Maine
Provider Communications

December 2021 Anthem Maine Provider News

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Title Category

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

Administrative

Blue Precision program to be retired on December 31, 2021

Administrative

IMPORTANT: Taxonomy codes for APRNs, mid-wives, physician assistants, and behavioral health facilities billing on CMS-1500 form

Administrative

Professional system updates for 2022

Administrative

Outpatient system updates for 2022

Administrative

Importance of PCP after-hours messaging

Administrative

Chlamydia screening for teens and young adults

Administrative

Member rights and responsibilities

Administrative

Coordination of care

Administrative

Case Management Program

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Important information about utilization management

Administrative

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
Digital Tools

Is prior authorization required?

Answering your questions about the new Availity Authorization App
Digital Tools

Reminder: EnrollSafe is available

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
Digital Tools

Reimbursement policy update: Assistant at Surgery (modifiers 80, 81, 82, AS) - professional

Reimbursement Policies

Reimbursement policy update: Virtual Visits - professional and facility

Reimbursement Policies

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams - professional

Reimbursement Policies

RETRACTION: Inpatient Facility Transfers - facility reimbursement policy

Reimbursement Policies

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Behavioral healthcare appointment access requirements

Behavioral Health

Clinical criteria updates for specialty pharmacy

Pharmacy

Specialty pharmacy updates - December 2021

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Drug Screen Testing policy update - effective March 1, 2022

Medicare

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare

2022 Medicare Advantage service area and benefit updates

Medicare

Somatus is your resource for kidney care management

Medicare

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare

Good news: Non-payment remittance advice enhancements are here

Medicare

Keep up with Medicare news

  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
  • Medical drug benefit clinical criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • Medical Policies and Clinical Utilization Management Guidelines update
Medicare
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