CommercialJanuary 1, 2021
January 2021 Anthem Provider News - Indiana
Administrative
CommercialJanuary 1, 2021
Outpatient system updates for 2021 - FacilityCommercialJanuary 1, 2021
Attention Workers’ Compensation network providersCommercialJanuary 1, 2021
Join the Anthem Foundation and Dare to Care Hunger Challenge in KentuckianaCommercialJanuary 1, 2021
It is almost CAHPS survey time!CommercialJanuary 1, 2021
Evaluation and management changes 2021CommercialJanuary 1, 2021
New Blue HPN® plans go live January 1, 2021CommercialJanuary 1, 2021
Notice of Changes to Prior Authorization Requirements - January 2021CommercialJanuary 1, 2021
Professional system updates for 2021CommercialJanuary 1, 2021
New features added to Interactive Care ReviewerCommercialJanuary 1, 2021
Procedure searches in Find Care: New sort optionCommercialJanuary 1, 2021
Availity attachment tools for Anthem and affiliate payers - Live webinarsCommercialJanuary 1, 2021
Self-service, digital transactions are fast and easyPolicy Updates
CommercialJanuary 1, 2021
Medical Policy and Clinical Guideline Updates - January 2021*CommercialJanuary 1, 2021
MCG Care Guidelines 24th Edition Customization*CommercialJanuary 1, 2021
Anthem implements pilot program for in-network skilled nursing facilities (SNF)CommercialJanuary 1, 2021
Reimbursement policy update: Frequency editing - Professional*CommercialJanuary 1, 2021
Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional*CommercialJanuary 1, 2021
Reimbursement policy update: Modifier Rules - Professional*CommercialJanuary 1, 2021
Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional*CommercialJanuary 1, 2021
Reimbursement policy update: Multiple diagnostic imaging procedures - Professional*Products & Programs
CommercialJanuary 1, 2021
2021 FEP® benefit information available onlineCommercialJanuary 1, 2021
IngenioRx introduces new pharmacy network in 2021CommercialJanuary 1, 2021
Designated specialty pharmacy network*CommercialJanuary 1, 2021
Prior authorization updates for specialty pharmacy are available - January 2021*State & Federal
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 1, 2021
Resources to support your pregnant and postpartum patients and their familiesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 1, 2021
Medicaid News - January 2021- New specialty pharmacy medical step therapy requirements
- Policy Update: Nurse Practitioner and Physician Assistant Services
- Prepayment coding validation review process
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 1, 2021
CAHPS education for providersHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 1, 2021
Notifications on the Availity portalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 1, 2021
New specialty pharmacy medical step therapy requirementsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 1, 2021
FDA approvals and expedited pathways used - new molecular entities (NMEs)Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJanuary 1, 2021
Sign up to receive email from Anthem Blue Cross and Blue ShieldMedicare AdvantageJanuary 1, 2021
Keep up with Medicare news - January 2021- Medicare Advantage Group Retiree Quick Reference Guide and FAQ
- Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ
- SNF admission reporting requirements for D-SNP plans
- Policy Update: Nurse Practitioner and Physician Assistant Services – Professional
- Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology
Medicare AdvantageJanuary 1, 2021
Roman Catholic Diocese of Gary - Medicare Advantage optionMedicare AdvantageJanuary 1, 2021
2020 Medicare risk adjustment provider trainingsMedicare AdvantageJanuary 1, 2021
Updates to AIM clinical appropriateness guidelines for Advanced ImagingMedicare AdvantageJanuary 1, 2021
Updates to AIM Specialty Health Cardiac clinical appropriateness guidelinesMedicare AdvantageJanuary 1, 2021
Medical drug benefit clinical criteria updatesTo view this publication online:
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