Indiana
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

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 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

Alcohol use disorders often coexist with psychiatric disorders

November 2022 Anthem Provider News - Indiana Medicaid Nov 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 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 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 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 - 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

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

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 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 Medicaid News - January 2022

- Durable medical equipment prior authorization requirement changes effective January 1, 2022
January 2022 Anthem Provider News - Indiana Medicaid Jan 1, 2022

Good news: Non-payment remittance advice enhancements are here

January 2022 Anthem Provider News - Indiana Medicaid Jan 1, 2022

Cancer Care Navigator

January 2022 Anthem Provider News - Indiana Medicaid Jan 1, 2022

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

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

Keep up with Medicaid News - November 2021

View these Medicaid articles:
- Prior authorization requirement changes effective November 1, 2021
- 2021 affirmative statement concerning utilization management decisions
- Medicaid continuous glucose monitoring systems
November 2021 Anthem Provider News - Indiana Medicaid Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Provider News - Indiana Medicaid Nov 1, 2021

Prenatal Depression Screening and Follow-Up (PND-E) coding bulletin

November 2021 Anthem Provider News - Indiana Medicaid Nov 1, 2021

Get your payments faster when you sign up for electronic funds transfer

November 2021 Anthem Provider News - Indiana Medicaid Nov 1, 2021

Diabetes testing and screening HEDIS measures

November 2021 Anthem Provider News - Indiana Medicaid Nov 1, 2021

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

Keep up with Medicaid news  - September 2021

View these Medicaid articles:
- February 2021 Medical Policies and Utilization Management Guidelines Update
- Clinical criteria updates notification May 2020 – February 2021
September 2021 Anthem Provider News - Indiana Medicaid Sep 1, 2021

Medicaid News - August 2021

View these Medicaid articles:
- MCG care guidelines 25th edition
- Clinical Criteria Updates Notification May-September 2020
August 2021 Anthem Provider News - Indiana Medicaid Aug 1, 2021

Let’s vaccinate

August 2021 Anthem Provider News - Indiana Medicaid Aug 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

August 2021 Anthem Provider News - Indiana Medicaid Aug 1, 2021

What Matters Most: Improving the Patient Experience

August 2021 Anthem Provider News - Indiana Medicaid Aug 1, 2021

Resources to support your diverse patient panel

August 2021 Anthem Provider News - Indiana Medicaid Aug 1, 2021

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

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

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

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

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

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

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

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

Transition to AIM rehabilitative service clinical appropriateness guidelines

November 2020 Anthem Provider News - Indiana Medicaid Nov 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
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