Maine
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Notices of material changes/amendments to contract - May 2022

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:

  • Provider Manual updated effective July 1, 2022
  • Medical policy and clinical guideline updates available on anthem.com
  • Clinical criteria updates for specialty pharmacy
  • Specialty pharmacy updates - May 2022
May 2022 Anthem Maine Provider News Administrative May 1, 2022

Provider Manual updated effective July 1, 2022

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Administrative May 1, 2022

Primary care appointment access and open panels

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Medical policy and clinical guideline updates available on anthem.com

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines May 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Pharmacy May 1, 2022

Specialty pharmacy updates - May 2022

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Pharmacy May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP® Quality Reimbursement Program for PPO providers

May 2022 Anthem Maine Provider News Federal Employee Plan (FEP) May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Maine Provider News Medicare May 1, 2022

Keep up with Medicare news

  • AMH Health, LLC expands specialty pharmacy precertification list
  • AMH Health, LLC expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirements

 

May 2022 Anthem Maine Provider News Medicare May 1, 2022

Anthem announces changes to post-payment audits conducted on our behalf

May 2022 Anthem Maine Provider News Administrative May 1, 2022

May is National High Blood Pressure Education Month: We’ve got this!

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Coding tips for reporting administration of Spravato®

May 2022 Anthem Maine Provider News Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Join us for an FEP Quality Learning Program live webinar

May 2022 Anthem Maine Provider News Federal Employee Plan (FEP) May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Maine Provider News Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Maine Provider News Medicare May 1, 2022

Information from Anthem for Care Providers about COVID-19 (updated April 15, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Maine Administrative Apr 15, 2022

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe & Effective Antibiotic Prescribing - Maine Administrative Apr 5, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

HEDIS 2022: Summary of changes from NCQA

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Catching up on routine vaccines

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Reminder on Botox® for Anthem members

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

CAA: Update your provider directory information

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Procedure searches in Find Care

April 2022 Anthem Maine Provider News Digital Tools Apr 1, 2022

Pharmacy information available on anthem.com

April 2022 Anthem Maine Provider News Pharmacy Apr 1, 2022

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Maine Provider News Federal Employee Plan (FEP) Apr 1, 2022

Notices of material changes/amendments to contract – April 2022

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following article:

  • Specialty pharmacy updates - April 2022
April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Specialty pharmacy updates - April 2022

Notice of material change/amendment to contract
April 2022 Anthem Maine Provider News Pharmacy Apr 1, 2022

Model of Care required training

April 2022 Anthem Maine Provider News Medicare Apr 1, 2022

Clinical criteria updates

April 2022 Anthem Maine Provider News Medicare Apr 1, 2022

Update - Inpatient Readmissions Policy G-13001 effective July 1, 2022

April 2022 Anthem Maine Provider News Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Maine Provider News Medicare Apr 1, 2022

Keep up with Medicare news

April 2022 Anthem Maine Provider News Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date. Read important information about this change here.
Transition to NYC Medicare Advantage Plus Delayed - Maine Medicare Mar 15, 2022

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Register today for the Exploring Implicit Bias in Healthcare for Historically Marginalized Body:
Register today for Exploring Implicit Bias Forum on March 16, 2022 - Maine Administrative Mar 2, 2022

Notices of material changes/amendments to contract – March 2022

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:

  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
  • Clinical criteria updates for specialty pharmacy
  • Correction to February 2022 specialty pharmacy updates
  • Specialty pharmacy updates - March 2022
March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Consolidated Appropriations Act (CAA): Have you reviewed your online provider directory information lately?

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Enhancements to the Availity Authorization application are now available

March 2022 Anthem Maine Provider News Digital Tools Mar 1, 2022

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Mar 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

Specialty pharmacy updates - March 2022

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

New address for Federal Employee Program® clinical grievances and appeals

March 2022 Anthem Maine Provider News Federal Employee Plan (FEP) Mar 1, 2022

Prior authorization requirement change effective June 1, 2022

March 2022 Anthem Maine Provider News Medicare Mar 1, 2022

Clinical criteria updates

March 2022 Anthem Maine Provider News Medicare Mar 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Maine Provider News Medicare Mar 1, 2022

Medication adherence

March 2022 Anthem Maine Provider News Medicare Mar 1, 2022

Keep up with Medicare news

  • Medical step therapy updates
  • Phone number change for AIM in Maine
March 2022 Anthem Maine Provider News Medicare Mar 1, 2022

New! Vaccination resource page for providers

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Updated preventive care guidance regarding screening colonoscopies

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Understanding your patients’ differences is lifesaving

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Your influence matters: Recommending cancer screenings to your patients

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Simplifying requests for additional information

March 2022 Anthem Maine Provider News Digital Tools Mar 1, 2022

HEDIS 2022 Federal Employee Program® medical record request requirements

March 2022 Anthem Maine Provider News Federal Employee Plan (FEP) Mar 1, 2022

GN, GO, GP therapy modifier requirement paused for Anthem Maine members

GN, GO, GP therapy modifier requirement paused for Anthem Maine members Administrative Feb 21, 2022

Provider Manual to be updated April 4, 2022

Maine Provider Manual update effective April 4, 2022 Administrative Feb 3, 2022

Notices of material changes/amendments to contract

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:

  • Specialty pharmacy updates - February 2022
  • Clinical criteria updates for specialty pharmacy
February 2022 Anthem Maine Provider News Administrative Feb 1, 2022

Specialty pharmacy updates - February 2022

Notice of material change/amendment to contract
February 2022 Anthem Maine Provider News Pharmacy Feb 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
February 2022 Anthem Maine Provider News Pharmacy Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Maine Provider News Medicare Feb 1, 2022

Prepare for the CAA: Keep your provider directory information current

February 2022 Anthem Maine Provider News Administrative Feb 1, 2022

Cancer Care Navigator

February 2022 Anthem Maine Provider News Administrative Feb 1, 2022

It is CAHPS survey time!

February 2022 Anthem Maine Provider News Administrative Feb 1, 2022

Heart disease is the number one killer of women

February 2022 Anthem Maine Provider News Administrative Feb 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Maine Provider News Pharmacy Feb 1, 2022

Important COVID-19 update: Prior authorization and other policy adjustments (updated January 18, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Maine Administrative Jan 18, 2022

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing providers nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.


Important Update for New 200k Group Retiree PPO Plan - Maine Medicare Jan 5, 2022

Notices of material changes/amendments to contract

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following article:

  • Medical policy and clinical guideline updates
January 2022 Anthem Maine Provider News Administrative Jan 1, 2022

Well-child visits: Know the numbers

January 2022 Anthem Maine Provider News Administrative Jan 1, 2022

Medical policy and clinical guideline updates

Notice of material change/amendment to contract
January 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jan 1, 2022

BlueHPN network live in Maine for 2022

January 2022 Anthem Maine Provider News Products & Programs Jan 1, 2022

2022 FEP® benefit information available online

January 2022 Anthem Maine Provider News Federal Employee Plan (FEP) Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Maine Provider News Medicare Jan 1, 2022

Professional claims - billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem Maine Provider News Medicare Jan 1, 2022

Important update on Botox® for Medicare members of AMH Health, LLC

January 2022 Anthem Maine Provider News Medicare Jan 1, 2022

Keep up with Medicare news

January 2022 Anthem Maine Provider News Medicare Jan 1, 2022

Anthem is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback
Availity Authorization App improvements - Maine Digital Tools Dec 28, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Blue Precision program to be retired on December 31, 2021

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

IMPORTANT: Taxonomy codes for APRNs, mid-wives, physician assistants, and behavioral health facilities billing on CMS-1500 form

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Important information about utilization management

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
December 2021 Anthem Maine Provider News Digital Tools Dec 1, 2021

Is prior authorization required?

Answering your questions about the new Availity Authorization App
December 2021 Anthem Maine Provider News Digital Tools Dec 1, 2021

RETRACTION: Inpatient Facility Transfers - facility reimbursement policy

December 2021 Anthem Maine Provider News Reimbursement Policies Dec 1, 2021

Behavioral healthcare appointment access requirements

December 2021 Anthem Maine Provider News Behavioral Health Dec 1, 2021

Drug Screen Testing policy update - effective March 1, 2022

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

Somatus is your resource for kidney care management

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

Keep up with Medicare news

  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
  • Medical drug benefit clinical criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • Medical Policies and Clinical Utilization Management Guidelines update
December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

December 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

December 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

December 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

December 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Clinical criteria updates for specialty pharmacy

December 2021 Anthem Maine Provider News Pharmacy Dec 1, 2021
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