Indiana
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

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

Medicaid News - August 2020

View these Medicaid articles:
- Separately reimbursable DME when implanted in an outpatient setting – billing reminder
- Mid-level behavioral health and substance use providers may not bill evaluation and management services codes
August 2020 Anthem Provider News - Indiana Medicaid Aug 1, 2020

Medical drug benefit clinical criteria updates

August 2020 Anthem Provider News - Indiana Medicaid Aug 1, 2020

Follow-up after hospitalization for mental illness

August 2020 Anthem Provider News - Indiana Medicaid Aug 1, 2020

Coding spotlight: Provider guide to coding for cardiovascular conditions

August 2020 Anthem Provider News - Indiana Medicaid Aug 1, 2020

Medicare News - August 2020

View these Medicare articles:
- Submit behavioral health authorizations via our online Interactive Care Reviewer (ICR) tool
- Updates to AIM musculoskeletal program clinical appropriateness guidelines
- Provider data update
- Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM
- AIM Musculoskeletal program expansion
- New MCG Care Guidelines 24th edition
August 2020 Anthem Provider News - Indiana Medicare Aug 1, 2020

Medical drug benefit clinical criteria updates

August 2020 Anthem Provider News - Indiana Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Provider News - Indiana Medicare Aug 1, 2020

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jul 1, 2020

Medicaid News - July 2020

View these Medicaid articles:
- Modifier use reminders
- MCG care guidelines – 24th edition
- 2020 affirmative statement concerning utilization management decisions
July 2020 Anthem Provider News - Indiana Medicaid Jul 1, 2020

Prior authorization requirements for angiographic evaluation of stenotic or thrombosed dialysis circuits

July 2020 Anthem Provider News - Indiana Medicaid Jul 1, 2020

Coding spotlight: Provider’s guide to code social determinants of health

July 2020 Anthem Provider News - Indiana Medicaid Jul 1, 2020

Complex case management program

July 2020 Anthem Provider News - Indiana Medicaid Jul 1, 2020

Important information about utilization management

July 2020 Anthem Provider News - Indiana Medicaid Jul 1, 2020

Member rights’ and responsibilities statement

July 2020 Anthem Provider News - Indiana Medicaid Jul 1, 2020

Medicare News - July 2020

View these Medicare articles:
- New behavioral health discharge call-in line
- Medical policies and clinical utilization management guidelines update
- Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines
- Transition to AIM rehabilitative services clinical appropriateness guidelines
- Modifier use reminders
July 2020 Anthem Provider News - Indiana Medicare Jul 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

July 2020 Anthem Provider News - Indiana Medicare Jul 1, 2020

2020 affirmative statement concerning utilization management decisions

July 2020 Anthem Provider News - Indiana Medicare Jul 1, 2020

Medical drug benefit clinical criteria updates

July 2020 Anthem Provider News - Indiana Medicare Jul 1, 2020

In-Office Assessment Program

July 2020 Anthem Provider News - Indiana Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Anthem Provider News - Indiana Medicare Jul 1, 2020

Resources supporting our providers during COVID-19

June 2020 Anthem Provider News - Indiana Medicaid Jun 1, 2020

Acquisition of Beacon Health Options

June 2020 Anthem Provider News - Indiana Medicaid Jun 1, 2020

Reminder: Mid-level practitioners NPI reporting requirements

June 2020 Anthem Provider News - Indiana Medicaid Jun 1, 2020

HPV Vaccinations for Adolescents

June 2020 Anthem Provider News - Indiana Medicaid Jun 1, 2020

Medicare News - June 2020

View these Medicare articles:
- Acquisition of Beacon Health Options
- MCG care guidelines – 24th edition
June 2020 Anthem Provider News - Indiana Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Provider News - Indiana Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Indiana Medicare Jun 1, 2020

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

June 2020 Anthem Provider News - Indiana Medicare Jun 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Indiana Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News - Indiana Medicare Jun 1, 2020

Normal newborn diagnosis-related group (DRG) claims processing update

May 2020 Anthem Provider News - Indiana Medicaid May 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Anthem Provider News - Indiana Medicaid May 1, 2020

Medical drug benefit Clinical Criteria updates - November 2019

May 2020 Anthem Provider News - Indiana Medicaid May 1, 2020

Medical drug benefit Clinical Criteria updates - December 2019

May 2020 Anthem Provider News - Indiana Medicaid May 1, 2020

Disease Management can help you care for patients with chronic health care needs

May 2020 Anthem Provider News - Indiana Medicaid May 1, 2020

Right Choices Program update

May 2020 Anthem Provider News - Indiana Medicaid May 1, 2020

Specialty pharmacy level of care

May 2020 Anthem Provider News - Indiana Medicaid May 1, 2020

Use of Imaging Studies for Low Back Pain (LBP)

May 2020 Anthem Provider News - Indiana Medicaid May 1, 2020

Medicare News - May 2020

View these Medicare articles:
- Prior Authorization requirements
- New behavioral health Medicare Advantage individual and Group Retiree Solutions provider fax
May 2020 Anthem Provider News - Indiana Medicare May 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Anthem Provider News - Indiana Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News - Indiana Medicare May 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News - Indiana Federal Employee Plan (FEP) Apr 1, 2020

COVID-19 information from Anthem Blue Cross and Blue Shield

April 2020 Anthem Provider News - Indiana Medicare Apr 1, 2020

Medicare News - April 2020

View these Medicare notices:
- Coding tip for psychological and neuropsychological testing
- Medical Policies and Clinical Utilization Management Guidelines update
- New Medicare Advantage opioid treatment Program benefit
- Prior authorization requirements: new 2020 codes for coverage and precertification
April 2020 Anthem Provider News - Indiana Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates - November 2019

April 2020 Anthem Provider News - Indiana Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates - December 2019

April 2020 Anthem Provider News - Indiana Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Provider News - Indiana Medicare Apr 1, 2020

COVID-19 information from Anthem Blue Cross and Blue Shield

April 2020 Anthem Provider News - Indiana Medicaid Apr 1, 2020

Medicaid News - April 2020

View these Medicaid notices:
- False Claims Act awareness
- Coding tip for psychological and neuropsychological testing
April 2020 Anthem Provider News - Indiana Medicaid Apr 1, 2020

Antibiotic prescribing guidelines

April 2020 Anthem Provider News - Indiana Medicaid Apr 1, 2020

Coding spotlight: HIV and AIDS

April 2020 Anthem Provider News - Indiana Medicaid Apr 1, 2020

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicaid and Medicare information, please check Medicaid Provider News - COVID-19 and Medicare Advantage Provider News Archives.
COVID-19 Information - Indiana State & Federal Mar 25, 2020

Medicare News - March 2020

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Outpatient Rehabilitation Program transition: new prior authorization requirements

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Complex discharge planning

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Personal Home Helper benefit

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Medicaid News - March 2020

March 2020 Anthem Provider News - Indiana Medicaid Mar 1, 2020

Medicare News - February 2020

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

Medicaid News - February 2020

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Project ECHO clinics now available

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

August 2019 Medical policies and clinical utilization management guidelines update

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

September 2019 Medical drug benefit clinical criteria updates

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Coding spotlight: Provider’s guide to coding hypertension

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Coding spotlight: Provider’s guide to coding respiratory diseases

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Improving the patient experience

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

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

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

2020 FEP® Benefit information available online

January 2020 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jan 1, 2020

Medicare News -- January 2020

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Introducing ConcertoHealth

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage options

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

2020 Medicare risk adjustment provider trainings

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

August 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicaid News -- January 2020

January 2020 Anthem Provider News - Indiana Medicaid Jan 1, 2020
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