Indiana
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

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

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
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