CommercialNovember 1, 2019
November 2019 Anthem Provider News - Indiana
Administrative
CommercialNovember 1, 2019
Notice of Changes to Prior Authorization Requirements -- November 2019CommercialNovember 1, 2019
Additional improvements coming to anthem.comCommercialOctober 15, 2019
Attention Workers’ Compensation Network ProvidersCommercialNovember 1, 2019
Indiana legislation requires providers to submit prior authorization requests electronicallyCommercialNovember 1, 2019
Appropriate coding helps provide a comprehensive picture of patients’ healthPolicy Updates
CommercialNovember 1, 2019
Medical Policy and Clinical Guidelines Updates -- November 2019*CommercialNovember 1, 2019
Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline*CommercialNovember 1, 2019
Updates to AIM Radiation Therapy Clinical Appropriateness Guideline*CommercialNovember 1, 2019
Updates to AIM Spine Surgery Clinical Appropriateness Guideline*CommercialNovember 1, 2019
Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline*Products & Programs
CommercialNovember 1, 2019
REMINDER: new AIM Rehabilitative Program effective November 1, 2019CommercialNovember 1, 2019
Anthem clinical criteria and prior authorization updates for specialty pharmacy are available*CommercialNovember 1, 2019
Remaining members will transition to new PBM, IngenioRx, on January 1, 2020State & Federal
Medicare AdvantageNovember 1, 2019
Medicare News -- November 2019Medicare AdvantageNovember 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagementMedicare AdvantageNovember 1, 2019
CMS reminder: expedited/urgent requestsMedicare AdvantageNovember 1, 2019
June 2019 Medical Policies and Clinical Utilization Management Guidelines UpdateMedicare AdvantageNovember 1, 2019
Medicare Preferred PPO plan available to Retired Indiana Public Employees Insurance Trust retireesMedicare AdvantageNovember 1, 2019
Electronic submission is preferred method for requesting pharmacy prior authorizationHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 1, 2019
Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 1, 2019
Medical drug Clinical Criteria updatesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 1, 2019
Electronic submission is preferred method for requesting pharmacy prior authorizationTo view this publication online:
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