Anthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

February 2019 Anthem Maine Provider Newsletter

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Coverage change for contraceptives and contraceptive supplies effective January 1, 2019

AdministrativeAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Reminder: review ICD-10-CM coding guidelines: professional

AdministrativeAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Claim edit enhancements for outpatient facility claims

AdministrativeAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Sign up today for provider eUpdates

Behavioral Health

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Member satisfaction with behavioral health outpatient services

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Aware Recovery Care provides comprehensive drug and alcohol addiction rehab programs

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Clinical guideline updates are available on anthem.com

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Injectable Substances with Related Injection Services reimbursement policy update: professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Significant Edits: professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Body Mass Index reimbursement policy: facility

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

HEDIS® 2019 Federal Employee Program medical record request requirements

PharmacyAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Specialty pharmacy medical step therapy drug list expanded

PharmacyAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Specialty pharmacy prior authorization list expanded

PharmacyAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2019

Clinical criteria updates for specialty pharmacy

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2019

Keep up with Medicare news

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2019

New specialty Medicare Part B device preferred product program

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2019

Eye refraction and routine eye exam billing information

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2019

Reminder: Anthem follows Original Medicare policies