Indiana
Provider Communications

January 2021 Anthem Provider News - Indiana

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Title Category

Notice of Changes to Prior Authorization Requirements - January 2021

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

IngenioRx introduces new pharmacy network in 2021

Pharmacy

Designated specialty pharmacy network*

Pharmacy

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

Pharmacy

Attention Workers’ Compensation network providers

Administrative

Join the Anthem Foundation and Dare to Care Hunger Challenge in Kentuckiana

Administrative

It is almost CAHPS survey time!

Administrative

Evaluation and management changes 2021

Administrative

New Blue HPN® plans go live January 1, 2021

Administrative

Outpatient system updates for 2021 - Facility

Administrative

Professional system updates for 2021

Administrative

New features added to Interactive Care Reviewer

Administrative

Procedure searches in Find Care: New sort option

Administrative

Availity attachment tools for Anthem and affiliate payers - Live webinars

Administrative

Self-service, digital transactions are fast and easy

Administrative

Medical Policy and Clinical Guideline Updates - January 2021*

Medical Policy & Clinical Guidelines

MCG Care Guidelines 24th Edition Customization*

Medical Policy & Clinical Guidelines

Anthem implements pilot program for in-network skilled nursing facilities (SNF)

Medical Policy & Clinical Guidelines

Reimbursement policy update: Multiple diagnostic imaging procedures - Professional*

Reimbursement Policies

Reimbursement policy update: Frequency editing - Professional*

Reimbursement Policies

Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional*

Reimbursement Policies

Reimbursement policy update: Modifier Rules - Professional*

Reimbursement Policies

Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional*

Reimbursement Policies

2021 FEP® benefit information available online

Federal Employee Plan (FEP)

Medicaid News - January 2021

View these Medicaid articles:
- New specialty pharmacy medical step therapy requirements
- Policy Update: Nurse Practitioner and Physician Assistant Services
- Prepayment coding validation review process
Medicaid

CAHPS education for providers

Medicaid

Notifications on the Availity portal

Medicaid

New specialty pharmacy medical step therapy requirements

Medicaid

Resources to support your pregnant and postpartum patients and their families

Medicaid

FDA approvals and expedited pathways used - new molecular entities (NMEs)

Medicaid

Sign up to receive email from Anthem Blue Cross and Blue Shield

Medicaid

Keep up with Medicare news - January 2021

View these Medicare articles:
- Medicare Advantage Group Retiree Quick Reference Guide and FAQ
- Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ
- SNF admission reporting requirements for D-SNP plans
- Policy Update: Nurse Practitioner and Physician Assistant Services – Professional
- Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology
Medicare

Roman Catholic Diocese of Gary - Medicare Advantage option

Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Updates to AIM clinical appropriateness guidelines for Advanced Imaging

Medicare

Updates to AIM Specialty Health Cardiac clinical appropriateness guidelines

Medicare

Medical drug benefit clinical criteria updates

Medicare
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