Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

July 2020 Anthem Maine Provider News

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

Updated coverage for HIV PrEP medications

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

Commercial Risk Adjustment (CRA) 2020 Program Year Progression: What’s in it for you and your patients?

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

New MCG 24th Edition Guidelines

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

Availity’s Custom Learning Center

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

Interactive Care Reviewer: Anthem’s online prior authorization tool targeted to launch in Q3

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

SmartShopper® program update

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

Medical policy and clinical guideline updates available on anthem.com

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

PharmacyAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

Clinical criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2020

Prior authorization updates for specialty pharmacy effective October 1, 2020

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2020

Keep up with Medicare news

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2020

Maine Education Association Benefits Trust offers Medicare Advantage option

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2020

2020 Special Needs Plans

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2020

Prior authorization for BiPAP equipment and supplies moving from AIM Specialty Health effective July 1, 2020

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2020

In-office assessment program

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2020

Medical drug benefit clinical criteria updates