Indiana
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

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

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

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

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

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

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

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

Medicaid News - March 2020

March 2020 Anthem Provider News - Indiana Medicaid Mar 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

Medicaid News -- January 2020

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

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

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

New clinical guideline: pneumatic compression devices, effective December 1, 2019

December 2019 Anthem Provider News - Indiana Medicaid Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Indiana Medicaid Dec 1, 2019

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

November 2019 Anthem Provider News - Indiana Medicaid Nov 1, 2019

Medical drug Clinical Criteria updates

November 2019 Anthem Provider News - Indiana Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Indiana Medicaid Nov 1, 2019

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

October 2019 Anthem Provider News - Indiana Medicaid Oct 1, 2019

Pharmacy benefit manager change to IngenioRx

October 2019 Anthem Provider News - Indiana Medicaid Oct 1, 2019

Prior authorization requirements for Global March MPTAC CCRT Configuration

October 2019 Anthem Provider News - Indiana Medicaid Oct 1, 2019

MCG Care Guidelines update and customizations

October 2019 Anthem Provider News - Indiana Medicaid Oct 1, 2019

Reimbursement Policy Update: Professional Anesthesia Services

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

AIM Specialty Health programs may require documentation

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

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

Clinical Criteria updates

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

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

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

Medicaid News -- August 2019

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

New service types added to Availity

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

Unspecified diagnosis code update

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

Pharmacy management information

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

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

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

Medicaid News -- June 2019

June 2019 Anthem Provider Newsletter - Indiana Medicaid Jun 1, 2019

Latest updates to Electronic Data Interchange Gateway migration

June 2019 Anthem Provider Newsletter - Indiana Medicaid Jun 1, 2019
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