Indiana
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Medicaid News - July 2021

View these Medicaid articles:
- Aspire Health for members in need of palliative care
- August 2020 Medical Policies and Clinical Utilization Management Guidelines update
July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Continuing medical education/continuing education unit opportunities

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Provider education program survey: Your Voice Counts

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

New reimbursement policy: Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Complex Case Management program

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Important information about utilization management

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Member Rights and Responsibilities Statement

July 2021 Anthem Provider News - Indiana Medicaid Jul 1, 2021

Medicare News - July 2021

View these Medicare articles:
- Prior authorization requirement changes effective September 1, 2021 – UM Authorization Rule Operations Workgroup (AROW) Item 1845
- Provider notification for UM Authorization Rule Operations Workgroup (AROW) Item 1846
July 2021 Anthem Provider News - Indiana Medicare Jul 1, 2021

Let’s Vaccinate

July 2021 Anthem Provider News - Indiana Medicare Jul 1, 2021

Medical drug benefit clinical criteria updates

July 2021 Anthem Provider News - Indiana Medicare Jul 1, 2021

Prior authorization requirement changes for codes A0426 and A0428 effective October 1, 2021

July 2021 Anthem Provider News - Indiana Medicare Jul 1, 2021

New reimbursement policy: Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Provider News - Indiana Medicare Jul 1, 2021

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jun 1, 2021

Medicaid News - June 2021

View these Medicaid articles:
- False Claims Act awareness
- MCG Care Guidelines 24th edition customization
- May 2020 medical policies and clinical utilization management guidelines update
- November 2020 medical policies and clinical utilization management guidelines update
- Updates to the AIM Advanced Imaging clinical appropriateness guidelines
June 2021 Anthem Provider News - Indiana Medicaid Jun 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

June 2021 Anthem Provider News - Indiana Medicaid Jun 1, 2021

Reminder: Behavioral health midlevel providers may not bill E&M services codes

June 2021 Anthem Provider News - Indiana Medicaid Jun 1, 2021

Medicare News - June 2021

View these Medicare articles:
- Anthem working with Optum to collect medical records for risk adjustment
- Medical drug benefit clinical criteria updates
- Updates to the AIM advanced imaging clinical appropriateness guidelines
June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Reimbursement policy reminder: Inpatient readmissions

June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Medicaid news - May 2021

View 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
May 2021 Anthem Provider News - Indiana Medicaid May 1, 2021

Keep up with Medicare news - May 2021

View 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
May 2021 Anthem Provider News - Indiana Medicare May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News - Indiana Medicare May 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News - Indiana Federal Employee Plan (FEP) Apr 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

April 2021 Anthem Provider News - Indiana Medicaid Apr 1, 2021

Updates to AIM clinical appropriateness guidelines for advanced imaging

April 2021 Anthem Provider News - Indiana Medicaid Apr 1, 2021

Access to more claim denial information is now self-service

April 2021 Anthem Provider News - Indiana Medicaid Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Access to more claim denial information is now self-service

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Clinical criteria updates notification - November 2020

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Clinical criteria updates notification - December 2020

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Updates to AIM clinical appropriateness guidelines for advanced imaging

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Medicare News - March 2021

View these Medicare articles:
- MCG Care Guidelines 24th edition customization
- DME checklist of information needed from providers
March 2021 Anthem Provider News - Indiana Medicare Mar 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem Provider News - Indiana Medicare Mar 1, 2021

Medical policies and clinical utilization management guidelines update

March 2021 Anthem Provider News - Indiana Medicare Mar 1, 2021

New Hoosier Care Connect contract starting April 2021

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID cards

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Digital transactions cut administrative tasks in half

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Neulasta medical step therapy requirements

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Prior authorization requirements for HCPCS code 55899

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Disease Management/Population Health program

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

CAHPS® survey

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

March 2021 Anthem Provider News - Indiana Medicaid Mar 1, 2021

Digital transactions cut administrative tasks in half

March 2021 Anthem Provider News - Indiana Medicare Mar 1, 2021

Medicaid News - February 2021

View these Medicaid articles:
- Transition to AIM small joint guidelines
- New specialty pharmacy medical step therapy requirements
- Prior authorizations to be submitted electronically
February 2021 Anthem Provider News - Indiana Medicaid Feb 1, 2021

Coding spotlight: HEDIS MY 2021

February 2021 Anthem Provider News - Indiana Medicaid Feb 1, 2021

PN for UM AROW Item 1330

February 2021 Anthem Provider News - Indiana Medicare Feb 1, 2021

Medical drug benefit clinical criteria updates - February 2021

February 2021 Anthem Provider News - Indiana Medicare Feb 1, 2021

Transition to AIM small joint guidelines

February 2021 Anthem Provider News - Indiana Medicare Feb 1, 2021

2021 FEP® benefit information available online

January 2021 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jan 1, 2021

Medicaid News - January 2021

View these Medicaid articles:
- New specialty pharmacy medical step therapy requirements
- Policy Update: Nurse Practitioner and Physician Assistant Services
- Prepayment coding validation review process
January 2021 Anthem Provider News - Indiana Medicaid Jan 1, 2021

CAHPS education for providers

January 2021 Anthem Provider News - Indiana Medicaid Jan 1, 2021

Notifications on the Availity portal

January 2021 Anthem Provider News - Indiana Medicaid Jan 1, 2021

New specialty pharmacy medical step therapy requirements

January 2021 Anthem Provider News - Indiana Medicaid Jan 1, 2021

Resources to support your pregnant and postpartum patients and their families

January 2021 Anthem Provider News - Indiana Medicaid Jan 1, 2021

FDA approvals and expedited pathways used - new molecular entities (NMEs)

January 2021 Anthem Provider News - Indiana Medicaid Jan 1, 2021

Sign up to receive email from Anthem Blue Cross and Blue Shield

January 2021 Anthem Provider News - Indiana Medicaid Jan 1, 2021

Keep up with Medicare news - January 2021

View these Medicare articles:
- Medicare Advantage Group Retiree Quick Reference Guide and FAQ
- Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ
- SNF admission reporting requirements for D-SNP plans
- Policy Update: Nurse Practitioner and Physician Assistant Services – Professional
- Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology
January 2021 Anthem Provider News - Indiana Medicare Jan 1, 2021

Roman Catholic Diocese of Gary - Medicare Advantage option

January 2021 Anthem Provider News - Indiana Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Provider News - Indiana Medicare Jan 1, 2021

Updates to AIM clinical appropriateness guidelines for Advanced Imaging

January 2021 Anthem Provider News - Indiana Medicare Jan 1, 2021

Updates to AIM Specialty Health Cardiac clinical appropriateness guidelines

January 2021 Anthem Provider News - Indiana Medicare Jan 1, 2021

Medical drug benefit clinical criteria updates

January 2021 Anthem Provider News - Indiana Medicare Jan 1, 2021

Medicaid News - December 2020

View these Medicaid article:
- Avsola Medical Step Therapy Notice
- Herceptin Biosimilars Medical Step Therapy Notice
- Provider Chat: A fast, easy way to get your questions answered
December 2020 Anthem Provider News - Indiana Medicaid Dec 1, 2020

Project ECHO clinics now available

December 2020 Anthem Provider News - Indiana Medicaid Dec 1, 2020

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

December 2020 Anthem Provider News - Indiana Medicaid Dec 1, 2020

Patient360 enhancement for medical providers

December 2020 Anthem Provider News - Indiana Medicaid Dec 1, 2020

Coding spotlight: Providers guide to coding for behavioral health disorders

December 2020 Anthem Provider News - Indiana Medicaid Dec 1, 2020

Coding spotlight: Tips and best practices for compliance

December 2020 Anthem Provider News - Indiana Medicaid Dec 1, 2020

Provider transparency update

December 2020 Anthem Provider News - Indiana Medicaid Dec 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Provider News - Indiana Medicare Dec 1, 2020

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

December 2020 Anthem Provider News - Indiana Medicare Dec 1, 2020

Medical policies and clinical utilization management guidelines update

December 2020 Anthem Provider News - Indiana Medicare Dec 1, 2020

Policy Update: Emergency Department: Leveling of Evaluation and Management Services

December 2020 Anthem Provider News - Indiana Medicare Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News - Indiana Medicare Dec 1, 2020

Patient360 enhancement for medical providers

December 2020 Anthem Provider News - Indiana Medicare Dec 1, 2020

Transition to AIM rehabilitative service clinical appropriateness guidelines

November 2020 Anthem Provider News - Indiana Medicaid Nov 1, 2020

Medicare News - November 2020

View these Medicare articles:
- AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020
- Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines
- AIM Musculoskeletal program expansion postponed
November 2020 Anthem Provider News - Indiana Medicare Nov 1, 2020

Indiana State Teachers’ Retirement Fund offers Medicare Advantage option

November 2020 Anthem Provider News - Indiana Medicare Nov 1, 2020

Provider Chat: A fast, easy way to get your questions answered

November 2020 Anthem Provider News - Indiana Medicare Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Indiana Medicare Nov 1, 2020

FDA approvals and expedited pathways used - new molecular entities

November 2020 Anthem Provider News - Indiana Medicare Nov 1, 2020

Federal Employee Program® expands specialty pharmacy prior authorization list*

October 2020 Anthem Provider News - Indiana Federal Employee Plan (FEP) Oct 1, 2020

Medicare News - October 2020

View these Medicare articles:
- Evaluation and management services correct coding
- Medical policies and clinical utilization management guidelines update
- Prior authorization requirements for the below codes effective January 2021
October 2020 Anthem Provider News - Indiana Medicare Oct 1, 2020

Medical drug benefit clinical criteria updates

October 2020 Anthem Provider News - Indiana Medicare Oct 1, 2020

Prior authorization requirements for the below codes effective January 1, 2021

October 2020 Anthem Provider News - Indiana Medicare Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News - Indiana Medicare Oct 1, 2020

Provider transparency update

October 2020 Anthem Provider News - Indiana Medicare Oct 1, 2020

Medicaid News - October 2020

View these Medicaid article:
- Medical policies and clinical utilization management guidelines update
- New MCG Care Guidelines 24th edition
- Reminder: Pediatric critical care services limit
October 2020 Anthem Provider News - Indiana Medicaid Oct 1, 2020

Updates to AIM Specialty Health advanced imaging Clinical Appropriateness Guidelines

October 2020 Anthem Provider News - Indiana Medicaid Oct 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

October 2020 Anthem Provider News - Indiana Medicaid Oct 1, 2020

What Matters Most online training course: Improving patient experience

October 2020 Anthem Provider News - Indiana Medicaid Oct 1, 2020

Controlling High Blood Pressure (CBP)

October 2020 Anthem Provider News - Indiana Medicaid Oct 1, 2020

Medicaid News - September 2020

View these Medicaid article:
- Medical drug benefit clinical criteria updates
- Submit behavioral health authorizations via our online Interactive Care Reviewer tool
September 2020 Anthem Provider News - Indiana Medicaid Sep 1, 2020

Medical policies and clinical utilization management guidelines update

September 2020 Anthem Provider News - Indiana Medicaid Sep 1, 2020

Provider demographics update

September 2020 Anthem Provider News - Indiana Medicaid Sep 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Provider News - Indiana Medicare Sep 1, 2020

Medical drug benefit clinical criteria updates

September 2020 Anthem Provider News - Indiana Medicare Sep 1, 2020
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