Indiana
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Guidance for coding evaluation and management services for new and established patients

January 2023 Anthem Provider News - Indiana Medicaid Dec 30, 2022

Attention physicians and lab providers: COVID-19 update regarding reimbursement

January 2023 Anthem Provider News - Indiana Medicaid Dec 30, 2022

Keep up with Medicaid News - January 2023

- This is Quitting: Helping teens and young adults quit vaping
- Prior Authorization Updates for Medications Billed Under the Medical Benefit (Vabysmo)
January 2023 Anthem Provider News - Indiana Medicaid Dec 30, 2022

Cleveland-Cliffs offers Medicare Advantage option

January 2023 Anthem Provider News - Indiana Medicare Dec 30, 2022

Keep up with Medicare news - January 2023

- Prior authorization requirement changes
- New specialty pharmacy medical step therapy requirements (Inflectra & Renflexis)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Cimerli)
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
January 2023 Anthem Provider News - Indiana Medicare Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Federal Employee Plan (FEP) Dec 30, 2022

Keep up with Medicaid News - December 2022

- New specialty pharmacy medical step therapy requirements
- Prior Authorization Updates for Medications Billed Under the Medical Benefit (Saphnelo)
- New specialty pharmacy medical step therapy requirements (Mvasi, Avastin, Zirabev)
December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

New Policy Diagnosis-Related Group Newborn Inpatient Stays - Facility

December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

Keep up with Medicare News - December 2022

- Medical drug benefit Clinical Criteria updates
- Medical Policies and Clinical Utilization Management Guidelines update
December 2022 Anthem Provider News - Indiana Medicare Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Indiana Medicare Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Indiana Medicare Dec 1, 2022

Personalized Match

November 2022 Anthem Provider News - Indiana Medicare Nov 1, 2022

Keep up with Medicaid News - November 2022

- Prior authorization requirement changes effective November 1, 2022
November 2022 Anthem Provider News - Indiana Medicaid Nov 1, 2022

HEDIS 2022: Summary of Changes From NCQA

November 2022 Anthem Provider News - Indiana Medicaid Nov 1, 2022

Keep up with Medicare News - November 2022

- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
November 2022 Anthem Provider News - Indiana Medicare Nov 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

November 2022 Anthem Provider News - Indiana Medicaid Nov 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

November 2022 Anthem Provider News - Indiana Medicare Nov 1, 2022

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

October 2022 Anthem Provider News - Indiana Federal Employee Plan (FEP) Oct 1, 2022

Keep up with Medicaid News - October 2022

- Upgraded data management system launched August 2022
- Help teens and adolescents quit smoking
October 2022 Anthem Provider News - Indiana Medicaid Oct 1, 2022

Reimbursement policy update - Modifiers 25 and 57: Evaluation and Management with Global Procedures

October 2022 Anthem Provider News - Indiana Medicaid Oct 1, 2022

Monkeypox resources and recommendations for our care providers

October 2022 Anthem Provider News - Indiana Medicaid Oct 1, 2022

Keep up with Medicare News - October 2022

- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
- Upgraded data management system launched August 2022
- Anthem expands specialty pharmacy precertification list-1
- Anthem expands specialty pharmacy precertification list-2
- Consultation codes
October 2022 Anthem Provider News - Indiana Medicare Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Anthem Provider News - Indiana Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

October 2022 Anthem Provider News - Indiana Medicare Oct 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Indiana Federal Employee Plan (FEP) Sep 1, 2022

Keep up with Medicaid News - September 2022

- New Strategic Provider System will launch in August 2022
- Updates for medication codes billed under the medical benefit
September 2022 Anthem Provider News - Indiana Medicaid Sep 1, 2022

MCG care guidelines 26th edition

September 2022 Anthem Provider News - Indiana Medicaid Sep 1, 2022

Prior authorization updates for medications billed under the medical benefit

September 2022 Anthem Provider News - Indiana Medicaid Sep 1, 2022

Alcohol use disorders linked to chronic diseases

September 2022 Anthem Provider News - Indiana Medicaid Sep 1, 2022

Keep up with Medicare News - September 2022

- Anthem expands specialty pharmacy precertification list
- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
- New Strategic Provider System will launch in August 2022
September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

Advanced nurse practitioners as primary care providers for Medicare Advantage in Indiana

September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

Anthem expands specialty pharmacy precertification list

September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57 - Evaluation and Management with Global Procedures

September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

Keep up with Medicaid News - August 2022

- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Screening for alcohol use disorder in high-prevalence demographics
- New CLIA edits effective June 1, 2022
- Residential services billing update for substance use disorder services
August 2022 Anthem Provider News - Indiana Medicaid Aug 1, 2022

Using SBIRT to address opioid and substance use disorders

August 2022 Anthem Provider News - Indiana Medicaid Aug 1, 2022

The cost of alcohol use disorder

August 2022 Anthem Provider News - Indiana Medicaid Aug 1, 2022

Keep up with Medicare News - August 2022

- MCG care guidelines 26th edition
August 2022 Anthem Provider News - Indiana Medicare Aug 1, 2022

Keep up with Medicaid News - July 2022

- Billing for non-reimbursable implantable DME devices
July 2022 Anthem Provider News - Indiana Medicaid Jul 1, 2022

Evaluation and management services for COVID testing - professional

July 2022 Anthem Provider News - Indiana Medicaid Jul 1, 2022

Keep up with Medicare News - July 2022

- New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Indiana Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Indiana Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Anthem Provider News - Indiana Medicare Jul 1, 2022

Reminder: Authorizations for post-acute care services for Medicare Advantage individual, Group retiree solutions, and Dual-eligible plan members

July 2022 Anthem Provider News - Indiana Medicare Jul 1, 2022

New digital provider enrollment tool added to Availity

July 2022 Anthem Provider News - Indiana Medicare Jul 1, 2022

Keep up with Medicare News - June 2022

June 2022 Anthem Provider News - Indiana Medicare Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Provider News - Indiana Medicare Jun 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Provider News - Indiana Medicare Jun 1, 2022

Medical policies and clinical utilization management guidelines update

June 2022 Anthem Provider News - Indiana Medicare Jun 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

June 2022 Anthem Provider News - Indiana Medicare Jun 1, 2022

Process change for Federal Employee Program third-party correspondence requests

June 2022 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jun 1, 2022

Keep up with Medicaid News - June 2022

- Medical policies and clinical utilization management guidelines update
- Prior authorization update for select durable medical equipment (DME) items
June 2022 Anthem Provider News - Indiana Medicaid Jun 1, 2022

New digital provider enrollment tool added to Availity

June 2022 Anthem Provider News - Indiana Medicaid Jun 1, 2022

Keep up with Medicaid News - May 2022

- The Anthem, Inc. name is changing
- Emergency department claims payment and dispute process
- Gender affirming claims requirements
- Medical drug benefit Clinical Criteria updates
- Prior authorization updates for medications billed under the medical benefit
May 2022 Anthem Provider News - Indiana Medicaid May 1, 2022

Cancer Care Navigator

May 2022 Anthem Provider News - Indiana Medicaid May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Provider News - Indiana Medicaid May 1, 2022

Keep up with Medicare News - May 2022

- The Anthem, Inc. name is changing
- Anthem expands specialty pharmacy precertification list-March 2022 update
- Anthem expands specialty pharmacy precertification list-April 2022 update
- New specialty pharmacy medical step therapy requirements-May 2022 update
May 2022 Anthem Provider News - Indiana Medicare May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Provider News - Indiana Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Provider News - Indiana Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements-March 2022 update

May 2022 Anthem Provider News - Indiana Medicare May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News - Indiana Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program live webinar

May 2022 Anthem Provider News - Indiana Federal Employee Plan (FEP) May 1, 2022

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Indiana Federal Employee Plan (FEP) Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Indiana Medicaid Apr 1, 2022

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Indiana Medicaid Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Indiana Medicare Apr 1, 2022

Keep up with Medicare News - April 2022

- Medical Policies and Clinical Utilization Management Guidelines update
- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Anthem expands specialty pharmacy precertification list
April 2022 Anthem Provider News - Indiana Medicare Apr 1, 2022

Authorizations for post-acute care services for Medicare Advantage Individual, Group Retiree Solutions, and Dual-Eligible Plan members in Indiana

April 2022 Anthem Provider News - Indiana Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Anthem Provider News - Indiana Medicare Apr 1, 2022

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Indiana Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Provider News - Indiana Medicare Apr 1, 2022

Clinical Criteria updates

April 2022 Anthem Provider News - Indiana Medicare Apr 1, 2022

Evaluation and management documentation guidelines

April 2022 Anthem Provider News - Indiana Medicare Apr 1, 2022

Model of Care required training

April 2022 Anthem Provider News - Indiana Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date. Read important information about this change here.
Transition to NYC Medicare Advantage Plus Delayed - Indiana Medicare Mar 15, 2022

Change to the Federal Employee Program clinical grievance and appeal address

March 2022 Anthem Provider News - Indiana Federal Employee Plan (FEP) Mar 1, 2022

HEDIS 2022 Federal Employee Program medical record request requirements

March 2022 Anthem Provider News - Indiana Federal Employee Plan (FEP) Mar 1, 2022

Keep up with Medicaid News - March 2022

- Updates to AIM Specialty Health Cardiology clinical appropriateness guidelines
- Updates to AIM Specialty Health Advanced Imaging clinical appropriateness guidelines
- Medical policies and clinical utilization management guidelines update
- Indiana Medicaid configuration update: Treatment room CPT linkage implementation
March 2022 Anthem Provider News - Indiana Medicaid Mar 1, 2022

New provider effective date process

March 2022 Anthem Provider News - Indiana Medicaid Mar 1, 2022

Medical drug benefit clinical criteria updates

March 2022 Anthem Provider News - Indiana Medicaid Mar 1, 2022

The Behavioral Health Areas of Expertise Profile improves the referral process

March 2022 Anthem Provider News - Indiana Medicaid Mar 1, 2022

Provider Pathways eLearning is here!

March 2022 Anthem Provider News - Indiana Medicaid Mar 1, 2022

It is CAHPS survey time!

March 2022 Anthem Provider News - Indiana Medicaid Mar 1, 2022

Urinary tract infection toolkits are on the way

March 2022 Anthem Provider News - Indiana Medicaid Mar 1, 2022

Keep up with Medicare News - March 2022

- Medical step therapy updates
- Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines 

 

March 2022 Anthem Provider News - Indiana Medicare Mar 1, 2022

New provider effective date process

March 2022 Anthem Provider News - Indiana Medicare Mar 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Provider News - Indiana Medicare Mar 1, 2022

Pharmacy: Medication adherence

March 2022 Anthem Provider News - Indiana Medicare Mar 1, 2022

Evaluation and management services correct coding reminder (professional)

March 2022 Anthem Provider News - Indiana Medicare Mar 1, 2022

Clinical criteria updates

March 2022 Anthem Provider News - Indiana Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Anthem Provider News - Indiana Medicare Mar 1, 2022

Keep up with Medicaid News - February 2022

- Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline
- AIM Specialty Health radiation oncology clinical appropriateness guidelines update
- New digital provider enrollment tool added to Availity
- Medical policies and clinical utilization management guidelines update
- New member ID cards
- Prior authorization updates for medications billed under the medical benefit
February 2022 Anthem Provider News - Indiana Medicaid Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Provider News - Indiana Medicaid Feb 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

February 2022 Anthem Provider News - Indiana Medicaid Feb 1, 2022

Botox update for Anthem members

February 2022 Anthem Provider News - Indiana Medicaid Feb 1, 2022

2021 CAHPS survey results

February 2022 Anthem Provider News - Indiana Medicaid Feb 1, 2022

Keep up with Medicare News - February 2022

- NYC Medicare Advantage Plus update
- Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline
- AIM Specialty Health radiation oncology clinical appropriateness guidelines update
- New digital provider enrollment tool added to Availity
February 2022 Anthem Provider News - Indiana Medicare Feb 1, 2022
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