Maine
Provider Communications

December 2020 Anthem Maine Provider News

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Title Category

AIM IVR changes for non-oncology medical specialty drug reviews effective January 1, 2021

Products & Programs

Updates to AIM Cardiology Clinical Appropriateness Guidelines

Products & Programs

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

Products & Programs

Updates to AIM Radiation Oncology Clinical Appropriateness Guidelines

Products & Programs

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Products & Programs

Reminder: National drug code required for professional and facility outpatient claims effective December 16, 2020

Pharmacy

Prior authorization updates for specialty pharmacy effective March 1, 2021

Pharmacy

Clinical criteria updates for specialty pharmacy

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Anthem and Quest Diagnostics form strategic relationship

Administrative

Access to claim denial information is now self-service

Administrative

Anthem makes going digital easy with the Provider Digital Engagement Supplement

Administrative

Two-minute videos to engage patients about preventive care

Administrative

New ID cards for some Anthem members

Administrative

Prior authorization updates for commercial business effective March 1, 2021

Administrative

Updated BlueCard® Program Provider Manual available January 1, 2021

Administrative

PCP after-hours access requirements

Administrative

Access requirements for behavioral healthcare services

Administrative

Anthem expands hospice policy

Administrative

Help ensure accuracy of provider directory

Administrative

Contracted air ambulance providers effective December 1, 2020

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Coordination of care

Administrative

Members’ Rights and Responsibilities

Administrative

Case Management Program

Administrative

Important information about utilization management

Administrative

Reimbursement policy update: Bundled Services and Supplies - professional

Reimbursement Policies

2021 Medicare Advantage individual benefits and formularies

Medicare

Medicare Advantage Group Retiree member eligibility, alpha prefix FAQs

Medicare

Medical policies and clinical utilization management guidelines update applicable to Anthem and AMH Health, LLC.

Medicare

Digital transactions cut administrative tasks in half

Medicare

Keep up with Medicare news

Medicare
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