New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.


Changes to Prior Authorization Requirements


Medical Policies/Clinical Guidelines

  • Important Update: Milliman Care Guideline [MCG], 23rd Edition (MAC)


Reimbursement Policies

  • Outpatient Facility Edit Implementation (MAC)


Other Important Updates

  • Medicare and Medicaid News


Featured In:
January 2020 Anthem Provider News - Indiana