Indiana
Provider Communications

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Title Publication Category Date

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

March 2023 Anthem Provider News - Indiana Administrative Mar 1, 2023

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update*

*Change to Prior Authorization Requirements

March 2023 Anthem Provider News - Indiana Administrative Mar 1, 2023

New policy for EMR clinical data sharing and ADT notifications*

*Change to Prior Authorization Requirements
March 2023 Anthem Provider News - Indiana Administrative Mar 1, 2023

Engagement with your patient counts

March 2023 Anthem Provider News - Indiana Administrative Mar 1, 2023

Physical and manipulative therapy for restoration versus maintenance

March 2023 Anthem Provider News - Indiana Administrative Mar 1, 2023

Important reminder: Preventive care guidance for colonoscopy screening

March 2023 Anthem Provider News - Indiana Administrative Mar 1, 2023

Reimbursement policy update: Modifiers 25 and 57 - Professional

March 2023 Anthem Provider News - Indiana Reimbursement Policies Mar 1, 2023

Specialty pharmacy updates for March 2023*

*Change to Prior Authorization Requirements

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

Keep up with Medicaid News - March 2023

- Medical Policies and Clinical Utilization Management Guidelines Update
- Prior authorization updates for medications billed under the medical benefit (Yusimry)
March 2023 Anthem Provider News - Indiana Medicaid Mar 1, 2023

Complex Case Management program

March 2023 Anthem Provider News - Indiana Medicaid Mar 1, 2023

Important information about utilization management

March 2023 Anthem Provider News - Indiana Medicaid Mar 1, 2023

Keep up with Medicare News - March 2023

- Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List for Indiana
- Carelon Medical Benefits Management, Inc. Genetic Testing Clinical Appropriateness Guidelines CPT code list update
- What date to select for inpatient admissions for claims
- Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Neulasta, Neulasta OnPro, Udenyca)
- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
March 2023 Anthem Provider News - Indiana Medicare Mar 1, 2023

You are invited: Advancing Mental Health Equity for Youth & Young Adults

Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.
March 2023 Anthem Provider News - Indiana Administrative Mar 1, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

March 2023 Anthem Provider News - Indiana Administrative Mar 1, 2023

March is National Colorectal Cancer Awareness Month

March 2023 Anthem Provider News - Indiana Administrative Mar 1, 2023

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

March 2023 Anthem Provider News - Indiana Administrative Mar 1, 2023

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

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

Pharmacy information available on our provider website

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

Annual planned visits

March 2023 Anthem Provider News - Indiana Medicare Mar 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

March 2023 Anthem Provider News - Indiana Medicare Mar 1, 2023

Shared savings and transition care management after inpatient discharges

March 2023 Anthem Provider News - Indiana Medicare Mar 1, 2023

Informational Update Modifier Usage

March 2023 Anthem Provider News - Indiana Medicare Mar 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

February 2023 Anthem Provider News - Indiana Administrative Feb 1, 2023

Do you offer telehealth services? Let us know!

February 2023 Anthem Provider News - Indiana Administrative Feb 1, 2023

Enhancing Provider News website and email communications

February 2023 Anthem Provider News - Indiana Digital Tools Feb 1, 2023

Remote EMR access service for HEDIS

February 2023 Anthem Provider News - Indiana Digital Tools Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Anthem Provider News - Indiana Administrative Feb 1, 2023

Medical Policies and Clinical Guidelines updates - February 2023*

*Change to Prior Authorization Requirements

February 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update*

*Change to Prior Authorization Requirements

February 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Anthem Provider News - Indiana Digital Tools Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements

February 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2023

Specialty pharmacy updates - February 2023*

*Change to Prior Authorization Requirements

February 2023 Anthem Provider News - Indiana Pharmacy Feb 1, 2023

Keep up with Medicaid News - February 2023

- Prior authorization updates for medications billed under the medical benefit (Tezspire)
- Claims analysis of psychiatric diagnostic evaluation frequency
- Healthy Indiana Plan talking points
- Introducing the Provider Learning Hub
February 2023 Anthem Provider News - Indiana Medicaid Feb 1, 2023

Enhancing claims attachment processes through digital applications

February 2023 Anthem Provider News - Indiana Medicaid Feb 1, 2023

Childhood Immunization Status and Lead Screening in Children for HEDIS

February 2023 Anthem Provider News - Indiana Medicaid Feb 1, 2023

Keep up with Medicare News - February 2023

- Introducing the Provider Learning Hub
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Fylnetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
February 2023 Anthem Provider News - Indiana Medicare Feb 1, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Indiana Medicare Feb 1, 2023

Enhancing claims attachment processes through digital applications

February 2023 Anthem Provider News - Indiana Medicare Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Provider News - Indiana Federal Employee Plan (FEP) Feb 1, 2023

Important reminder: New ID cards for many of our Anthem Blue Cross and Blue Shield members

New ID cards for Anthem Blue Cross and Blue Shield members - Indiana Administrative Jan 19, 2023

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Indiana Administrative Jan 11, 2023

Notification regarding reimbursement changes to COVID-19 laboratory services codes

January 2023 Anthem Provider News - Indiana Administrative Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Specialty pharmacy updates - January 2023*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Pharmacy Dec 30, 2022

Guidance for coding evaluation and management services for new and established patients

January 2023 Anthem Provider News - Indiana Medicaid Dec 30, 2022

Attention physicians and lab providers: COVID-19 update regarding reimbursement

January 2023 Anthem Provider News - Indiana Medicaid Dec 30, 2022

Keep up with Medicaid News - January 2023

- This is Quitting: Helping teens and young adults quit vaping
- Prior Authorization Updates for Medications Billed Under the Medical Benefit (Vabysmo)
January 2023 Anthem Provider News - Indiana Medicaid Dec 30, 2022

Cleveland-Cliffs offers Medicare Advantage option

January 2023 Anthem Provider News - Indiana Medicare Dec 30, 2022

Keep up with Medicare news - January 2023

- Prior authorization requirement changes
- New specialty pharmacy medical step therapy requirements (Inflectra & Renflexis)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Cimerli)
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
January 2023 Anthem Provider News - Indiana Medicare Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Federal Employee Plan (FEP) Dec 30, 2022

Outpatient facility revenue code billing requirements

January 2023 Anthem Provider News - Indiana Reimbursement Policies Dec 30, 2022

Professional system updates for 2023

January 2023 Anthem Provider News - Indiana Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Anthem Provider News - Indiana Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Anthem Provider News - Indiana Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Indiana Administrative Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Coordination of care

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Case management program

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Important information about utilization management

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

For provider enrollment, please use the Digital Provider Enrollment tool in Availity, not the Provider Maintenance Form

December 2022 Anthem Provider News - Indiana Digital Tools Dec 1, 2022

Pathway Essentials is expanding effective January 1, 2023

December 2022 Anthem Provider News - Indiana Products & Programs Dec 1, 2022

Specialty pharmacy updates - December 2022*

*Change to Prior Authorization Requirements
December 2022 Anthem Provider News - Indiana Pharmacy Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update*

*Change to Prior Authorization Requirements
December 2022 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2022

Medical Policies and Clinical Guidelines updates - December 2022*

*Change to Prior Authorization Requirements
December 2022 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022

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

*Change to Prior Authorization Requirements

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional*

*Change to Prior Authorization Requirements

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022

Keep up with Medicaid News - December 2022

- New specialty pharmacy medical step therapy requirements
- Prior Authorization Updates for Medications Billed Under the Medical Benefit (Saphnelo)
- New specialty pharmacy medical step therapy requirements (Mvasi, Avastin, Zirabev)
December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

New Policy Diagnosis-Related Group Newborn Inpatient Stays - Facility

December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

Keep up with Medicare News - December 2022

- Medical drug benefit Clinical Criteria updates
- Medical Policies and Clinical Utilization Management Guidelines update
December 2022 Anthem Provider News - Indiana Medicare Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Indiana Medicare Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Indiana Pharmacy Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Indiana Medicare Dec 1, 2022

Important notice regarding Anthem fee schedule changes

Important notice regarding Anthem fee schedule changes - Indiana Administrative Nov 23, 2022

PCP searches in Find Care

PCP searches in Find Care - Indiana Administrative Nov 2, 2022

Claims status message enhancements: providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Indiana Digital Tools Nov 1, 2022

Authorization application enhancements: faster, easier, and more efficient

November 2022 Anthem Provider News - Indiana Digital Tools Nov 1, 2022

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

November 2022 Anthem Provider News - Indiana Digital Tools Nov 1, 2022

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Anthem Provider News - Indiana Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Anthem Provider News - Indiana Digital Tools Nov 1, 2022

Pathway Essentials: a new network available in Indiana

November 2022 Anthem Provider News - Indiana Products & Programs Nov 1, 2022

Specialty pharmacy updates - November 2022

Change to Prior Authorization Requirements

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

Medical policy and clinical guideline updates - November 2022

Change to Prior Authorization Requirements
November 2022 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2022

Correction to reimbursement policy: Place of Service - Facility

Change to Prior Authorization Requirements
November 2022 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2022

Personalized Match

November 2022 Anthem Provider News - Indiana Medicare Nov 1, 2022
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