New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements starred (*) below.

 

Changes to Prior Authorization Requirements

 

  • Prior authorization updates for specialty pharmacy are available*

  • Medical Policy update*

  • Updates to AIM Cardiology clinical appropriateness guidelines*

  • Updates to AIM Advanced Imaging clinical appropriateness guidelines*

  • Updates to AIM Radiation Oncology clinical appropriateness guidelines*

  • Reimbursement policy update: Bundled services and supplies (Professional)*

  • Reimbursement policy update: DRG newborn inpatient stays (Facility)*



Featured In:
December 2020 Anthem Provider News - Indiana