Maine
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy updates are available on anthem.com

July 2021 Maine Provider News Medical Policy & Clinical Guidelines Jul 1, 2021

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 1, 2022

Medical policy and clinical guideline updates

Notice of material change/amendment to contract
January 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jan 1, 2022

Medical policy and clinical guideline updates available on anthem.com

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines May 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Nov 1, 2022

Medical policy and clinical guideline updates available on anthem.com

Notice of material change/amendment to contract

November 2022 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Nov 1, 2022

Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Medical Policy and Clinical Guideline updates are available on our provider website

Notice of material change/amendment to contract.
February 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Feb 1, 2023

Un-adopted clinical guidelines effective June 1, 2019

July 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Mar 1, 2022

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

December 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

December 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

December 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

December 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Medical policy updates are available on anthem.com

February 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Clinical guideline updates are available on anthem.com

February 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Medical policy and clinical guidelines updates are available on anthem.com

June 2018 Maine newsletter Medical Policy & Clinical Guidelines Jun 22, 2018

Clinical guideline updates are available on anthem.com

February 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy and clinical guideline updates available on our provider website

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy updates are available on anthem.com

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical guideline updates are available on anthem.com

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Update on clinical guideline communication in October 2018 provider newsletter

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Medical policy and clinical guideline updates available on anthem.com

July 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jul 1, 2020

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy updates are available on anthem.com

October 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Clinical guideline updates are available on anthem.com

October 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Medical policy updates are available on anthem.com

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Medical policy updates are available on anthem.com

November 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Clinical guideline updates are available on anthem.com

November 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Medical policy and clinical guideline updates are available on anthem.com

April 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Apr 1, 2021

Clinical guideline update effective June 1, 2020 - Paraesophageal Hernia Repair

March 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines Mar 1, 2020

Medical policy updates are available on anthem.com

May 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Correction to July 2021 Provider News medical policy update SURG.00017

September 2021 Maine Provider News Medical Policy & Clinical Guidelines Sep 1, 2021

Medical policy updates are available on anthem.com

December 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Clinical guideline updates are available on anthem.com

May 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Clinical guideline updates are available on anthem.com

December 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Update on clinical guideline communication in October 2018 provider newsletter

December 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Medical policy and clinical guideline updates are available on anthem.com

Notice of material change/amendment to contract
August 2022 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2022

Coding Updates

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical guideline updates are available on anthem.com

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Coding Updates

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Medical policy updates are available on anthem.com

August 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Clinical Guideline CG-ANC-07 effective September 1, 2019

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Medical policy and clinical guideline updates are available on anthem.com

May 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines May 1, 2020

Clinical guideline updates are available on anthem.com

August 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Medical policy and clinical guideline updates

October 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines Oct 1, 2020

Medical policy and clinical guideline updates are available on anthem.com

January 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jan 1, 2021

Clinical guideline update available on anthem.com

May 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines May 1, 2021

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy updates are available on anthem.com

September 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

Medical policy and clinical guideline updates are available on anthem.com

October 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Oct 1, 2021

Medical policy updates are available on anthem.com

August 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical guideline updates are available on anthem.com

August 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical criteria updates for specialty pharmacy

August 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical guideline updates are available on anthem.com

September 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

New Clinical Guideline: Pneumatic Compression Devices effective December 1, 2019

September 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

Clinical guideline updates are available on anthem.com

November 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines Nov 1, 2020

Reimbursement policy update: Consultations - professional

July 2021 Maine Provider News Reimbursement Policies Jul 1, 2021

New reimbursement policy: Non-patient Laboratory Services - facility

July 2021 Maine Provider News Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Modifier Rules - Professional

Notice of material change/amendment to contract
September 2022 Anthem Maine Provider News Reimbursement Policies Sep 1, 2022

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

October 2022 Provider Newsletter – Maine Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Notice of material change/amendment to contract
October 2022 Provider Newsletter – Maine Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Modifier 66: Surgical Teams - Professional

September 2022 Anthem Maine Provider News Reimbursement Policies Sep 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

September 2022 Anthem Maine Provider News Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

Reimbursement policy update - Claims Requiring Additional Documentation (facility)

August 2020 Anthem Maine Provider News Reimbursement Policies Aug 1, 2020

Correction to reimbursement policy: Place of Service - Facility

Notice of material change/amendment to contract
November 2022 Provider Newsletter - Maine Reimbursement Policies Nov 1, 2022

New reimbursement policy: Transitional Care Management - Professional

July 2022 Anthem Maine Provider News Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (facility)

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Reimbursement Policies Jun 1, 2022

Retraction for reimbursement policy - Sexually Transmitted Infections – Professional

July 2022 Anthem Maine Provider News Reimbursement Policies Jul 1, 2022

Outpatient facility revenue code billing requirements

January 2023 Provider Newsletter - Maine Reimbursement Policies Dec 30, 2022

Diagnosis-Related Group Newborn Inpatient Stays facility reimbursement policy update

June 2018 Maine newsletter Reimbursement Policies Jun 19, 2018

Cervical Cancer Screening using Cytology and Human Papillomavirus Testing (CG-MED-43) not implemented

June 2018 Maine newsletter Reimbursement Policies Jun 19, 2018

Review of reimbursement policies – professional

June 2018 Maine newsletter Reimbursement Policies Jun 19, 2018

Injectable Substances with Related Injection Services reimbursement policy update: professional

February 2019 Anthem Maine Provider Newsletter Reimbursement Policies Feb 1, 2019

Reimbursement policy update: Bundled Services and Supplies - professional

December 2020 Anthem Maine Provider News Reimbursement Policies Dec 1, 2020

Body Mass Index reimbursement policy: facility

February 2019 Anthem Maine Provider Newsletter Reimbursement Policies Feb 1, 2019

Durable Medical Equipment professional reimbursement policy reminders

June 2018 Maine newsletter Reimbursement Policies Jun 22, 2018

Assistant Surgeon Coding update: professional

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

Significant Edits: professional

February 2019 Anthem Maine Provider Newsletter Reimbursement Policies Feb 1, 2019

Documentation and Reporting Guidelines for E/M Services update: professional

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

Reimbursement policy update: Claims requiring additional documentation (facility)

August 2021 Maine Provider News Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU

August 2021 Maine Provider News Reimbursement Policies Aug 1, 2021

Routine Obstetrical Services update: professional

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

Reimbursement policy update:  Virtual Visits - professional and facility

Notice of material change/amendment to contract
August 2021 Maine Provider News Reimbursement Policies Aug 1, 2021

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Maine Provider Newsletter Reimbursement Policies Jan 1, 2019

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

June 2020 Anthem Maine Provider News Reimbursement Policies Jun 1, 2020

Multiple Diagnostic Imaging Reimbursement Policy update: facility

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

Readmissions Reimbursement Policy update: facility

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

New Reimbursement Policy - Ambulance Transportation - professional

June 2019 Anthem Maine Provider Newsletter Reimbursement Policies Jun 1, 2019
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