CommercialApril 1, 2021

April 2021 Anthem Provider News - Indiana

Administrative

AdministrativeCommercialApril 1, 2021

Notice of Changes to Prior Authorization Requirements - April 2021
New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.

AdministrativeCommercialApril 1, 2021

Join Anthem in talking about racism and its impact on health

AdministrativeCommercialApril 1, 2021

Interactive bilingual website taking action for our health
Exclusively developed for the Latino Community

AdministrativeCommercialApril 1, 2021

Keeping up with routine vaccination during COVID-19

AdministrativeCommercialApril 1, 2021

Chat directly with a prior authorization specialist

AdministrativeCommercialApril 1, 2021

Does your practice offer telehealth services? Let us know!

AdministrativeCommercialApril 1, 2021

Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual*
*Change to Prior Authorization Requirements

Behavioral Health

Behavioral HealthCommercialApril 1, 2021

The health of millennials: Trends in behavioral health conditions

Policy Updates

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

Medical policy and clinical guideline updates - April 2021*
*Change to Prior Authorization Requirements

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

Maximizing efficient, high quality COVID-19 screenings*
*Change to Prior Authorization Requirements

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

MCG Care Guidelines 25th Edition available*
*Change to Prior Authorization Requirements

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

Update: Clinical guideline adoption postponed*
*Change to Prior Authorization Requirements

Products & Programs

Federal Employee Program (FEP)CommercialApril 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

PharmacyCommercialApril 1, 2021

Pharmacy information available at anthem.com

PharmacyCommercialApril 1, 2021

Updates for specialty pharmacy are available - April 2021*
*Change to Prior Authorization Requirements

State & Federal

State & FederalMedicare AdvantageApril 1, 2021

Updates to AIM clinical appropriateness guidelines for advanced imaging

State & FederalMedicare AdvantageApril 1, 2021

Clinical criteria updates notification - December 2020

State & FederalMedicare AdvantageApril 1, 2021

Clinical criteria updates notification - November 2020

State & FederalMedicare AdvantageApril 1, 2021

Oncology dose reduction program beginning July 1, 2021

State & FederalMedicare AdvantageApril 1, 2021

In-Office Assessment program

State & FederalMedicare AdvantageApril 1, 2021

Access to more claim denial information is now self-service

State & FederalMedicare AdvantageApril 1, 2021

Does your practice offer telehealth services? Let us know!

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2021

Access to more claim denial information is now self-service

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2021

Updates to AIM clinical appropriateness guidelines for advanced imaging

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes