Maine
Provider Communications


Articles Recent

Title Publication Category Date

Electronic member ID cards – Easy online access on the Availity portal

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Provider manual to be updated July 1, 2019

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Referring to contracted ambulance providers

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Good HbA1c <8

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Drug Screen Testing update: professional

May 2019 Anthem Maine Provider Newsletter Reimbursement Policies May 1, 2019

Medical policy updates are available on anthem.com

May 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Clinical guideline updates are available on anthem.com

May 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

State of Maine Health Plan benefits for blood pressure cuffs

May 2019 Anthem Maine Provider Newsletter State & Federal May 1, 2019

Keep up with Medicare news

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

Specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Anthem Maine Provider Newsletter Pharmacy May 1, 2019

Specialty pharmacy medical step therapy drug list expanded

May 2019 Anthem Maine Provider Newsletter Pharmacy May 1, 2019

Pharmacy information available on anthem.com

May 2019 Anthem Maine Provider Newsletter Pharmacy May 1, 2019

MCG care guidelines 23rd Edition

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Attention! Availity launches changes to the Medical Attachment submission tool

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Review of professional claims with emergency room level 5 E/M codes

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Fall prevention tips

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

Partial hospitalization services

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

New AIM Rehabilitative program effective July 1, 2019

April 2019 Anthem Maine Provider Newsletter Products & Programs Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

April 2019 Anthem Maine Provider Newsletter Products & Programs Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

April 2019 Anthem Maine Provider Newsletter Products & Programs Apr 1, 2019

Specialty pharmacy pre-service clinical review list expanded effective July 1, 2019

April 2019 Anthem Maine Provider Newsletter Pharmacy Apr 1, 2019

Pharmacy information available on anthem.com

April 2019 Anthem Maine Provider Newsletter Pharmacy Apr 1, 2019

Commercial risk adjustment (CRA) reporting update

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Provider manual to be updated July 1, 2019

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Chronic care management and advanced care planning service benefits

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

National Consumer Cost Tool (NCCT) provider cost data available for review

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Maine Provider Newsletter Reimbursement Policies Apr 1, 2019

New Partial Hospitalization Program and Intensive Outpatient Program Services Facility Reimbursement Policy

April 2019 Anthem Maine Provider Newsletter Reimbursement Policies Apr 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Maine Provider Newsletter Medicare Apr 1, 2019

Reimbursement for select HEDIS related CPT II codes for Medicare Advantage members coming soon

April 2019 Anthem Maine Provider Newsletter Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Maine Provider Newsletter Medicare Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

April 2019 Anthem Maine Provider Newsletter Products & Programs Apr 1, 2019

Pharmacy information available on anthem.com

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Outpatient/office physical, speech, and occupational therapy claim form requirements

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

State of Maine Health Insurance Plan incents members to seek bariatric and hip/knee procedures at Centers of Excellence

March 2019 Anthem Maine Provider Newsletter State Health Benefit Plan Mar 1, 2019

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Specialty pharmacy clinical site of care program important reminder

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Commercial drug list important updates

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Sign up today for provider eUpdates

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Additional changes to anthem.com to launch in March

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Commercial Risk Adjustment Program update: Medical chart collection for ACA members due March 31, 2019

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Digital Provider Enrollment application now available

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Explore updates to medical attachment tool

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

EDI Gateway migration updates

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

HEDIS® 2019: Controlling High Blood Pressure

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Dual eligible special needs plans: provider training required

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Member satisfaction with behavioral health outpatient services

February 2019 Anthem Maine Provider Newsletter Behavioral Health Feb 1, 2019

Injectable Substances with Related Injection Services reimbursement policy update: professional

February 2019 Anthem Maine Provider Newsletter Reimbursement Policies Feb 1, 2019

Body Mass Index reimbursement policy: facility

February 2019 Anthem Maine Provider Newsletter Reimbursement Policies Feb 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2019 Anthem Maine Provider Newsletter Products & Programs Feb 1, 2019

Aware Recovery Care provides comprehensive drug and alcohol addiction rehab programs

February 2019 Anthem Maine Provider Newsletter Behavioral Health Feb 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Maine Provider Newsletter Pharmacy Feb 1, 2019

Specialty pharmacy prior authorization list expanded

February 2019 Anthem Maine Provider Newsletter Pharmacy Feb 1, 2019

Specialty pharmacy medical step therapy drug list expanded

February 2019 Anthem Maine Provider Newsletter Pharmacy Feb 1, 2019

Sign up today for provider eUpdates

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

Claim edit enhancements for outpatient facility claims

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

Reminder: review ICD-10-CM coding guidelines: professional

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

Coverage change for contraceptives and contraceptive supplies effective January 1, 2019

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

Significant Edits: professional

February 2019 Anthem Maine Provider Newsletter Reimbursement Policies Feb 1, 2019

Clinical guideline updates are available on anthem.com

February 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

HEDIS® 2019 Federal Employee Program medical record request requirements

February 2019 Anthem Maine Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Eye refraction and routine eye exam billing information

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem Members

January 2019 - New Year Brings New ID Cards and New ID Numbers for Many Anthem Members Administrative Jan 24, 2019

Adaptive behavioral assessment & treatment code changes effective January 1, 2019

January 2019 Anthem Maine Provider Newsletter Behavioral Health Jan 1, 2019

Behavioral health: split claims spanning from 2018 into 2019

January 2019 Anthem Maine Provider Newsletter Behavioral Health Jan 1, 2019

New APA testing codes and definitions effective January 1, 2019

January 2019 Anthem Maine Provider Newsletter Behavioral Health Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Maine Provider Newsletter Pharmacy Jan 1, 2019

Sign up today for provider eUpdates

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Simplifying medication prior authorization processes

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Streamline workflow with medical attachments tool

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

HEDIS® 2019 starts early February

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Reminder: HCPCS code A0998 is active and available for use

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Maine Provider Newsletter Reimbursement Policies Jan 1, 2019

Medical policy updates are available on anthem.com

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical guideline updates are available on anthem.com

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Update on clinical guideline communication in October 2018 provider newsletter

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Risk adjustment and documentation training offered

January 2019 Anthem Maine Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Maine Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Maine Provider Newsletter Medicare Jan 1, 2019

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Maine Provider Newsletter Products & Programs Dec 1, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Maine Provider Newsletter Products & Programs Dec 1, 2018

Member’s access to behavioral health care

December 2018 Anthem Maine Provider Newsletter Behavioral Health Dec 1, 2018

Introducing new clinical criteria page for injectable, infused or implanted drugs

December 2018 Anthem Maine Provider Newsletter Pharmacy Dec 1, 2018

Electronic prior authorization requests for prescription medications accepted online

December 2018 Anthem Maine Provider Newsletter Pharmacy Dec 1, 2018
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