CommercialJune 1, 2020

June 2020 Anthem Provider News - Indiana

Administrative

AdministrativeCommercialJune 1, 2020

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

AdministrativeCommercialJune 1, 2020

A special thank you to Care Providers
Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.

AdministrativeCommercialJune 1, 2020

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

AdministrativeCommercialJune 1, 2020

Updated Provider Manual posted to anthem.com

AdministrativeCommercialJune 1, 2020

Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program Continues

AdministrativeCommercialJune 1, 2020

Availity Portal Notification Center

AdministrativeCommercialJune 1, 2020

Quality Corner: CPT® Category II Codes - Collaborating for enhanced patient care

Behavioral Health

Behavioral HealthCommercialJune 1, 2020

Anthem enhances process for submitting behavioral health authorizations - now available

Behavioral HealthCommercialJune 1, 2020

Quality Corner: Follow-Up after Hospitalization for Mental Illness

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJune 1, 2020

Medical Policy and Clinical Guideline Updates - June 2020*

Medical Policy & Clinical GuidelinesCommercialJune 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines*

Medical Policy & Clinical GuidelinesCommercialJune 1, 2020

REMINDER: AIM Rehabilitative Program Pediatric Exclusions

Reimbursement PoliciesCommercialJune 1, 2020

New Reimbursement Policies: Nurse Practitioner and Physician Assistant Services (Professional)*

Products & Programs

Products & ProgramsCommercialJune 1, 2020

UPDATE: New Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures is delayed

PharmacyCommercialJune 1, 2020

Anthem prior authorization updates for specialty pharmacy are available - June 2020*

PharmacyCommercialJune 1, 2020

Reminder: Anthem requires National Drug Code for professional and facility outpatient claims effective June 15, 2020*

PharmacyCommercialJune 1, 2020

Pharmacy information available at anthem.com

State & Federal

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

Resources supporting our providers during COVID-19

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

Acquisition of Beacon Health Options

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

Reminder: Mid-level practitioners NPI reporting requirements

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

HPV Vaccinations for Adolescents

State & FederalMedicare AdvantageJune 1, 2020

Medicare News - June 2020
View these Medicare articles:
- Acquisition of Beacon Health Options
- MCG care guidelines – 24th edition

State & FederalMedicare AdvantageJune 1, 2020

2020 Medicare risk adjustment provider trainings

State & FederalMedicare AdvantageJune 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

State & FederalMedicare AdvantageJune 1, 2020

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

State & FederalMedicare AdvantageJune 1, 2020

Modifier use reminders

State & FederalMedicare AdvantageJune 1, 2020

Diabetes HbA1c < 8 HEDIS guidance