Maine
Provider Communications

August 2021 Maine Provider News

Download as PDF

Title Category

Strategic Provider System to be implemented in August 2021

Administrative

Register now for our August CME webinars

Administrative

Telehealth visits can impact after-hospitalization follow-up care for mental illness

Administrative

Clearing up coding confusion for retinal eye exams (DRE)

Administrative

New! Schedule appointments online through Availity

Digital Tools

Submitting prior authorizations is getting easier

Digital Tools

Digital Provider Enrollment Application available for providers who do not use CAQH

Digital Tools

Reimbursement policy update: Claims requiring additional documentation (facility)

Reimbursement Policies

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU

Reimbursement Policies

Reimbursement policy update:  Virtual Visits - professional and facility

Notice of material change/amendment to contract
Reimbursement Policies

Transition to AIM Specialty Health Imaging of the Heart Clinical Appropriateness Guideline for computed tomography to detect coronary artery calcification

Products & Programs

Specialty dose rounding program for certain oncology medications

Pharmacy

Specialty dose rounding program for certain non-oncology medications effective August 1, 2021

Pharmacy

Immune globulin adjusted body weight dosing program begins August 1, 2021

Pharmacy

Anthem to update formulary lists for commercial health plan pharmacy benefit

Pharmacy

Specialty pharmacy updates effective November 1, 2021

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Change in email submission of service requests for Federal Employee Program® members

Federal Employee Plan (FEP)

Keep up with Medicare news

Medicare
Page 1 of 1