Indiana
Provider Communications

April 2022 Anthem Provider News - Indiana

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Title Category

The Anthem, Inc. name is changing

Administrative

Reminder on Botox for Anthem members

Administrative

CAA: Update your provider directory information

Administrative

HEDIS 2022: Summary of changes from NCQA

Administrative

Importance of behavioral healthcare after-hours messaging

Administrative

Catching up on routine vaccines

Administrative

Evaluation and management documentation guidelines

Administrative

Procedure searches in Find Care

Digital Tools

Member benefit lookup by procedure code

Digital Tools

Specialty pharmacy updates - April 2022*

*Change to Prior Authorization Requirements
Pharmacy

Designated specialty pharmacy network updates*

*Change to Prior Authorization Requirements
Pharmacy

Pharmacy information available at anthem.com

Pharmacy

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

Federal Employee Plan (FEP)

The Anthem, Inc. name is changing

Medicaid

Reimbursement policy update: Inpatient readmissions

Medicaid

The Anthem, Inc. name is changing

Medicare

Keep up with Medicare News - April 2022

- Medical Policies and Clinical Utilization Management Guidelines update
- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Anthem expands specialty pharmacy precertification list
Medicare

Authorizations for post-acute care services for Medicare Advantage Individual, Group Retiree Solutions, and Dual-Eligible Plan members in Indiana

Medicare

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

Medicare

Reimbursement policy update: Inpatient readmissions

Medicare

The impact of listening

Medicare

Clinical Criteria updates

Medicare

Evaluation and management documentation guidelines

Medicare

Model of Care required training

Medicare
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