Indiana
Provider Communications

Provider Spotlight

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.


Articles Recent

Title Publication Category Date

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

Information from Anthem for Care Providers about COVID-19 (updated January 26, 2021)

We recently updated information about COVID-19 vaccines.
COVID-19 Information - Indiana Administrative Jan 26, 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

Evaluation and management changes 2021

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

New Blue HPN® plans go live January 1, 2021

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

Outpatient system updates for 2021 - Facility

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

Professional system updates for 2021

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

New features added to Interactive Care Reviewer

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

Procedure searches in Find Care: New sort option

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

Availity attachment tools for Anthem and affiliate payers - Live webinars

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

Self-service, digital transactions are fast and easy

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

Medical Policy and Clinical Guideline Updates - January 2021*

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

MCG Care Guidelines 24th Edition Customization*

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

Anthem implements pilot program for in-network skilled nursing facilities (SNF)

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

Reimbursement policy update: Multiple diagnostic imaging procedures - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Frequency editing - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Modifier Rules - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

2021 FEP® benefit information available online

January 2021 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jan 1, 2021

Medicaid News - January 2021

View these Medicaid articles:
- New specialty pharmacy medical step therapy requirements
- Policy Update: Nurse Practitioner and Physician Assistant Services
- Prepayment coding validation review process
January 2021 Anthem Provider News - Indiana Medicaid Jan 1, 2021

CAHPS education for providers

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

Notifications on the Availity portal

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

New specialty pharmacy medical step therapy requirements

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

Resources to support your pregnant and postpartum patients and their families

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

FDA approvals and expedited pathways used - new molecular entities (NMEs)

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

Sign up to receive email from Anthem Blue Cross and Blue Shield

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

Keep up with Medicare news - January 2021

View these Medicare articles:
- Medicare Advantage Group Retiree Quick Reference Guide and FAQ
- Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ
- SNF admission reporting requirements for D-SNP plans
- Policy Update: Nurse Practitioner and Physician Assistant Services – Professional
- Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology
January 2021 Anthem Provider News - Indiana Medicare Jan 1, 2021

Roman Catholic Diocese of Gary - Medicare Advantage option

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

2020 Medicare risk adjustment provider trainings

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

Updates to AIM clinical appropriateness guidelines for Advanced Imaging

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

Updates to AIM Specialty Health Cardiac clinical appropriateness guidelines

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

Medical drug benefit clinical criteria updates

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

Notice of Changes to Prior Authorization Requirements - December 2020

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

Access requirements for behavioral health care services

December 2020 Anthem Provider News - Indiana Behavioral Health Dec 1, 2020

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

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

AIM IVR changes for non-oncology medical specialty drug reviews effective Jan. 1, 2021

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

Pharmacy information available at anthem.com

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

Access to claim denial information is now self-service

December 2020 Anthem Provider News - Indiana Administrative Dec 1, 2020

Updated BlueCard® Provider Manual posted to anthem.com*

December 2020 Anthem Provider News - Indiana Administrative Dec 1, 2020

2-minute videos to engage patients about preventive care

December 2020 Anthem Provider News - Indiana Administrative Dec 1, 2020

Anthem makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Anthem Provider News - Indiana Administrative Dec 1, 2020

Anthem contracted air ambulance providers for Indiana

December 2020 Anthem Provider News - Indiana Administrative Dec 1, 2020

PCP after-hours access requirements

December 2020 Anthem Provider News - Indiana Administrative Dec 1, 2020

Coordination of care

December 2020 Anthem Provider News - Indiana Administrative Dec 1, 2020

Members’ rights and responsibilities

December 2020 Anthem Provider News - Indiana Administrative Dec 1, 2020

Important information about utilization management

December 2020 Anthem Provider News - Indiana Administrative Dec 1, 2020

Case management program

December 2020 Anthem Provider News - Indiana Administrative Dec 1, 2020

Medical policy and clinical guideline updates - December 2020*

December 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Cardiology clinical appropriateness guidelines*

December 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guideline*

December 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Radiation Oncology clinical appropriateness guideline*

December 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

December 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2020

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

December 2020 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2020
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