CommercialDecember 1, 2020

December 2020 Anthem Provider News - Indiana

Administrative

AdministrativeCommercialDecember 1, 2020

Notice of Changes to Prior Authorization Requirements - December 2020
New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.

AdministrativeCommercialDecember 1, 2020

Access to claim denial information is now self-service

AdministrativeCommercialDecember 1, 2020

Updated BlueCard® Provider Manual posted to anthem.com*

AdministrativeCommercialDecember 1, 2020

2-minute videos to engage patients about preventive care

AdministrativeCommercialDecember 1, 2020

Anthem makes going digital easy with the Provider Digital Engagement Supplement

AdministrativeCommercialDecember 1, 2020

Anthem contracted air ambulance providers for Indiana

AdministrativeCommercialDecember 1, 2020

PCP after-hours access requirements

AdministrativeCommercialDecember 1, 2020

Coordination of care

AdministrativeCommercialDecember 1, 2020

Members’ rights and responsibilities

AdministrativeCommercialDecember 1, 2020

Important information about utilization management

AdministrativeCommercialDecember 1, 2020

Case management program

Behavioral Health

Behavioral HealthCommercialDecember 1, 2020

Access requirements for behavioral health care services

Policy Updates

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Medical policy and clinical guideline updates - December 2020*

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Anthem expands hospice policy

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Updates to AIM Cardiology clinical appropriateness guidelines*

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guideline*

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Updates to AIM Radiation Oncology clinical appropriateness guideline*

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

Reimbursement PoliciesCommercialDecember 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)*

Reimbursement PoliciesCommercialDecember 1, 2020

Reimbursement policy update: DRG newborn inpatient stays (Facility)*

Products & Programs

PharmacyCommercialDecember 1, 2020

Prior authorization updates for specialty pharmacy are available - December 2020*

PharmacyCommercialDecember 1, 2020

AIM IVR changes for non-oncology medical specialty drug reviews effective Jan. 1, 2021

PharmacyCommercialDecember 1, 2020

Pharmacy information available at anthem.com

State & Federal

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2020

Medicaid News - December 2020
View these Medicaid article:
- Avsola Medical Step Therapy Notice
- Herceptin Biosimilars Medical Step Therapy Notice
- Provider Chat: A fast, easy way to get your questions answered

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2020

Project ECHO clinics now available

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2020

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2020

Patient360 enhancement for medical providers

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2020

Coding spotlight: Providers guide to coding for behavioral health disorders

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2020

Coding spotlight: Tips and best practices for compliance

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2020

Provider transparency update

State & FederalMedicare AdvantageDecember 1, 2020

2021 Medicare Advantage individual benefits and formularies

State & FederalMedicare AdvantageDecember 1, 2020

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

State & FederalMedicare AdvantageDecember 1, 2020

Medical policies and clinical utilization management guidelines update

State & FederalMedicare AdvantageDecember 1, 2020

Policy Update: Emergency Department: Leveling of Evaluation and Management Services

State & FederalMedicare AdvantageDecember 1, 2020

Digital transactions cut administrative tasks in half

State & FederalMedicare AdvantageDecember 1, 2020

Patient360 enhancement for medical providers