CommercialJune 1, 2022

June 2022 Anthem Provider News - Indiana

Behavioral Health

Behavioral HealthCommercialJune 1, 2022

Opioid overdose deaths: What can we do?

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

Updates to AIM musculoskeletal clinical appropriateness guidelines*
*Change to Prior Authorization Requirements

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

Updates to AIM sleep disorder management clinical appropriateness guidelines*
*Change to Prior Authorization Requirements

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

Updates to AIM advanced imaging clinical appropriateness guidelines*
*Change to Prior Authorization Requirements

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

Updated guidance on prior authorization requirements for admissions to in-network long-term acute care hospitals (LTACHs)*
*Change to Prior Authorization Requirements

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

Medical policy and clinical guideline updates - June 2022*
*Change to Prior Authorization Requirements

Reimbursement PoliciesCommercialJune 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*
*Change to Prior Authorization Requirements

Products & Programs

Products & ProgramsCommercialJune 1, 2022

Updates to AIM musculoskeletal program: Monitored anesthesia care reviews*
*Change to Prior Authorization Requirements

Federal Employee Program (FEP)CommercialJune 1, 2022

Process change for Federal Employee Program third-party correspondence requests

PharmacyCommercialJune 1, 2022

Specialty pharmacy updates - June 2022*
*Change to Prior Authorization Requirements

State & Federal

State & FederalMedicare AdvantageJune 1, 2022

Medical policies and clinical utilization management guidelines update

State & FederalMedicare AdvantageJune 1, 2022

Medical drug benefit clinical criteria updates

State & FederalMedicare AdvantageJune 1, 2022

Evaluation and management services for COVID testing - professional

State & FederalMedicare AdvantageJune 1, 2022

Keep up with Medicare News - June 2022

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 1, 2022

New digital provider enrollment tool added to Availity

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 1, 2022

Keep up with Medicaid News - June 2022
- Medical policies and clinical utilization management guidelines update
- Prior authorization update for select durable medical equipment (DME) items