Correction: Facility Take-Home Drugs Reimbursement Policy Update
Anthem Blue Cross and Blue Shield
Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect
In the January issue of the Network Update, we incorrectly noted the effective date for the implementation of Facility Take-Home Drugs reimbursement policy. The effective date has been corrected.
Beginning on February 15, 2019, Anthem Blue Cross and Blue Shield does not allow reimbursement of take-home drugs — those dispensed by a facility for take-home use under the inpatient or outpatient hospital benefit. Claims submitted by a facility for drugs with revenue codes denoting take-home use will be denied.
Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. This includes but is not limited to authorization, covered benefits and services, and claims submittal. If you have questions, please contact your group administrator or your Anthem network representative.
February 2019 Anthem Indiana Provider Newsletter