CommercialDecember 1, 2022
December 2022 Anthem Provider News - Indiana
Administrative
CommercialDecember 1, 2022
CAA: Timely updates help keep our provider directories currentCommercialDecember 1, 2022
Attention lab providers: COVID-19 update regarding reimbursementCommercialDecember 1, 2022
Clinical practice and preventive health guidelines available on anthem.comCommercialDecember 1, 2022
Member assessment of PCP after-hours messaging in 2022CommercialDecember 1, 2022
Members’ rights and responsibilitiesCommercialDecember 1, 2022
Member’s assessment of behavioral healthcare after-hours messaging in 2022CommercialDecember 1, 2022
Coordination of careCommercialDecember 1, 2022
Case management programCommercialDecember 1, 2022
Important information about utilization managementCommercialDecember 1, 2022
IngenioRx will become CarelonRx on January 1, 2023CommercialDecember 1, 2022
Signature requirements for laboratory orders or requisitionsPolicy Updates
CommercialDecember 1, 2022
AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update*CommercialDecember 1, 2022
Medical Policies and Clinical Guidelines updates - December 2022*CommercialDecember 1, 2022
Reimbursement policy update: Multiple Surgery - FacilityCommercialDecember 1, 2022
Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility**Change to Prior Authorization Requirements
CommercialDecember 1, 2022
Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - ProfessionalCommercialDecember 1, 2022
Reimbursement policy update: Bundled Services and Supplies - Professional**Change to Prior Authorization Requirements
Products & Programs
CommercialDecember 1, 2022
Pathway Essentials is expanding effective January 1, 2023CommercialDecember 1, 2022
Pharmacy information available on the provider websiteCommercialDecember 1, 2022
Specialty pharmacy updates - December 2022*State & Federal
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2022
Keep up with Medicaid News - December 2022- Prior Authorization Updates for Medications Billed Under the Medical Benefit (Saphnelo)
- New specialty pharmacy medical step therapy requirements (Mvasi, Avastin, Zirabev)
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2022
New Policy Diagnosis-Related Group Newborn Inpatient Stays - FacilityHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2022
IngenioRx will become CarelonRx on January 1, 2023Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2022
Monkeypox and smallpox vaccines: Product code on claimsMedicare AdvantageDecember 1, 2022
Keep up with Medicare News - December 2022- Medical Policies and Clinical Utilization Management Guidelines update
Medicare AdvantageDecember 1, 2022
Personal home helper benefit endingMedicare AdvantageDecember 1, 2022
2023 Medicare Advantage service area and benefit updatesTo view this publication online:
Visit https://providernews.anthem.com/indiana/publications/december-2022-anthem-provider-news-indiana-1581
Or scan this QR code with your phone