Maine
Provider Communications

Articles Recent

Title Publication Category Date

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update

Notice of material change/amendment to contract.
March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

New policy for EMR clinical data sharing and ADT notifications

Notice of material change/amendment to contract.
March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

Time to prepare for HEDIS medical record review

March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

Notices of material changes/amendments to contract - March 2023

March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

You are invited: Advancing Mental Health Equity for Youth & Young Adults

Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.
March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

March 2023 Anthem Provider News - Maine Products & Programs Mar 1, 2023

Clinical Criteria updates for specialty pharmacy

Notice of material change/amendment to contract.
March 2023 Anthem Provider News - Maine Pharmacy Mar 1, 2023

Specialty pharmacy updates for March 2023

Notice of material change/amendment to contract.
March 2023 Anthem Provider News - Maine Pharmacy Mar 1, 2023

Time to prepare for HEDIS medical record review

March 2023 Anthem Provider News - Maine Medicare Mar 1, 2023

Informational Update: Modifier Usage (Policy G-06006)

March 2023 Anthem Provider News - Maine Medicare Mar 1, 2023

Shared savings and transition care management after inpatient discharges

March 2023 Anthem Provider News - Maine Medicare Mar 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

March 2023 Anthem Provider News - Maine Medicare Mar 1, 2023

Keep up with Medicare news

Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
March 2023 Anthem Provider News - Maine Medicare Mar 1, 2023

Provider directory - annual audit for NCQA Accreditation

March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

March is National Colorectal Cancer Awareness Month

March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

Pharmacy information available on our provider website

March 2023 Anthem Provider News - Maine Pharmacy Mar 1, 2023

Annual planned visits

March 2023 Anthem Provider News - Maine Medicare Mar 1, 2023

Informational Update Modifier Usage

March 2023 Anthem Provider News - Maine Medicare Mar 1, 2023

Notices of material changes/amendments to contract - February 2023

February 2023 Provider Newsletter - Maine Administrative Feb 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

February 2023 Provider Newsletter - Maine Administrative Feb 1, 2023

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

February 2023 Provider Newsletter - Maine Administrative Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Provider Newsletter - Maine Administrative Feb 1, 2023

Enhancing Provider News website and email communications

February 2023 Provider Newsletter - Maine Digital Tools Feb 1, 2023

Medical Policy and Clinical Guideline updates are available on our provider website

Notice of material change/amendment to contract.
February 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Provider Newsletter - Maine Digital Tools Feb 1, 2023

Clinical Criteria updates for specialty pharmacy

Notice of material change/amendment to contract.
February 2023 Provider Newsletter - Maine Pharmacy Feb 1, 2023

Specialty pharmacy updates - February 2023

Notice of material change/amendment to contract.
February 2023 Provider Newsletter - Maine Pharmacy Feb 1, 2023

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

February 2023 Provider Newsletter - Maine Medicare Feb 1, 2023

Keep up with Medicare news

Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
February 2023 Provider Newsletter - Maine Medicare Feb 1, 2023

2023 FEP benefit information available online

February 2023 Provider Newsletter - Maine Federal Employee Plan (FEP) Feb 1, 2023

Important reminder: New ID cards for many of our Anthem Blue Cross and Blue Shield members

New ID cards for Anthem Blue Cross and Blue Shield members - Maine Administrative Jan 19, 2023

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Maine Administrative Jan 11, 2023

Notices of material changes/amendments to contract - January 2023

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Engagement with your patient counts

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Anthem Blue Cross and Blue Shield local precertification change in Maine

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

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

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy and clinical guideline updates available on our provider website

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Specialty pharmacy updates

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Pharmacy Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases

January 2023 Provider Newsletter - Maine Federal Employee Plan (FEP) Dec 30, 2022

Engagement with your patient counts

January 2023 Provider Newsletter - Maine Medicare Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

January 2023 Provider Newsletter - Maine Medicare Dec 30, 2022

Keep up with Medicare news

Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
January 2023 Provider Newsletter - Maine Medicare Dec 30, 2022

Outpatient facility revenue code billing requirements

January 2023 Provider Newsletter - Maine Reimbursement Policies Dec 30, 2022

Professional system updates for 2023

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

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

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Notices of material changes/amendments to contract - December 2022

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Case management program

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Important information about utilization management

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Coordination of care

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Clinical Criteria updates for specialty pharmacy

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Pharmacy Dec 1, 2022

Specialty pharmacy updates - December 2022

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Pharmacy Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 1, 2022

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

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 1, 2022

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

December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

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

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Provider Newsletter - Maine Medicare Dec 1, 2022

Personal home helper benefit ending

December 2022 Provider Newsletter - Maine Medicare Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Provider Newsletter - Maine Medicare Dec 1, 2022

Keep up with Medicare news

Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
December 2022 Provider Newsletter - Maine Medicare Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

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

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Provider Newsletter - Maine Pharmacy Dec 1, 2022

Information from Anthem for Care Providers about COVID-19 (updated November 8, 2022)

COVID-19 Information - Maine Administrative Nov 8, 2022

PCP searches in Find Care

PCP searches in Find Care - Maine Administrative Nov 2, 2022

Notices of material changes/amendments to contract - November 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:

  • Correction to reimbursement policy: Place of Service - Facility
  • Medical policy and clinical guideline updates available on anthem.com
  • Specialty pharmacy updates - November 2022
November 2022 Provider Newsletter - Maine Administrative Nov 1, 2022

Post office boxes being retired because of low usage

November 2022 Provider Newsletter - Maine Administrative Nov 1, 2022

Support documentation for AIM prior authorization requests

November 2022 Provider Newsletter - Maine Administrative Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Provider Newsletter - Maine Administrative Nov 1, 2022

Claims status message enhancements: providing clear descriptions and actionable next steps

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Authorization application enhancements: faster, easier, and more efficient

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Submit digital attachments within seven calendar days for claims filed with a PWK segment indicator

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Correction to reimbursement policy: Place of Service - Facility

Notice of material change/amendment to contract
November 2022 Provider Newsletter - Maine Reimbursement Policies Nov 1, 2022

Medical policy and clinical guideline updates available on anthem.com

Notice of material change/amendment to contract

November 2022 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Nov 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Nov 1, 2022

Specialty pharmacy updates - November 2022

Notice of material change/amendment to contract

November 2022 Provider Newsletter - Maine Pharmacy Nov 1, 2022

Remote EMR access service for HEDIS

November 2022 Provider Newsletter - Maine Medicare Nov 1, 2022

AMH Health, LLC expands specialty pharmacy precertification list

November 2022 Provider Newsletter - Maine Medicare Nov 1, 2022

Personalized Match

November 2022 Provider Newsletter - Maine Medicare Nov 1, 2022

Keep up with Medicare news

Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
November 2022 Provider Newsletter - Maine Medicare Nov 1, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Maine Administrative Oct 7, 2022

Notices of material changes/amendments to contract - October 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:
  • Precertification list changes effective January 1, 2023
  • Clinical Criteria updates for specialty pharmacy
  • Specialty pharmacy updates - October 2022
  • Reimbursement policy update: Multiple and Bilateral Surgery Processing – Professional
October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022
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