Maine
Provider Communications

March 2022 Anthem Maine Provider News

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Notices of material changes/amendments to contract – March 2022

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:

  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
  • Clinical criteria updates for specialty pharmacy
  • Correction to February 2022 specialty pharmacy updates
  • Specialty pharmacy updates - March 2022
Administrative

New! Vaccination resource page for providers

Administrative

Consolidated Appropriations Act (CAA): Have you reviewed your online provider directory information lately?

Administrative

Updated preventive care guidance regarding screening colonoscopies

Administrative

Understanding your patients’ differences is lifesaving

Administrative

Your influence matters: Recommending cancer screenings to your patients

Administrative

Simplifying requests for additional information

Digital Tools

Enhancements to the Availity Authorization application are now available

Digital Tools

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates

Notice of material change/amendment to contract
Medical Policy & Clinical Guidelines

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
Pharmacy

Correction to February 2022 specialty pharmacy updates

Notice of material change/amendment to contract
Pharmacy

Specialty pharmacy updates - March 2022

Notice of material change/amendment to contract
Pharmacy

HEDIS 2022 Federal Employee Program® medical record request requirements

Federal Employee Plan (FEP)

New address for Federal Employee Program® clinical grievances and appeals

Federal Employee Plan (FEP)

Prior authorization requirement change effective June 1, 2022

Medicare

Clinical criteria updates

Medicare

Annual wellness visits for Medicare Advantage members

Medicare

Medication adherence

Medicare

Keep up with Medicare news

  • Medical step therapy updates
  • Phone number change for AIM in Maine
Medicare
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