Indiana
Provider Communications

June 2020 Anthem Provider News - Indiana

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Title Category

Notice of Changes to Prior Authorization Requirements - June 2020

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

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
Administrative

UPDATE: New Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures is delayed

Products & Programs

Anthem enhances process for submitting behavioral health authorizations - now available

Behavioral Health

Quality Corner: Follow-Up after Hospitalization for Mental Illness

Behavioral Health

Anthem prior authorization updates for specialty pharmacy are available - June 2020*

Pharmacy

Reminder: Anthem requires National Drug Code for professional and facility outpatient claims effective June 15, 2020*

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Administrative

Updated Provider Manual posted to anthem.com

Administrative

Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program Continues

Administrative

Availity Portal Notification Center

Administrative

Quality Corner: CPT® Category II Codes - Collaborating for enhanced patient care

Administrative

Medical Policy and Clinical Guideline Updates - June 2020*

Medical Policy & Clinical Guidelines

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

REMINDER: AIM Rehabilitative Program Pediatric Exclusions

Medical Policy & Clinical Guidelines

New Reimbursement Policies - Nurse Practitioner and Physician Assistant Services (Professional)*

Reimbursement Policies

Resources supporting our providers during COVID-19

Medicaid

Acquisition of Beacon Health Options

Medicaid

Reminder: Mid-level practitioners NPI reporting requirements

Medicaid

HPV Vaccinations for Adolescents

Medicaid

Medicare News - June 2020

View these Medicare articles:
- Acquisition of Beacon Health Options
- MCG care guidelines – 24th edition
Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medicare

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

Medicare

Modifier use reminders

Medicare

Diabetes HbA1c < 8 HEDIS guidance

Medicare
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