Maine
Provider Communications

May 2022 Anthem Maine Provider News

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Title Category

Specialty pharmacy updates - May 2022

Notice of material change/amendment to contract
Pharmacy

Resources to support diverse patients and communities

Administrative

Provider Manual updated effective July 1, 2022

Notice of material change/amendment to contract
Administrative

Primary care appointment access and open panels

Administrative

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

New specialty pharmacy medical step therapy requirements

Medicare

Medical policy and clinical guideline updates available on anthem.com

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

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

Administrative

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

Join us for an FEP Quality Learning Program live webinar

Federal Employee Plan (FEP)

HEDIS 2022: summary of changes from NCQA

Medicare

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

Federal Employee Plan (FEP)

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

Medicare

Coding tips for reporting administration of Spravato®

Administrative

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
Pharmacy

CAA: Timely updates help keep our provider directories current

Administrative

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

Administrative

Alcohol use disorder has a big cost

Administrative
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