CommercialMay 1, 2021
May 2021 Anthem Provider News - Indiana
Administrative
CommercialMay 1, 2021
Notice of Changes to Prior Authorization Requirements - May 2021New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
CommercialMay 1, 2021
Updated Provider Manual posted to anthem.comCommercialMay 1, 2021
Resources to support diverse patients and communitiesCommercialMay 1, 2021
Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costsCommercialMay 1, 2021
2021 Affirmative statement regarding utilization management decisionsCommercialMay 1, 2021
A helpful and complete guide to covered well-child visitsCommercialMay 1, 2021
May is National High Blood Pressure Education MonthCommercialMay 1, 2021
Digital online scheduling feature now available in the Availity PortalCommercialMay 1, 2021
Provider bulletins for medical and itemized bill attachments: Electronic solutions at your fingertipsCommercialMay 1, 2021
Sending larger digital attachments through AvailityPolicy Updates
CommercialMay 1, 2021
New prior authorization requirement: Kidney transplantation**Change to Prior Authorization Requirements
CommercialMay 1, 2021
Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelinesCommercialMay 1, 2021
Updated AIM rehabilitative program effective August 1, 2021 - Initial evaluations and site of service reviews**Change to Prior Authorization Requirements
CommercialMay 1, 2021
Reimbursement policy update: Claims Requiring Additional Documentation - Facility**Change to Prior Authorization Requirements
CommercialMay 1, 2021
Reimbursement policy reminder: Readmission - FacilityCommercialMay 1, 2021
Reimbursement policy update: Frequency editing - ProfessionalProducts & Programs
CommercialMay 1, 2021
Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization**Change to Prior Authorization Requirements
CommercialMay 1, 2021
Updates for specialty pharmacy are available - May 2021**Change to Prior Authorization Requirements
State & Federal
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMay 1, 2021
Medicaid news - May 2021View these Medicaid articles:
- Some HIV medication combinations may require prior authorization
- Ocrevus/Vyepti Medical Step Therapy Notice
- Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines
- Some HIV medication combinations may require prior authorization
- Ocrevus/Vyepti Medical Step Therapy Notice
- Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines
Medicare AdvantageMay 1, 2021
Keep up with Medicare news - May 2021View these Medicare articles:
- Anthem working with Optum to collect medical records for Medicare Risk Adjustment (MRA)
- Helping our senior members
- Updates to AIM Specialty Health cardiac clinical appropriateness guidelines
- Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines
- Anthem working with Optum to collect medical records for Medicare Risk Adjustment (MRA)
- Helping our senior members
- Updates to AIM Specialty Health cardiac clinical appropriateness guidelines
- Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines
Medicare AdvantageMay 1, 2021
Maximizing efficient, high quality COVID-19 screeningsTo view this publication online:
Visit https://providernews.anthem.com/indiana/publications/may-2021-anthem-provider-news-indiana-907
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