Maine
Provider Communications

August 2019 Anthem Maine Provider News

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Title Category

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

Products & Programs

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

Products & Programs

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

Products & Programs

Specialty pharmacy pre-service clinical review list expanded effective November 1, 2019

Pharmacy

Reminder: Process change for medical non-oncology specialty drug reviews effective June 15, 2019

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Anthem customizations to MCG care guidelines 23rd edition

Administrative

Streamlined access to Anthem Provider Manual

Administrative

Bundled Services Reimbursement Policy update - professional

Reimbursement Policies

Frequency Editing Reimbursement Policy update - professional

Reimbursement Policies

Medical policy updates are available on anthem.com

Medical Policy & Clinical Guidelines

Clinical guideline updates are available on anthem.com

Medical Policy & Clinical Guidelines

Clinical criteria updates for specialty pharmacy

Medical Policy & Clinical Guidelines

New service types added to Availity

Medicare

New reimbursement policy effective October 1, 2019 - Drug Screen Testing

Medicare

AIM Specialty Health programs may require documentation

Medicare

Special needs plans - provider training required

Medicare

Keep up with Medicare news

Medicare
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