)

We recently updated FAQs about telephonic-only care.

Nov 1, 2020

Notice of Changes to Prior Authorization Requirements - November 2020

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


Articles Recent

Title Publication Category Date

Important COVID-19 update: Prior authorization and other policy adjustments (Updated November 25, 2020)

We’ve updated guidance about prior authorization requirements.
COVID-19 Information - Indiana Administrative Nov 25, 2020

Information from Anthem for Care Providers about COVID-19 (Updated November 12, 2020)

We recently updated FAQs about telephonic-only care.
COVID-19 Information - Indiana Administrative Nov 12, 2020

Notice of Changes to Prior Authorization Requirements - November 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
November 2020 Anthem Provider News - Indiana Administrative Nov 1, 2020

IngenioRx Introduces new pharmacy network in 2021

November 2020 Anthem Provider News - Indiana Pharmacy Nov 1, 2020

Prior authorization updates for specialty pharmacy are available - November 2020*

November 2020 Anthem Provider News - Indiana Pharmacy Nov 1, 2020

Updated Provider Manual available

November 2020 Anthem Provider News - Indiana Administrative Nov 1, 2020

Availity attachment tools for Anthem and affiliate payers - Live Webinars

Sign up for upcoming webinars!
November 2020 Anthem Provider News - Indiana Administrative Nov 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) Number - Additional Information

November 2020 Anthem Provider News - Indiana Administrative Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Indiana Administrative Nov 1, 2020

Get the full picture of your patient’s health through their smartphone

November 2020 Anthem Provider News - Indiana Administrative Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Anthem Provider News - Indiana Administrative Nov 1, 2020

Medical policy and clinical guideline updates - November 2020*

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

Correction to Prior Authorization Update for Commercial business*

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

Reminder: Post-service reviews using AIM

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

New reimbursement policy: Documentation standards for episodes of care (Professional)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Modifier rules (Professional)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Multiple diagnostic imaging facility (Facility)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Transition to AIM rehabilitative service clinical appropriateness guidelines

November 2020 Anthem Provider News - Indiana Medicaid Nov 1, 2020

Medicare News - November 2020

View these Medicare articles:
- AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020
- Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines
- AIM Musculoskeletal program expansion postponed
November 2020 Anthem Provider News - Indiana Medicare Nov 1, 2020

Indiana State Teachers’ Retirement Fund offers Medicare Advantage option

November 2020 Anthem Provider News - Indiana Medicare Nov 1, 2020

Provider Chat: A fast, easy way to get your questions answered

November 2020 Anthem Provider News - Indiana Medicare Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Indiana Medicare Nov 1, 2020

FDA approvals and expedited pathways used - new molecular entities

November 2020 Anthem Provider News - Indiana Medicare Nov 1, 2020

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum invitation - Indiana Behavioral Health Oct 14, 2020

Anthem updates formulary lists for commercial health plan pharmacy benefit

October 2020 Anthem Provider News - Indiana Pharmacy Oct 1, 2020

Prior authorization updates for specialty pharmacy are available - October 2020*

October 2020 Anthem Provider News - Indiana Pharmacy Oct 1, 2020

Updated coverage for breast cancer prevention medications

October 2020 Anthem Provider News - Indiana Pharmacy Oct 1, 2020

FDA approvals and expedited pathways used - New Molecular Entities (NMEs)

October 2020 Anthem Provider News - Indiana Pharmacy Oct 1, 2020

Pharmacy information available at anthem.com

October 2020 Anthem Provider News - Indiana Pharmacy Oct 1, 2020

National Accounts 2021 Pre-certification list*

October 2020 Anthem Provider News - Indiana Administrative Oct 1, 2020

Anthem Chat: A fast, easy way to have your questions answered

October 2020 Anthem Provider News - Indiana Administrative Oct 1, 2020

New medical claim attachment webinars: Register today

October 2020 Anthem Provider News - Indiana Administrative Oct 1, 2020

Electronic member ID cards available on the Availity portal

October 2020 Anthem Provider News - Indiana Administrative Oct 1, 2020

What Matters Most: Improving the patient experience

October 2020 Anthem Provider News - Indiana Administrative Oct 1, 2020

Anthem Commercial Risk Adjustment (CRA) Reporting Update: New guidance on telephone-only service CPT codes for risk adjustment program

October 2020 Anthem Provider News - Indiana Administrative Oct 1, 2020

Medical policy and clinical guideline updates - October 2020*

October 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Oct 1, 2020

Prior authorization update for Commercial Individual Business*

October 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Oct 1, 2020

Transition to AIM rehabilitative service clinical appropriateness guidelines

October 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Oct 1, 2020

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

October 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Oct 1, 2020

Reimbursement policy update: Emergency department - leveling of Evaluation and Management services (Facility)*

October 2020 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Claims requiring additional documentation policy (Facility)

October 2020 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Laboratory and venipuncture (Professional)*

October 2020 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2020

Federal Employee Program® expands specialty pharmacy prior authorization list*

October 2020 Anthem Provider News - Indiana Federal Employee Plan (FEP) Oct 1, 2020

Medicare News - October 2020

View these Medicare articles:
- Evaluation and management services correct coding
- Medical policies and clinical utilization management guidelines update
- Prior authorization requirements for the below codes effective January 2021
October 2020 Anthem Provider News - Indiana Medicare Oct 1, 2020

Medical drug benefit clinical criteria updates

October 2020 Anthem Provider News - Indiana Medicare Oct 1, 2020

Prior authorization requirements for the below codes effective January 1, 2021

October 2020 Anthem Provider News - Indiana Medicare Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News - Indiana Medicare Oct 1, 2020

Provider transparency update

October 2020 Anthem Provider News - Indiana Medicare Oct 1, 2020

Notice of Changes to Prior Authorization Requirements - October 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
October 2020 Anthem Provider News - Indiana Administrative Oct 1, 2020

Anthem will offer new short term limited duration plans

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

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

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

Medicaid News - October 2020

View these Medicaid article:
- Medical policies and clinical utilization management guidelines update
- New MCG Care Guidelines 24th edition
- Reminder: Pediatric critical care services limit
October 2020 Anthem Provider News - Indiana Medicaid Oct 1, 2020

Updates to AIM Specialty Health advanced imaging Clinical Appropriateness Guidelines

October 2020 Anthem Provider News - Indiana Medicaid Oct 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

October 2020 Anthem Provider News - Indiana Medicaid Oct 1, 2020

What Matters Most online training course: Improving patient experience

October 2020 Anthem Provider News - Indiana Medicaid Oct 1, 2020

Controlling High Blood Pressure (CBP)

October 2020 Anthem Provider News - Indiana Medicaid Oct 1, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated September 29, 2020)

We are extending cost share waivers for telehealth and telephonic-only care.
COVID-19 Information - Indiana Administrative Sep 29, 2020

Notice of Changes to Prior Authorization Requirements - September 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
September 2020 Anthem Provider News - Indiana Administrative Sep 1, 2020

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

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

Meet your Cancer Care Navigator

Anthem’s new cancer support program helps improve outcomes while easing burdens for you and your patients.
September 2020 Anthem Provider News - Indiana Products & Programs Sep 1, 2020

Predictive analytics guide proactive support to patients undergoing chemotherapy resulting in lowered admissions

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

September 2020 Anthem Provider News - Indiana Pharmacy Sep 1, 2020

Specialty pharmacy updates are available - September 2020*

September 2020 Anthem Provider News - Indiana Pharmacy Sep 1, 2020

New provider directory indicators for medication assisted treatment (MAT) providers

September 2020 Anthem Provider News - Indiana Administrative Sep 1, 2020

Attention workers’ compensation network providers

September 2020 Anthem Provider News - Indiana Administrative Sep 1, 2020

EDI Gateway migration deadline is September 15, 2020

September 2020 Anthem Provider News - Indiana Administrative Sep 1, 2020

Providers can now receive and respond to medical record requests for post-pay audit via Change Healthcare’s Assurance Attach Assist Module

September 2020 Anthem Provider News - Indiana Administrative Sep 1, 2020

Enhanced medical records submission process to support claims processing

September 2020 Anthem Provider News - Indiana Administrative Sep 1, 2020

Patient360 adds care gap alert feedback for medical providers

September 2020 Anthem Provider News - Indiana Administrative Sep 1, 2020

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2020 Prospective Program continues

September 2020 Anthem Provider News - Indiana Administrative Sep 1, 2020

Reimbursement policy update: Distinct Procedural Services- Modifiers 59, XE, XP, XS, XU (Professional)*

September 2020 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Frequency Editing (Professional)*

September 2020 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2020

Medicaid News - September 2020

View these Medicaid article:
- Medical drug benefit clinical criteria updates
- Submit behavioral health authorizations via our online Interactive Care Reviewer tool
September 2020 Anthem Provider News - Indiana Medicaid Sep 1, 2020

Medical policies and clinical utilization management guidelines update

September 2020 Anthem Provider News - Indiana Medicaid Sep 1, 2020

Provider demographics update

September 2020 Anthem Provider News - Indiana Medicaid Sep 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Provider News - Indiana Medicare Sep 1, 2020

Medical drug benefit clinical criteria updates

September 2020 Anthem Provider News - Indiana Medicare Sep 1, 2020

Notice of changes to prior authorization requirements - August 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
- Anthem prior authorization updates for specialty pharmacy are available-August 2020*
- Medical Policy and Clinical Guideline Updates-August 2020*
- Expansion of AIM Musculoskeletal Program effective November 1, 2020*
- Reimbursement Policy Update: Claims requiring additional documentation (Facility)*
August 2020 Anthem Provider News - Indiana Administrative Aug 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2020 Anthem Provider News - Indiana Pharmacy Aug 1, 2020

Voluntary site of care outreach for oncology checkpoint inhibitors beginning August 1, 2020

August 2020 Anthem Provider News - Indiana Pharmacy Aug 1, 2020

Anthem prior authorization updates for specialty pharmacy are available - August 2020*

August 2020 Anthem Provider News - Indiana Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Provider News - Indiana Pharmacy Aug 1, 2020

Provider contract and fee schedule notifications coming soon

August 2020 Anthem Provider News - Indiana Administrative Aug 1, 2020

Resources to support diverse patients and communities

August 2020 Anthem Provider News - Indiana Administrative Aug 1, 2020

Evaluation and management services correct coding (Professional)

August 2020 Anthem Provider News - Indiana Administrative Aug 1, 2020

Migrate your EDI transactions to Availity today

August 2020 Anthem Provider News - Indiana Administrative Aug 1, 2020

Electronic claims submission - Clinical Laboratory Improvement Amendments (CLIA)

August 2020 Anthem Provider News - Indiana Administrative Aug 1, 2020

Anthem electronic attachments - X12 275 5010

August 2020 Anthem Provider News - Indiana Administrative Aug 1, 2020

Coming soon: Enhance your prior authorization and inpatient admission and discharge notification via electronic and digital self-service for 2020

August 2020 Anthem Provider News - Indiana Administrative Aug 1, 2020

Medical record standards

August 2020 Anthem Provider News - Indiana Administrative Aug 1, 2020

Appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Anthem Provider News - Indiana Administrative Aug 1, 2020

Medical policy and clinical guideline updates - August 2020*

August 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 1, 2020

Expansion of AIM Musculoskeletal Program effective November 1, 2020*

August 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 1, 2020

Reimbursement Policy Update: Claims requiring additional documentation (Facility)*

August 2020 Anthem Provider News - Indiana Reimbursement Policies Aug 1, 2020

Medicaid News - August 2020

View these Medicaid articles:
- Separately reimbursable DME when implanted in an outpatient setting – billing reminder
- Mid-level behavioral health and substance use providers may not bill evaluation and management services codes
August 2020 Anthem Provider News - Indiana Medicaid Aug 1, 2020

Medical drug benefit clinical criteria updates

August 2020 Anthem Provider News - Indiana Medicaid Aug 1, 2020

Follow-up after hospitalization for mental illness

August 2020 Anthem Provider News - Indiana Medicaid Aug 1, 2020

Coding spotlight: Provider guide to coding for cardiovascular conditions

August 2020 Anthem Provider News - Indiana Medicaid Aug 1, 2020

Medicare News - August 2020

View these Medicare articles:
- Submit behavioral health authorizations via our online Interactive Care Reviewer (ICR) tool
- Updates to AIM musculoskeletal program clinical appropriateness guidelines
- Provider data update
- Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM
- AIM Musculoskeletal program expansion
- New MCG Care Guidelines 24th edition
August 2020 Anthem Provider News - Indiana Medicare Aug 1, 2020
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