Anthem Blue Cross and Blue Shield | CommercialMay 1, 2019

May 2019 Anthem Maine Provider Newsletter

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

Good HbA1c <8

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

Referring to contracted ambulance providers

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

Review of professional claims with emergency room level 5 E/M codes

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

Provider manual to be updated July 1, 2019

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

Attention! Availity launches changes to the Medical Attachment submission tool

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

Electronic member ID cards – Easy online access on the Availity portal

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

MCG care guidelines 23rd Edition

Policy Updates

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

Clinical guideline updates are available on anthem.com

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

Medical policy updates are available on anthem.com

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

Drug Screen Testing update: professional

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

Specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

Pharmacy information available on anthem.com

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

Specialty pharmacy medical step therapy drug list expanded

State & Federal

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

Keep up with Medicare news

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

Partial hospitalization services

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

Medical records request for risk adjustment

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

Fall prevention tips

State & FederalAnthem Blue Cross and Blue Shield | CommercialMay 1, 2019

State of Maine Health Plan benefits for blood pressure cuffs