Authorizations for post-acute care services for Medicare Advantage Individual, Group Retiree Solutions, and Dual-Eligible Plan members in Indiana
How to submit or check a prior authorization request:
For SNF, IRF, or LTACH admissions, myNEXUS will begin receiving requests on Wednesday, June 29, 2022, for members whose anticipated discharge date is July 1, 2022, or after.
Providers are encouraged to request authorization using NexLync. Go to https://portal.mynexuscare.com/home to get started. You can upload clinical information and check the status of your requests through this online tool seven days a week, 24 hours a day. If you are unable to use the link or portal, you can call the myNEXUS Provider Call Center at 844-411-9622 during normal operating hours from 8 a.m. to 8 p.m. ET, Monday through Friday, or send a fax to myNEXUS at 833-311-2986.
Please note: Anthem Blue Cross and Blue Shield will continue to review authorization requests for durable medical equipment (DME), ambulance, and other related services that do not fall under Medicare-covered home health care services, such as home infusion, hospice, outpatient therapy, or supplemental benefits that help with everyday health and living such as personal home helper services offered under Essential/Everyday Extras.
If you have additional questions, please call the myNEXUS Provider Call Center at
April 2022 Anthem Provider News - Indiana