Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

December 2022 Provider Newsletter - Maine

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

CAA: Timely updates help keep our provider directories current

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Notices of material changes/amendments to contract - December 2022

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Case management program

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Important information about utilization management

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Coordination of care

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Member assessment of PCP after-hours messaging in 2022

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Members’ rights and responsibilities

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Signature requirements for laboratory orders or requisitions

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Notice of material change/amendment to contract

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Notice of material change/amendment to contract

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Notice of material change/amendment to contract

Reimbursement policy update: Bundled Services and Supplies - Professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Notice of material change/amendment to contract

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Pharmacy information available on the provider website

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Notice of material change/amendment to contract

Clinical Criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Notice of material change/amendment to contract

Specialty pharmacy updates - December 2022

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2022

2023 Medicare Advantage service area and benefit updates

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2022

Personal home helper benefit ending

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2022

Keep up with Medicare news
Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including: