Indiana
Provider Communications
Notice of Changes to Prior Authorization Requirements -- July 2019
Changes to Prior Authorization Requirements and/or Material Changes to Contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements starred (*) below.
Clinical Guidelines
- Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*
Reimbursement
- Clinical Validation: Professional*
- Update to Provider UM reimbursement penalties and corresponding update to Provider Manual*
Other Important Updates
- Pharmacy: Clinical Criteria updates for specialty pharmacy
- FEP: Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care
Medicare and Medicaid News
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July 2019 Anthem Provider News - Indiana