Maine
Provider Communications

February 2019 Anthem Maine Provider Newsletter

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Title Category

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

Products & Programs

Aware Recovery Care provides comprehensive drug and alcohol addiction rehab programs

Behavioral Health

Member satisfaction with behavioral health outpatient services

Behavioral Health

Clinical criteria updates for specialty pharmacy

Pharmacy

Specialty pharmacy prior authorization list expanded

Pharmacy

Specialty pharmacy medical step therapy drug list expanded

Pharmacy

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Administrative

Claim edit enhancements for outpatient facility claims

Administrative

Reminder: review ICD-10-CM coding guidelines: professional

Administrative

Coverage change for contraceptives and contraceptive supplies effective January 1, 2019

Administrative

Injectable Substances with Related Injection Services reimbursement policy update: professional

Reimbursement Policies

Body Mass Index reimbursement policy: facility

Reimbursement Policies

Significant Edits: professional

Reimbursement Policies

Clinical guideline updates are available on anthem.com

Medical Policy & Clinical Guidelines

HEDIS® 2019 Federal Employee Program medical record request requirements

Federal Employee Plan (FEP)

Reminder: Anthem follows Original Medicare policies

Medicare

Use grouped CPT codes for AIM Specialty Health authorizations

Medicare

Eye refraction and routine eye exam billing information

Medicare

New specialty Medicare Part B device preferred product program

Medicare

Keep up with Medicare news

Medicare
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