Maine
Provider Communications

June 2020 Anthem Maine Provider News

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Title Category

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
Administrative

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Products & Programs

Enhanced process for submitting behavioral health authorization requests now available

Behavioral Health

Quality Corner - Follow-Up after Hospitalization for Mental Illness

Behavioral Health

Clinical criteria updates for specialty pharmacy

Pharmacy

Prior authorization updates for specialty pharmacy effective September 1, 2020

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Administrative

Availity Portal Notification Center

Administrative

Quality Corner: CPT® Category II codes - Collaborating for enhanced patient care

Administrative

Commercial Risk Adjustment (CRA) Program update: Retrospective Program begins; Prospective Program continues

Administrative

New Reimbursement Policy - Nurse Practitioner and Physician Assistant Services - professional

Reimbursement Policies

Modifier use reminders

Medicare

Optum to collect medical records for risk adjustment

Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Diabetes HbA1c HEDIS guidance

Medicare

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medicare

Keep up with Medicare news

Medicare
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