Indiana
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

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

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

2023 FEP benefit information available online

February 2023 Anthem Provider News - Indiana Federal Employee Plan (FEP) Feb 1, 2023

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

HEDIS 2021 Federal Employee Program® medical record request requirements

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

2020 FEP® Benefit information available online

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

2021 FEP® benefit information available online

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

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

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

Coordination of benefits for an FEP® member

December 2019 Anthem Provider News - Indiana Federal Employee Plan (FEP) Dec 1, 2019

Federal Employee Program® expands specialty pharmacy prior authorization list*

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

DEXA bone scan criteria for the Federal Employee Program®

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

HEDIS 2019 Federal Employee Program® medical record request requirements

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

HEDIS 2020 Federal Employee Program® medical record request requirements

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

Change in email submission of service requests for Federal Employee Program® members*

*Change to Prior Authorization Requirements
August 2021 Anthem Provider News - Indiana Federal Employee Plan (FEP) Aug 1, 2021

OBRA 93 claim filing for Federal Employee Program

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

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

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

2022 FEP benefit information available online

January 2022 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jan 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

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

Prior Authorization Requirements for Interferon beta-1a

December 2018 Anthem Indiana Provider Newsletter Medicaid Dec 1, 2018

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

Prior Authorization Requirements for Subcutaneous Implantable Defibrillator System

December 2018 Anthem Indiana Provider Newsletter Medicaid Dec 1, 2018

New specialty pharmacy medical step therapy requirements

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

HEDIS 2022: Summary of Changes From NCQA

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

Alcohol use disorders often coexist with psychiatric disorders

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

Streamline workflow with solicited medical attachments

October 2018 Anthem Indiana Provider Newsletter Medicaid Sep 28, 2018

Reminder about Medicaid records policy

October 2018 Anthem Indiana Provider Newsletter Medicaid Sep 28, 2018

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Indiana Medicaid Apr 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

Miscellaneous durable medical equipment (DME) billing guidelines

October 2018 Anthem Indiana Provider Newsletter Medicaid Sep 28, 2018

Reimbursement policy update: Inpatient readmissions

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

Access to Case Management

October 2018 Anthem Indiana Provider Newsletter Medicaid Sep 28, 2018

Pharmacy information available online

October 2018 Anthem Indiana Provider Newsletter Medicaid Sep 28, 2018

Anthem adopts 22nd edition of the MCG care guidelines

October 2018 Anthem Indiana Provider Newsletter Medicaid Sep 28, 2018

Updated Formulary: Asthma controller medication

October 2018 Anthem Indiana Provider Newsletter Medicaid Sep 28, 2018

Keep up with Medicaid News - December 2021

  • Outpatient services billed by midlevel providers and advance practice nurses
  • Clinical criteria updates
  • Prior authorization updates for medications billed under the medical benefit
December 2021 Anthem Provider News - Indiana Medicaid Dec 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

Unspecified diagnosis reminder

December 2021 Anthem Provider News - Indiana Medicaid Dec 1, 2021

Submitting prior authorizations is getting easier

December 2021 Anthem Provider News - Indiana Medicaid Dec 1, 2021

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

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

Reimbursement Policy Update: Professional Anesthesia Services

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

Important information about utilization management

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

AIM Specialty Health programs may require documentation

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

Member rights’ and responsibilities statement

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

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

Medicaid News -- August 2019

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

Clinical Criteria updates

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

Coding spotlight: Overview of the 2021 evaluation and management changes

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

New service types added to Availity

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

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

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

Updates to AIM clinical appropriateness guidelines for advanced imaging

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

Pharmacy management information

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

Access to more claim denial information is now self-service

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

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

Keep up with Medicaid News - October 2021

View this Medicaid article:
- Updates to the AIM Specialty Health Musculoskeletal Program Clinical Appropriateness Guidelines
October 2021 Anthem Provider News - Indiana Medicaid Oct 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

Medicaid News -- January 2020

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

CAHPS education for providers

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

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

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

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

Childhood Immunization Status and Lead Screening in Children for HEDIS

February 2023 Anthem Provider News - Indiana Medicaid Feb 1, 2023

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

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

Enhancing claims attachment processes through digital applications

February 2023 Anthem Provider News - Indiana Medicaid Feb 1, 2023

Keep up with Medicaid News - February 2023

- Prior authorization updates for medications billed under the medical benefit (Tezspire)
- Claims analysis of psychiatric diagnostic evaluation frequency
- Healthy Indiana Plan talking points
- Introducing the Provider Learning Hub
February 2023 Anthem Provider News - Indiana Medicaid Feb 1, 2023

Provider transparency update

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

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 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

New Hoosier Care Connect contract starting April 2021

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

Medical drug benefit clinical criteria updates

March 2022 Anthem Provider News - Indiana Medicaid Mar 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

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

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

The Behavioral Health Areas of Expertise Profile improves the referral process

March 2022 Anthem Provider News - Indiana Medicaid Mar 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

Digital transactions cut administrative tasks in half

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