Indiana
Provider Communications

February 2021 Anthem Provider News - Indiana

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Title Category

Notice of Changes to Prior Authorization Requirements - February 2021

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
Administrative

Anthem to update formulary lists for commercial health plan pharmacy benefit

Pharmacy

Prior authorization updates for specialty pharmacy are available - February 2021*

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

New provider directory indicator for telehealth services

Administrative

Fully insured or third party administrator information included on ID cards

Administrative

New Anthem utilization management tool now available on Availity: Authorization Rules Lookup tool

Administrative

Medical Policy and Clinical Guideline Updates - February 2021*

Medical Policy & Clinical Guidelines

Reimbursement policy update: Emergency Room Transfers - Facility*

Reimbursement Policies

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

Reimbursement Policies

Medicaid News - February 2021

View these Medicaid articles:
- Transition to AIM small joint guidelines
- New specialty pharmacy medical step therapy requirements
- Prior authorizations to be submitted electronically
Medicaid

Coding spotlight: HEDIS MY 2021

Medicaid

PN for UM AROW Item 1330

Medicare

Medical drug benefit clinical criteria updates - February 2021

Medicare

Transition to AIM small joint guidelines

Medicare
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