Indiana
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

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

Get faster payments with EFT

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

Provider Pathways eLearning is here!

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

Monkeypox resources and recommendations for our care providers

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

Neulasta medical step therapy requirements

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

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

It is CAHPS survey time!

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

Prior authorization requirements for HCPCS code 55899

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

Botox update for Anthem members

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

Urinary tract infection toolkits are on the way

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

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

2021 CAHPS survey results

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

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

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

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

Normal newborn diagnosis-related group (DRG) claims processing update

May 2020 Anthem Provider News - Indiana Medicaid May 1, 2020

HPV Vaccinations for Adolescents

June 2020 Anthem Provider News - Indiana Medicaid Jun 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

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

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

Use of Imaging Studies for Low Back Pain (LBP)

May 2020 Anthem Provider News - Indiana Medicaid May 1, 2020

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
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