CommercialFebruary 1, 2023

February 2023 Anthem Provider News - Indiana

Administrative

AdministrativeCommercialJanuary 31, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

AdministrativeCommercialJanuary 31, 2023

Do you offer telehealth services? Let us know!

AdministrativeCommercialJanuary 31, 2023

Have you reviewed your online provider directory information lately?

Digital SolutionsCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 31, 2023

Enhancing Provider News website and email communications

Digital SolutionsCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 31, 2023

Remote EMR access service for HEDIS

Digital SolutionsCommercialJanuary 31, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJanuary 31, 2023

Medical Policies and Clinical Guidelines updates - February 2023*

*Change to Prior Authorization Requirements

Medical Policy & Clinical GuidelinesMedicare AdvantageJanuary 31, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update*

*Change to Prior Authorization Requirements

Medical Policy & Clinical GuidelinesCommercialMedicare AdvantageJanuary 31, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements

Products & Programs

Federal Employee Program (FEP)CommercialJanuary 31, 2023

2023 FEP benefit information available online

PharmacyCommercialJanuary 31, 2023

Specialty pharmacy updates - February 2023*

*Change to Prior Authorization Requirements

State & Federal

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 31, 2023

Keep up with Medicaid News - February 2023
- Prior authorization updates for medications billed under the medical benefit (Tezspire)
- Claims analysis of psychiatric diagnostic evaluation frequency
- Healthy Indiana Plan talking points
- Introducing the Provider Learning Hub

State & FederalMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 31, 2023

Enhancing claims attachment processes through digital applications

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 31, 2023

Childhood Immunization Status and Lead Screening in Children for HEDIS

State & FederalMedicare AdvantageJanuary 31, 2023

Keep up with Medicare News - February 2023
- Introducing the Provider Learning Hub
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Fylnetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update

State & FederalMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 31, 2023

Enhancing claims attachment processes through digital applications

State & FederalMedicare AdvantageJanuary 31, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023