Maine
Provider Communications

June 2020 Anthem Maine Provider News

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Title Category

2020 Medicare risk adjustment provider trainings

Medicare

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

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

Administrative

Availity Portal Notification Center

Administrative

Clinical criteria updates for specialty pharmacy

Pharmacy

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

Administrative

Diabetes HbA1c HEDIS guidance

Medicare

Enhanced process for submitting behavioral health authorization requests now available

Behavioral Health

Keep up with Medicare news

Medicare

Modifier use reminders

Medicare

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

Reimbursement Policies

Optum to collect medical records for risk adjustment

Medicare

Pharmacy information available on anthem.com

Pharmacy

Prior authorization updates for specialty pharmacy effective September 1, 2020

Pharmacy

Quality Corner - Follow-Up after Hospitalization for Mental Illness

Behavioral Health

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

Administrative

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Products & Programs

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medicare
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