CommercialMarch 1, 2023

March 2023 Anthem Provider News - Indiana

Administrative

AdministrativeCommercialMarch 1, 2023

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

AdministrativeCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2023

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

AdministrativeCommercialMedicare AdvantageMarch 1, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

AdministrativeCommercialMedicare AdvantageMarch 1, 2023

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update*

*Change to Prior Authorization Requirements

AdministrativeCommercialMarch 1, 2023

New policy for EMR clinical data sharing and ADT notifications*

*Change to Prior Authorization Requirements

AdministrativeCommercialMedicare AdvantageMarch 1, 2023

You are invited: Advancing Mental Health Equity for Youth & Young Adults

Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.

AdministrativeCommercialMarch 1, 2023

March is National Colorectal Cancer Awareness Month

AdministrativeCommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2023

Engagement with your patient counts

AdministrativeCommercialMarch 1, 2023

Physical and manipulative therapy for restoration versus maintenance

AdministrativeCommercialMarch 1, 2023

Important reminder: Preventive care guidance for colonoscopy screening

Policy Updates

Reimbursement PoliciesCommercialMarch 1, 2023

Reimbursement policy update: Modifiers 25 and 57 - Professional

Products & Programs

Products & ProgramsCommercialMedicare AdvantageMarch 1, 2023

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

PharmacyCommercialMarch 1, 2023

Pharmacy information available on our provider website

PharmacyCommercialMarch 1, 2023

Specialty pharmacy updates for March 2023*

*Change to Prior Authorization Requirements

State & Federal

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2023

Keep up with Medicaid News - March 2023

- Medical Policies and Clinical Utilization Management Guidelines Update
- Prior authorization updates for medications billed under the medical benefit (Yusimry)

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2023

Complex Case Management program

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 1, 2023

Important information about utilization management