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        State & Federal | Anthem Blue Cross and Blue Shield | Medicare Advantage | January 31, 2023

        Keep up with Medicare news

        Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
        • AMH Health, LLC expands specialty pharmacy precertification list (Fylnetra)
        • AMH Health, LLC expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
        • Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
        • New specialty pharmacy medical step therapy requirements
        • Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
        • Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines
        • Updates to AIM Specialty Health Musculoskeletal — Interventional Pain Management Clinical Appropriateness Guidelines
        • AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
        • Prior authorization requirement changes effective April 1, 2023
        • Medical Policies and Clinical Utilization Management Guidelines update
        • Enhancing Provider News website and email communications
        • Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

        PUBLICATIONS: February 2023 Provider Newsletter - Maine

        To view this article online:

        Visit https://providernews.anthem.com/maine/articles/keep-up-with-medicare-news-295-12610

        Or scan this QR code with your phone