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:

  • Updates for specialty pharmacy are available*
  • New prior authorization requirement: Kidney transplantation*
  • Updated AIM rehabilitative program effective August 1, 2021 – Initial evaluations and site of service reviews*
  • Reimbursement policy update: Claims requiring additional documentation – Facility*



Featured In:
May 2021 Anthem Provider News - Indiana