CommercialFebruary 1, 2021

February 2021 Anthem Provider News - Indiana

Administrative

AdministrativeCommercialFebruary 1, 2021

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

AdministrativeCommercialFebruary 1, 2021

New provider directory indicator for telehealth services

AdministrativeCommercialFebruary 1, 2021

Fully insured or third party administrator information included on ID cards

AdministrativeCommercialFebruary 1, 2021

New Anthem utilization management tool now available on Availity: Authorization Rules Lookup tool

Policy Updates

Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2021

Medical Policy and Clinical Guideline Updates - February 2021*

Reimbursement PoliciesCommercialFebruary 1, 2021

Reimbursement policy update: Emergency Room Transfers - Facility*

Reimbursement PoliciesCommercialFebruary 1, 2021

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

Products & Programs

PharmacyCommercialFebruary 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

PharmacyCommercialFebruary 1, 2021

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

PharmacyCommercialFebruary 1, 2021

Pharmacy information available at anthem.com

State & Federal

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

Medicaid News - February 2021
View these Medicaid articles:
- Transition to AIM small joint guidelines
- New specialty pharmacy medical step therapy requirements
- Prior authorizations to be submitted electronically

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

Coding spotlight: HEDIS MY 2021

State & FederalMedicare AdvantageFebruary 1, 2021

PN for UM AROW Item 1330

State & FederalMedicare AdvantageFebruary 1, 2021

Medical drug benefit clinical criteria updates - February 2021

State & FederalMedicare AdvantageFebruary 1, 2021

Transition to AIM small joint guidelines