Indiana
Provider Communications

Articles

Title Publication Category Date

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

Pharmacy information available at anthem.com

April 2021 Anthem Provider News - Indiana Pharmacy Apr 1, 2021

Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual*

*Change to Prior Authorization Requirements
April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Information Center - Access important policies, forms and helpful resources

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Understanding Availity roles for electronic data interchange (EDI)

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

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

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Chat directly with a prior authorization specialist

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Keeping up with routine vaccination during COVID-19

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Interactive bilingual website taking action for our health

Exclusively developed for the Latino Community
April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Join Anthem in talking about racism and its impact on health

April 2021 Anthem Provider News - Indiana Administrative Apr 1, 2021

Medical policy and clinical guideline updates - April 2021*

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

Update: Clinical guideline adoption postponed*

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

MCG Care Guidelines 25th Edition available*

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

Maximizing efficient, high quality COVID-19 screenings*

*Change to Prior Authorization Requirements
COVID-19 Information - Indiana Medical Policy & Clinical Guidelines Apr 1, 2021

Update for Commercial providers: AIM sleep program CPT code E1399, NOC: Durable medical equipment, miscellaneous

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

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News - Indiana Federal Employee Plan (FEP) Apr 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

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Access to more claim denial information is now self-service

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Clinical criteria updates notification - November 2020

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Clinical criteria updates notification - December 2020

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Updates to AIM clinical appropriateness guidelines for advanced imaging

April 2021 Anthem Provider News - Indiana Medicare Apr 1, 2021

Notice of Changes to Prior Authorization Requirements - April 2021

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

The health of millennials: Trends in behavioral health conditions

April 2021 Anthem Provider News - Indiana Behavioral Health Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Provider News - Indiana Pharmacy Apr 1, 2021

Updates for specialty pharmacy are available - April 2021*

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

Medical attachment capability now includes itemized bills and more!

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

Update: Notice of changes to the AIM Small Joint Surgery guideline

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

Claims editing update for ICD-10-CM Excludes 1 notes

March 2021 Anthem Provider News - Indiana Reimbursement Policies Mar 1, 2021

Medicare News - March 2021

View these Medicare articles:
- MCG Care Guidelines 24th edition customization
- DME checklist of information needed from providers
March 2021 Anthem Provider News - Indiana Medicare Mar 1, 2021

New provider directory indicator for telehealth services

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

Medical policies and clinical utilization management guidelines update

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

Notice of Changes to Prior Authorization Requirements - March 2021

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

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021*

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

Updates for specialty pharmacy are available - March 2021*

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

Some HIV medication combinations may require prior authorization*

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

Anthem clarifies guidance on prior authorization requirements for admissions to in-network skilled nursing facilities (SNFs)

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

New reimbursement policy update: Place of Service Evaluation and Management - Facility*

*Change to Prior Authorization Requirements
March 2021 Anthem Provider News - Indiana Reimbursement Policies Mar 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

Digital transactions cut administrative tasks in half

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

Notice of Changes to Prior Authorization Requirements - February 2021

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2021 Anthem Provider News - Indiana Pharmacy Feb 1, 2021

Prior authorization updates for specialty pharmacy are available - February 2021*

February 2021 Anthem Provider News - Indiana Pharmacy Feb 1, 2021

Pharmacy information available at anthem.com

February 2021 Anthem Provider News - Indiana Pharmacy Feb 1, 2021

New provider directory indicator for telehealth services

February 2021 Anthem Provider News - Indiana Administrative Feb 1, 2021

Fully insured or third party administrator information included on ID cards

February 2021 Anthem Provider News - Indiana Administrative Feb 1, 2021

New Anthem utilization management tool now available on Availity: Authorization Rules Lookup tool

February 2021 Anthem Provider News - Indiana Administrative Feb 1, 2021

Medical Policy and Clinical Guideline Updates - February 2021*

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

Reimbursement policy update: Emergency Room Transfers - Facility*

February 2021 Anthem Provider News - Indiana Reimbursement Policies Feb 1, 2021

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

February 2021 Anthem Provider News - Indiana Reimbursement Policies Feb 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

PN for UM AROW Item 1330

February 2021 Anthem Provider News - Indiana Medicare Feb 1, 2021

Medical drug benefit clinical criteria updates - February 2021

February 2021 Anthem Provider News - Indiana Medicare Feb 1, 2021

Transition to AIM small joint guidelines

February 2021 Anthem Provider News - Indiana Medicare Feb 1, 2021

Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and the importance of allies.
The Road to Allyship Forum Invitation Administrative Jan 21, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 13, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Indiana Administrative Jan 13, 2021

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care. 
COVID-19 Information - Indiana Administrative Jan 8, 2021

Notice of Changes to Prior Authorization Requirements - January 2021

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

IngenioRx introduces new pharmacy network in 2021

January 2021 Anthem Provider News - Indiana Pharmacy Jan 1, 2021

Designated specialty pharmacy network*

January 2021 Anthem Provider News - Indiana Pharmacy Jan 1, 2021

Prior authorization updates for specialty pharmacy are available - January 2021*

January 2021 Anthem Provider News - Indiana Pharmacy Jan 1, 2021

Attention Workers’ Compensation network providers

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

Join the Anthem Foundation and Dare to Care Hunger Challenge in Kentuckiana

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

It is almost CAHPS survey time!

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

Evaluation and management changes 2021

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

New Blue HPN® plans go live January 1, 2021

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

Outpatient system updates for 2021 - Facility

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

Professional system updates for 2021

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

New features added to Interactive Care Reviewer

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

Procedure searches in Find Care: New sort option

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

Availity attachment tools for Anthem and affiliate payers - Live webinars

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

Self-service, digital transactions are fast and easy

January 2021 Anthem Provider News - Indiana Administrative Jan 1, 2021

Medical Policy and Clinical Guideline Updates - January 2021*

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

MCG Care Guidelines 24th Edition Customization*

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

Anthem implements pilot program for in-network skilled nursing facilities (SNF)

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

Reimbursement policy update: Multiple diagnostic imaging procedures - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Frequency editing - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021
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