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

  • Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021
  • Updates for specialty pharmacy are available – March 2021
  • Some HIV medication combinations may require prior authorization
  • Anthem clarifies guidance on prior authorization requirements for admissions to in-network skilled nursing facilities (SNF) facilities
  • New reimbursement policy update: Place of Service Evaluation and Management – Facility
  • Update: Notice of changes to the AIM Small Joint Surgery guideline



Featured In:
March 2021 Anthem Provider News - Indiana