Indiana
Provider Communications

Provider Spotlight

Aug 2, 2021

Information from Anthem for Care Providers about COVID-19 (updated August 2, 2021)

We recently updated information about coverage dates for telephonic-only care.

Jul 29, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!


Articles Recent

Title Publication Category Date

Information from Anthem for Care Providers about COVID-19 (updated August 2, 2021)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Indiana Administrative Aug 2, 2021

Register now for our August CME webinars

August 2021 Anthem Provider News - Indiana Administrative Aug 1, 2021

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

August 2021 Anthem Provider News - Indiana Administrative Aug 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

August 2021 Anthem Provider News - Indiana Administrative Aug 1, 2021

New! Schedule appointments online through Availity

August 2021 Anthem Provider News - Indiana Digital Tools Aug 1, 2021

Some requests to AIM may require documentation to support prior authorization

August 2021 Anthem Provider News - Indiana Products & Programs Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit effective October 1, 2021*

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

Updates for specialty pharmacy are available - August 2021*

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

Specialty dose rounding program for certain oncology medications

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

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

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

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

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

Pharmacy information available at anthem.com

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

Update: AIM Musculoskeletal Program effective November 1, 2021 - Site of care reviews*

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

Reimbursement policy update: Virtual Visits (Professional and Facility)*

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

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

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

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU*

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

Change in email submission of service requests for Federal Employee Program® members*

*Change to Prior Authorization Requirements
August 2021 Anthem Provider News - Indiana Federal Employee Plan (FEP) Aug 1, 2021

Medicaid News - August 2021

View these Medicaid articles:
- MCG care guidelines 25th edition
- Clinical Criteria Updates Notification May-September 2020
August 2021 Anthem Provider News - Indiana Medicaid Aug 1, 2021

Let’s vaccinate

August 2021 Anthem Provider News - Indiana Medicaid Aug 1, 2021

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

August 2021 Anthem Provider News - Indiana Medicaid Aug 1, 2021

What Matters Most: Improving the Patient Experience

August 2021 Anthem Provider News - Indiana Medicaid Aug 1, 2021

Resources to support your diverse patient panel

August 2021 Anthem Provider News - Indiana Medicaid Aug 1, 2021

Medicare News - August 2021

View these Medicare articles:
- Infliximab Step Therapy - Effective 7/15/2021
- Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907
- MCG care guidelines 25th edition
August 2021 Anthem Provider News - Indiana Medicare Aug 1, 2021

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

August 2021 Anthem Provider News - Indiana Medicare Aug 1, 2021

Preventing claims denials: Shingles vaccine

August 2021 Anthem Provider News - Indiana Medicare Aug 1, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!

Clinical Quality CME Webinar Series Continues - Indiana Administrative Jul 29, 2021

Register now to learn strategies to help you and your practice improve clinical quality

July 2021 Anthem Provider News - Indiana Administrative Jul 1, 2021

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

July 2021 Anthem Provider News - Indiana Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for INR

July 2021 Anthem Provider News - Indiana Administrative Jul 1, 2021

Another mark of the pandemic: An increase in childhood obesity

July 2021 Anthem Provider News - Indiana Administrative Jul 1, 2021

How to enroll in electronic fund transfer (EFT) for faster remittance

July 2021 Anthem Provider News - Indiana Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Anthem Provider News - Indiana Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Provider News - Indiana Digital Tools Jul 1, 2021

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

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

Reminder: Back Pain Guide program effective July 19, 2021

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

Update: Site of care medical necessity reviews for long-acting colony-stimulating factors not implemented on June 1, 2021*

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

Designated specialty pharmacy network updates effective October 1, 2021*

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

Updates for specialty pharmacy are available - July 2021*

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

Certain specialty medication prior authorization requests may require additional documentation*

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

Medical Policy and Clinical Guideline Updates - July 2021*

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

Reminder: Updated AIM rehabilitative program effective August 1, 2021 - Site of service reviews

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

New reimbursement policy: Non-patient laboratory services - Facility*

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

Reimbursement policy update: Consultations - Professional*

IN: *Change to Prior Authorization Requirements
July 2021 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2021

Medicaid News - July 2021

View these Medicaid articles:
- Aspire Health for members in need of palliative care
- August 2020 Medical Policies and Clinical Utilization Management Guidelines update
July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Continuing medical education/continuing education unit opportunities

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Provider education program survey: Your Voice Counts

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

New reimbursement policy: Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Complex Case Management program

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Important information about utilization management

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Member Rights and Responsibilities Statement

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Medicare News - July 2021

View these Medicare articles:
- Prior authorization requirement changes effective September 1, 2021 – UM Authorization Rule Operations Workgroup (AROW) Item 1845
- Provider notification for UM Authorization Rule Operations Workgroup (AROW) Item 1846
July 2021 Anthem Provider News - Indiana Medicare Jul 1, 2021

Let’s Vaccinate

July 2021 Anthem Provider News - Indiana Medicare Jul 1, 2021

Medical drug benefit clinical criteria updates

July 2021 Anthem Provider News - Indiana Medicare Jul 1, 2021

Prior authorization requirement changes for codes A0426 and A0428 effective October 1, 2021

July 2021 Anthem Provider News - Indiana Medicare Jul 1, 2021

New reimbursement policy: Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Provider News - Indiana Medicare Jul 1, 2021

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Let’s vaccinate

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

Designated specialty pharmacy network: Reminders and contact information

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

Designated specialty pharmacy network updates

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

Updates for specialty pharmacy are available - June 2021*

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

Pharmacy information available at anthem.com

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

Keep your contact information current

June 2021 Anthem Provider News - Indiana Administrative Jun 1, 2021

Answering your claims questions is easier through chat; secure messaging will sunset soon, start using chat now

June 2021 Anthem Provider News - Indiana Administrative Jun 1, 2021

Regular check-ins with your clearinghouse could affect timely filing

June 2021 Anthem Provider News - Indiana Administrative Jun 1, 2021

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

June 2021 Anthem Provider News - Indiana Administrative Jun 1, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Anthem Provider News - Indiana Digital Tools Jun 1, 2021

Submit EDI corrected claims via Availity or EDI

June 2021 Anthem Provider News - Indiana Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Provider News - Indiana Digital Tools Jun 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Provider News - Indiana Digital Tools Jun 1, 2021

Medical policy and clinical guideline updates - June 2021*

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

Continuation of skilled nursing facility (SNF) process in Indiana and Ohio

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

New Back Pain Management Program effective July 19, 2021

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

Prior authorization for genetic testing medical policy effective September 1, 2021*

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

Updates to AIM advanced imaging clinical appropriateness guidelines*

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

Updates to AIM musculoskeletal program clinical appropriateness guidelines*

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

Reimbursement policy update: Outpatient facility claim edits

June 2021 Anthem Provider News - Indiana Reimbursement Policies Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jun 1, 2021

Medicaid News - June 2021

View these Medicaid articles:
- False Claims Act awareness
- MCG Care Guidelines 24th edition customization
- May 2020 medical policies and clinical utilization management guidelines update
- November 2020 medical policies and clinical utilization management guidelines update
- Updates to the AIM Advanced Imaging clinical appropriateness guidelines
June 2021 Anthem Provider News - Indiana Medicaid Jun 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

June 2021 Anthem Provider News - Indiana Medicaid Jun 1, 2021

Reminder: Behavioral health midlevel providers may not bill E&M services codes

June 2021 Anthem Provider News - Indiana Medicaid Jun 1, 2021

Medicare News - June 2021

View these Medicare articles:
- Anthem working with Optum to collect medical records for risk adjustment
- Medical drug benefit clinical criteria updates
- Updates to the AIM advanced imaging clinical appropriateness guidelines
June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Reimbursement policy reminder: Inpatient readmissions

June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!


Clinical Quality CME Webinar Series - Indiana Administrative May 27, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Anthem and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and implicit bias.
Deconstructing Bias Forum Invitation - Indiana Administrative May 21, 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.
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
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