Maine
Provider Communications

May 2022 Anthem Maine Provider News

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Title Category

Notices of material changes/amendments to contract - May 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:

  • Provider Manual updated effective July 1, 2022
  • Medical policy and clinical guideline updates available on anthem.com
  • Clinical criteria updates for specialty pharmacy
  • Specialty pharmacy updates - May 2022
Administrative

Provider Manual updated effective July 1, 2022

Notice of material change/amendment to contract
Administrative

Anthem announces changes to post-payment audits conducted on our behalf

Administrative

May is National High Blood Pressure Education Month: We’ve got this!

Administrative

Alcohol use disorder has a big cost

Administrative

Resources to support diverse patients and communities

Administrative

Coding tips for reporting administration of Spravato®

Administrative

CAA: Timely updates help keep our provider directories current

Administrative

Primary care appointment access and open panels

Administrative

Join us for an FEP Quality Learning Program live webinar

Federal Employee Plan (FEP)

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP® Quality Reimbursement Program for PPO providers

Federal Employee Plan (FEP)

Medical policy and clinical guideline updates available on anthem.com

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

Convenient, reliable at-home testing for colorectal cancer and diabetes care

Medicare

HEDIS 2022: summary of changes from NCQA

Medicare

New specialty pharmacy medical step therapy requirements

Medicare

Keep up with Medicare news

  • AMH Health, LLC expands specialty pharmacy precertification list
  • AMH Health, LLC expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirements

 

Medicare

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
Pharmacy

Specialty pharmacy updates - May 2022

Notice of material change/amendment to contract
Pharmacy
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