Medical drug benefit clinical criteria updates
On November 15, 2019, February 21, 2020, and March 26, 2020, the Pharmacy and Therapeutics (P&T) Committee approved clinical criteria applicable to the medical drug benefit for Anthem Blue Cross and Blue Shield and AMH Health, LLC. These policies were developed, revised or reviewed to support clinical coding edits.
The clinical criteria is publicly available on the provider websites, and the effective dates will be reflected in the Clinical Criteria Web Posting March 2020 (Anthem) and the Clinical Criteria Web Posting March 2020 (AMH Health). Visit Clinical Criteria to search for specific policies.
If you have questions or would like additional information, use this email.
August 2020 Anthem Maine Provider News