Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

October 2022 Provider Newsletter – Maine

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Notices of material changes/amendments to contract - October 2022
Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:
  • Precertification list changes effective January 1, 2023
  • Clinical Criteria updates for specialty pharmacy
  • Specialty pharmacy updates - October 2022
  • Reimbursement policy update: Multiple and Bilateral Surgery Processing – Professional

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Prior authorization required for hip and knee services for State of Maine Health Plan members effective July 1, 2022

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

CAA: Review your online provider directory information

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

National Accounts 2023 Pre-certification list

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Precertification list changes effective January 1, 2023
Notice of material change/amendment to contract

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare Advantage[NOT PUBLISHED]

Personalized Match Phase 1 — call center talking points

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Provider Learning Hub is here

Policy Updates

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional
Notice of material change/amendment to contract

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

Products & Programs

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Pharmacy information available on provider website

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Specialty pharmacy updates - October 2022
Notice of material change/amendment to contract

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Clinical Criteria updates for specialty pharmacy
Notice of material change/amendment to contract

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2022

Keep up with Medicare news
  • Medicare Part B Precert Expansion Alymsys
  • Medicare Part B Precert Expansion Amvuttra Xipere
  • Consultation Codes

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2022

Monkeypox and smallpox vaccines: Product code on claims