Indiana
Provider Communications
Notice of Changes to Prior Authorization Requirements: February 2019
Changes to Prior Authorization Requirements
- Medical Policy/Clinical Guidelines Updates – February 2019*
- Reimbursement Policy Updates – February 2019*
- Clinical criteria updates for specialty pharmacy*
- Specialty pharmacy prior authorization list expansion*
- Specialty pharmacy medical step therapy drug list expansion*
Other Important Updates
- Professional billing - Update regarding E/M with modifier 25
- Medicare and Medicaid updates
Featured In:
February 2019 Anthem Indiana Provider Newsletter