Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 30, 2025

Notice of material change/amendment to contract

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Effective August 1, 2025

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialMay 1, 2025

Notice of material change/amendment to contract

Medical Policy and Clinical Guideline updates

Effective August 1, 2025

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageApril 18, 2025

New specialty pharmacy medical step therapy requirement

Effective June 1, 2025
Hercessi

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageApril 18, 2025

Specialty pharmacy preapproval list update

Effective August 1, 2025
Jubbonti; Wyost

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 1, 2025

Notice of material change/amendment to contract

Clinical Criteria updates for specialty pharmacy

Effective August 1, 2025

MEBCBS-CRCM-081398-25-CPN81360

Provider NewsMaine

Provider News Maine

Provider News Maine

May 2025 Provider Newsletter

Featured Articles

Notices of material changes/amendments to contract — May 2025

Wellness visits may increase appointment scheduling For members enrolled in an ACA plan

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