Indiana
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review*

October 2019 Anthem Provider News - Indiana Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification information for the Federal Employee Program*

October 2019 Anthem Provider News - Indiana Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News - Indiana Federal Employee Plan (FEP) Oct 1, 2019

Medicare News -- October 2019

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

October 2019 Anthem Provider News - Indiana Medicaid Oct 1, 2019

Pharmacy benefit manager change to IngenioRx

October 2019 Anthem Provider News - Indiana Medicaid Oct 1, 2019

Prior authorization requirements for Global March MPTAC CCRT Configuration

October 2019 Anthem Provider News - Indiana Medicaid Oct 1, 2019

MCG Care Guidelines update and customizations

October 2019 Anthem Provider News - Indiana Medicaid Oct 1, 2019

Reimbursement Policy Update: Professional Anesthesia Services

September 2019 Anthem Provider News - Indiana Medicaid Sep 1, 2019

AIM Specialty Health programs may require documentation

September 2019 Anthem Provider News - Indiana Medicaid Sep 1, 2019

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Indiana Medicaid Sep 1, 2019

Prior authorization changes

September 2019 Anthem Provider News - Indiana Medicaid Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News - Indiana Medicaid Sep 1, 2019

Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy

September 2019 Anthem Provider News - Indiana Medicaid Sep 1, 2019

Medicare News -- September 2019

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Changes to prior authorization (PA) requirements

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Medicare News -- August 2019

August 2019 Anthem Provider News - Indiana Medicare Aug 1, 2019

New service types added to Availity

N/A Medicare Aug 1, 2019

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News - Indiana Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Indiana Medicare Aug 1, 2019

Special needs plans - provider training required

August 2019 Anthem Provider News - Indiana Medicare Aug 1, 2019

Medicaid News -- August 2019

August 2019 Anthem Provider News - Indiana Medicaid Aug 1, 2019

New service types added to Availity

August 2019 Anthem Provider News - Indiana Medicaid Aug 1, 2019

Pharmacy management information

August 2019 Anthem Provider News - Indiana Medicaid Aug 1, 2019

Use the Provider Maintenance Form for professional providers to update your information

August 2019 Anthem Provider News - Indiana Medicaid Aug 1, 2019

Unspecified diagnosis code update

August 2019 Anthem Provider News - Indiana Medicaid Aug 1, 2019

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News - Indiana Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News - Indiana Medicare Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Provider News - Indiana Medicare Jul 1, 2019

Keep up with Medicare News -- July 2019

July 2019 Anthem Provider News - Indiana Medicare Jul 1, 2019

Keep up with Medicare News -- June 2019

June 2019 Anthem Provider Newsletter - Indiana Medicare Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Indiana Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Indiana Medicare Jun 1, 2019

Medicaid News -- June 2019

June 2019 Anthem Provider Newsletter - Indiana Medicaid Jun 1, 2019

Latest updates to Electronic Data Interchange Gateway migration

June 2019 Anthem Provider Newsletter - Indiana Medicaid Jun 1, 2019

Complex Case Management program

June 2019 Anthem Provider Newsletter - Indiana Medicaid Jun 1, 2019

Important information about utilization management

June 2019 Anthem Provider Newsletter - Indiana Medicaid Jun 1, 2019

Members' Rights and Responsibilities Statement

June 2019 Anthem Provider Newsletter - Indiana Medicaid Jun 1, 2019

Medicaid News - May 2019

May 2019 Anthem Provider Newsletter - Indiana Medicaid May 1, 2019

Clinical Criteria updates - May 2019

May 2019 Anthem Provider Newsletter - Indiana Medicaid May 1, 2019

Keep up with Medicare news - May 2019

May 2019 Anthem Provider Newsletter - Indiana Medicare May 1, 2019

Update regarding evaluation and management with modifier 25

April 2019 Anthem Provider Newsletter - Indiana Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Indiana Medicare Apr 1, 2019

Keep up with Medicare news - April 2019

April 2019 Anthem Provider Newsletter - Indiana Medicare Apr 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Indiana Medicaid Apr 1, 2019

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

April 2019 Anthem Provider Newsletter - Indiana Medicaid Apr 1, 2019

Access patient-specific drug benefit information through electronic medical records

April 2019 Anthem Provider Newsletter - Indiana Medicaid Apr 1, 2019

Practitioners’ rights during credentialing process

April 2019 Anthem Provider Newsletter - Indiana Medicaid Apr 1, 2019

Provider surveys

April 2019 Anthem Provider Newsletter - Indiana Medicaid Apr 1, 2019

Update: Evaluation and management with Modifier 25

April 2019 Anthem Provider Newsletter - Indiana Medicaid Apr 1, 2019

Dual Eligible Special Needs (D-SNP) Plans - provider training required

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

Policy Update Modifier 25: Significant, Separately Identifiable E/M Service by the Same Physician on the Same Day of the Procedure or Other Service

March 2019 Anthem Provider Newsletter - Indiana Medicaid Mar 1, 2019

September 2018 Medical Policies and Clinical Utilization Management Guidelines update

March 2019 Anthem Provider Newsletter - Indiana Medicaid Mar 1, 2019

Aspire Health now provides palliative care for Medicaid members

March 2019 Anthem Provider Newsletter - Indiana Medicaid Mar 1, 2019

Coding spotlight: Diabetes — Provider guide to coding the diagnosis and treatment of diabetes

March 2019 Anthem Provider Newsletter - Indiana Medicaid Mar 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Indiana Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Indiana Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Indiana Provider Newsletter Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Indiana Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Indiana Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Indiana Provider Newsletter Medicare Feb 1, 2019

Correction: Facility Take-Home Drugs Reimbursement Policy Update

February 2019 Anthem Indiana Provider Newsletter Medicaid Feb 1, 2019

Reimbursement Policy Update: Modifier 25

February 2019 Anthem Indiana Provider Newsletter Medicaid Feb 1, 2019

My Diverse Patients: a website to support your diverse patients

February 2019 Anthem Indiana Provider Newsletter Medicaid Feb 1, 2019

New specialty pharmacy medical step therapy requirements

February 2019 Anthem Indiana Provider Newsletter Medicaid Feb 1, 2019

Anthem is expanding their partnership with AIM Specialty Health

February 2019 Anthem Indiana Provider Newsletter Medicaid Feb 1, 2019

Introducing a new clinical criteria webpage for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Indiana Provider Newsletter Medicaid Feb 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Indiana Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Indiana Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Indiana Provider Newsletter Medicare Jan 1, 2019

Electronic data interchange gateway update

January 2019 Anthem Indiana Provider Newsletter Medicaid Jan 1, 2019

Long-acting reversible contraceptive office administration

January 2019 Anthem Indiana Provider Newsletter Medicaid Jan 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update: January 2019

January 2019 Anthem Indiana Provider Newsletter Medicaid Jan 1, 2019

Facility Take-Home Drugs Reimbursement Policy Update

January 2019 Anthem Indiana Provider Newsletter Medicaid Jan 1, 2019

Prior Authorization Requirements for Interferon beta-1a

December 2018 Anthem Indiana Provider Newsletter Medicaid Dec 1, 2018

Prior Authorization Requirements for Subcutaneous Implantable Defibrillator System

December 2018 Anthem Indiana Provider Newsletter Medicaid Dec 1, 2018

2019 FEP Benefit information available online

December 2018 Anthem Indiana Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2018 Anthem Indiana Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Benefit change for Infliximab for Federal Employee Program (FEP)

December 2018 Anthem Indiana Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018
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