Maine
Provider Communications

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Title Publication Category Date

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

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

Precertification list changes effective January 1, 2023

Notice of material change/amendment to contract
October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

National Accounts 2023 Pre-certification list

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

CAA: Review your online provider directory information

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

Prior authorization required for hip and knee services for State of Maine Health Plan members effective July 1, 2022

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

Provider Learning Hub is here

October 2022 Provider Newsletter – Maine Digital Tools Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Provider Newsletter – Maine Pharmacy Oct 1, 2022

Clinical Criteria updates for specialty pharmacy

Notice of material change/amendment to contract
October 2022 Provider Newsletter – Maine Pharmacy Oct 1, 2022

Specialty pharmacy updates - October 2022

Notice of material change/amendment to contract
October 2022 Provider Newsletter – Maine Pharmacy Oct 1, 2022

Pharmacy information available on provider website

October 2022 Provider Newsletter – Maine Pharmacy Oct 1, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

October 2022 Provider Newsletter – Maine Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Notice of material change/amendment to contract
October 2022 Provider Newsletter – Maine Reimbursement Policies Oct 1, 2022

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

October 2022 Provider Newsletter – Maine Federal Employee Plan (FEP) Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Provider Newsletter – Maine Medicare Oct 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

October 2022 Provider Newsletter – Maine Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

October 2022 Provider Newsletter – Maine Medicare Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Provider Newsletter – Maine Medicare Oct 1, 2022

Keep up with Medicare news

  • Medicare Part B Precert Expansion Alymsys
  • Medicare Part B Precert Expansion Amvuttra Xipere
  • Consultation Codes
October 2022 Provider Newsletter – Maine Medicare Oct 1, 2022

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Maine Administrative Sep 9, 2022

Notices of material changes/amendments to contract - September 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:

  • Reimbursement policy update:  Modifier Rules – Professional
  • Specialty pharmacy updates - September 2022
  • Clinical criteria updates for specialty pharmacy

 

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022
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