Policy Updates Reimbursement PoliciesAMH Health, LLC | Medicare AdvantageAugust 1, 2024

Reimbursement policy update: Nurse Practitioner and Physician Assistant Services

(Policy G-20002, effective 11/01/2024)

Beginning with dates of service on or after 11/01/2024, AMH Health will update the Nurse Practitioner and Physician Assistant Services reimbursement policy as indicated below.  

The following services will be removed as physicians’ services:

    • Preventive Services
    • Radiology Services

The following services will be included as physicians’ services:

    • Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS)
    • Laboratory Services and Screening Services

For additional information, please review the Nurse Practitioner and Physician Assistant Services reimbursement policy at anthem.com/medicareprovider.

Plans offered by AMH Health, LLC., a joint venture between MaineHealth and Anthem Partnership Holding Company, LLC. AMH Health is an independent licensee of the Blue Cross Blue Shield Association.

MEAMH-CR-050429-24-CPN49984

ATTACHMENTS: Policy G-20002_redlined (pdf - 0.17mb), Policy G-20002_original (pdf - 0.16mb)

PUBLICATIONS: August 2024 Provider Newsletter