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

  • Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual*
  • Updates for specialty pharmacy are available*
  • Medical policy and clinical guideline updates*
  • Update: Clinical guideline adoption postponed*
  • MCG Care Guidelines 25th Edition available*
  • Maximizing efficient, high quality COVID-19 screenings*
  • New reimbursement policy: Newborn Inpatient Stays for facilities*



Featured In:
April 2021 Anthem Provider News - Indiana