Indiana
Provider Communications

Articles Month: December 2022

Title Publication Category Date

Attention lab providers: COVID-19 update regarding reimbursement

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

Outpatient system updates for 2023

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

CAA: Timely updates help keep our provider directories current

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

Clinical practice and preventive health guidelines available on anthem.com

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

Member assessment of PCP after-hours messaging in 2022

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

Members’ rights and responsibilities

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

Member’s assessment of behavioral healthcare after-hours messaging in 2022

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

Coordination of care

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

Childhood Immunization Status and Lead Screening in Children for HEDIS

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

Case management program

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

Important information about utilization management

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

IngenioRx will become CarelonRx on January 1, 2023

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

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

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

Signature requirements for laboratory orders or requisitions

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

Notification regarding reimbursement changes to COVID-19 laboratory services codes

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

Professional system updates for 2023

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

For provider enrollment, please use the Digital Provider Enrollment tool in Availity, not the Provider Maintenance Form

December 2022 Anthem Provider News - Indiana Digital Tools Dec 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

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

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 - 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

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update*

*Change to Prior Authorization Requirements
December 2022 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2022

Medical Policies and Clinical Guidelines updates - December 2022*

*Change to Prior Authorization Requirements
December 2022 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Personal home helper benefit ending

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

Cleveland-Cliffs offers Medicare Advantage option

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

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Indiana Medicare 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

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

Specialty pharmacy updates - January 2023*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Pharmacy Dec 30, 2022

Pharmacy information available on the provider website

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

Specialty pharmacy updates - December 2022*

*Change to Prior Authorization Requirements
December 2022 Anthem Provider News - Indiana Pharmacy Dec 1, 2022

Pathway Essentials is expanding effective January 1, 2023

December 2022 Anthem Provider News - Indiana Products & Programs Dec 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

*Change to Prior Authorization Requirements

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022

Outpatient facility revenue code billing requirements

January 2023 Anthem Provider News - Indiana Reimbursement Policies Dec 30, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional*

*Change to Prior Authorization Requirements

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022
Page 1 of 1