Anthem Blue Cross and Blue Shield | CommercialJune 1, 2020

June 2020 Anthem Maine Provider News

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

A special thank you to Care Providers
Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

Availity Portal Notification Center

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

Quality Corner: CPT® Category II codes - Collaborating for enhanced patient care

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

Commercial Risk Adjustment (CRA) Program update: Retrospective Program begins; Prospective Program continues

Behavioral Health

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

Enhanced process for submitting behavioral health authorization requests now available

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

Quality Corner - Follow-Up after Hospitalization for Mental Illness

Policy Updates

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

New Reimbursement Policy - Nurse Practitioner and Physician Assistant Services - professional

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

Clinical criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

Prior authorization updates for specialty pharmacy effective September 1, 2020

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 31, 2020

Pharmacy information available on anthem.com

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2020

Modifier use reminders

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2020

Optum to collect medical records for risk adjustment

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2020

2020 Medicare risk adjustment provider trainings

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2020

Diabetes HbA1c HEDIS guidance

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2020

Keep up with Medicare news