Indiana
Provider Communications

Articles Month: May 2021

Title Publication Category Date

Notice of Changes to Prior Authorization Requirements - May 2021

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Pharmacy May 1, 2021

Updates for specialty pharmacy are available - May 2021*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Pharmacy May 1, 2021

Updated Provider Manual posted to anthem.com

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

2021 Affirmative statement regarding utilization management decisions

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

A helpful and complete guide to covered well-child visits

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

May is National High Blood Pressure Education Month

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Digital online scheduling feature now available in the Availity Portal

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Provider bulletins for medical and itemized bill attachments: Electronic solutions at your fingertips

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

Sending larger digital attachments through Availity

May 2021 Anthem Provider News - Indiana Administrative May 1, 2021

New prior authorization requirement: Kidney transplantation*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines May 1, 2021

Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines

May 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines May 1, 2021

Updated AIM rehabilitative program effective August 1, 2021 - Initial evaluations and site of service reviews*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines May 1, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) enhanced reimbursement to begin July 1, 2021

May 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines May 1, 2021

Reimbursement policy update: Claims Requiring Additional Documentation - Facility*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Reimbursement Policies May 1, 2021

Reimbursement policy reminder: Readmission - Facility

May 2021 Anthem Provider News - Indiana Reimbursement Policies May 1, 2021

Reimbursement policy update: Frequency editing - Professional

May 2021 Anthem Provider News - Indiana Reimbursement Policies May 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

Keep up with Medicare news - May 2021

View these Medicare articles:
- Anthem working with Optum to collect medical records for Medicare Risk Adjustment (MRA)
- Helping our senior members
- Updates to AIM Specialty Health cardiac clinical appropriateness guidelines
- Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines
May 2021 Anthem Provider News - Indiana Medicare May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News - Indiana Medicare May 1, 2021
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