Maine
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

Clinical Criteria updates for specialty pharmacy

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

Specialty pharmacy updates - December 2022

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

Pharmacy information available on the provider website

December 2022 Provider Newsletter - Maine Pharmacy Dec 1, 2022

Specialty pharmacy updates - November 2022

Notice of material change/amendment to contract

November 2022 Provider Newsletter - Maine Pharmacy Nov 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Provider Newsletter – Maine Pharmacy Oct 1, 2022

Clinical Criteria updates for specialty pharmacy

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

Specialty pharmacy updates - October 2022

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

Pharmacy information available on provider website

October 2022 Provider Newsletter – Maine Pharmacy Oct 1, 2022

Specialty pharmacy updates - September 2022

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

Clinical criteria updates for specialty pharmacy

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

New Back Pain Management Program

September 2022 Anthem Maine Provider News Products & Programs Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Maine Provider News Pharmacy Sep 1, 2022

Specialty pharmacy updates

Notice of material change/amendment to contract
August 2022 Anthem Maine Provider News Pharmacy Aug 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
August 2022 Anthem Maine Provider News Pharmacy Aug 1, 2022

Pharmacy information available on anthem.com

August 2022 Anthem Maine Provider News Pharmacy Aug 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Maine Provider News Behavioral Health Aug 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of Material Change/Amendment to Contract
July 2022 Anthem Maine Provider News Pharmacy Jul 1, 2022

Pharmacy information available online

July 2022 Anthem Maine Provider News Pharmacy Jul 1, 2022

Updated AIM Musculoskeletal Program effective October 1, 2022

Notice of material change/amendment to contract
June 2022 Anthem Maine Provider News Products & Programs Jun 1, 2022

Specialty pharmacy updates - June 2022

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

Opioid overdose deaths: What can we do?

June 2022 Anthem Maine Provider News Behavioral Health Jun 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Pharmacy May 1, 2022

Specialty pharmacy updates - May 2022

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Pharmacy May 1, 2022

Pharmacy information available on anthem.com

April 2022 Anthem Maine Provider News Pharmacy Apr 1, 2022

Specialty pharmacy updates - April 2022

Notice of material change/amendment to contract
April 2022 Anthem Maine Provider News Pharmacy Apr 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

Specialty pharmacy updates - March 2022

Notice of material change/amendment to contract
March 2022 Anthem Maine Provider News Pharmacy Mar 1, 2022

Specialty pharmacy updates - February 2022

Notice of material change/amendment to contract
February 2022 Anthem Maine Provider News Pharmacy Feb 1, 2022

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
February 2022 Anthem Maine Provider News Pharmacy Feb 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Maine Provider News Pharmacy Feb 1, 2022

BlueHPN network live in Maine for 2022

January 2022 Anthem Maine Provider News Products & Programs Jan 1, 2022

Behavioral healthcare appointment access requirements

December 2021 Anthem Maine Provider News Behavioral Health Dec 1, 2021

Clinical criteria updates for specialty pharmacy

December 2021 Anthem Maine Provider News Pharmacy Dec 1, 2021

Specialty pharmacy updates - December 2021

December 2021 Anthem Maine Provider News Pharmacy Dec 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Maine Provider News Pharmacy Dec 1, 2021

New Blue HPN® network included in plans available for employee open enrollment Fall 2021

November 2021 Anthem Maine Provider News Products & Programs Nov 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Maine Provider News Products & Programs Nov 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Maine Provider News Pharmacy Nov 1, 2021

Specialty pharmacy updates - November 2021

November 2021 Anthem Maine Provider News Pharmacy Nov 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Maine Provider News Pharmacy Oct 1, 2021

Clinical criteria updates for specialty pharmacy

October 2021 Anthem Maine Provider News Pharmacy Oct 1, 2021

Specialty pharmacy updates - October 2021

October 2021 Anthem Maine Provider News Pharmacy Oct 1, 2021

Prior authorization updates for specialty pharmacy effective December 1, 2021

September 2021 Maine Provider News Pharmacy Sep 1, 2021

Clinical criteria updates for specialty pharmacy

September 2021 Maine Provider News Pharmacy Sep 1, 2021

Transition to AIM Specialty Health Imaging of the Heart Clinical Appropriateness Guideline for computed tomography to detect coronary artery calcification

August 2021 Maine Provider News Products & Programs Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Maine Provider News Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications effective August 1, 2021

August 2021 Maine Provider News Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program begins August 1, 2021

August 2021 Maine Provider News Pharmacy Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2021 Maine Provider News Pharmacy Aug 1, 2021

Specialty pharmacy updates effective November 1, 2021

August 2021 Maine Provider News Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Maine Provider News Pharmacy Aug 1, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021

July 2021 Maine Provider News Pharmacy Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Maine Provider News Pharmacy Jul 1, 2021

Clinical criteria updates for specialty pharmacy

July 2021 Maine Provider News Pharmacy Jul 1, 2021

Prior authorization updates for specialty pharmacy effective October 1, 2021

July 2021 Maine Provider News Pharmacy Jul 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

June 2021 Anthem Maine Provider News Products & Programs Jun 1, 2021

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

June 2021 Anthem Maine Provider News Products & Programs Jun 1, 2021

Prior authorization and step therapy updates for specialty pharmacy

June 2021 Anthem Maine Provider News Pharmacy Jun 1, 2021

Clinical criteria updates for specialty pharmacy

June 2021 Anthem Maine Provider News Pharmacy Jun 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Maine Provider News Pharmacy Jun 1, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) - enhanced reimbursement to begin July 1, 2021

May 2021 Anthem Maine Provider News Products & Programs May 1, 2021

Update to AIM Specialty Health Oncologic Imaging Clinical Appropriateness Guidelines

May 2021 Anthem Maine Provider News Products & Programs May 1, 2021

Clinical criteria updates for specialty pharmacy

May 2021 Anthem Maine Provider News Pharmacy May 1, 2021

Specialty pharmacy prior authorization update - certain drugs for treatment of ocular conditions continue to require prior authorization

May 2021 Anthem Maine Provider News Pharmacy May 1, 2021

Prior authorization updates for specialty pharmacy effective August 2021

May 2021 Anthem Maine Provider News Pharmacy May 1, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors to begin August 1, 2021

April 2021 Anthem Maine Provider News Products & Programs Apr 1, 2021

CPT code E1399 not included in AIM Sleep Program effective April 1, 2021

April 2021 Anthem Maine Provider News Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

April 2021 Anthem Maine Provider News Behavioral Health Apr 1, 2021

Prior authorization updates for specialty pharmacy effective July 1, 2021

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Clinical criteria updates for specialty pharmacy

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

UPDATE: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Anthem Maine Provider News Products & Programs Mar 1, 2021

Site of care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

Certain HIV medication combinations may require prior authorization

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

Specialty pharmacy updates

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

Prior authorization updates for specialty pharmacy effective May 1, 2021

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

Clinical criteria updates for specialty pharmacy

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

Formulary lists updated for commercial health plan pharmacy benefit

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

Prior authorization updates for specialty pharmacy

January 2021 Anthem Maine Provider News Pharmacy Jan 1, 2021

AIM IVR changes for non-oncology medical specialty drug reviews effective January 1, 2021

December 2020 Anthem Maine Provider News Products & Programs Dec 1, 2020

Updates to AIM Cardiology Clinical Appropriateness Guidelines

December 2020 Anthem Maine Provider News Products & Programs Dec 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2020 Anthem Maine Provider News Products & Programs Dec 1, 2020

Updates to AIM Radiation Oncology Clinical Appropriateness Guidelines

December 2020 Anthem Maine Provider News Products & Programs Dec 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

December 2020 Anthem Maine Provider News Products & Programs Dec 1, 2020

Reminder: National drug code required for professional and facility outpatient claims effective December 16, 2020

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Prior authorization updates for specialty pharmacy effective March 1, 2021

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Clinical criteria updates for specialty pharmacy

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Reminder: Post-service reviews performed by AIM

November 2020 Anthem Maine Provider News Products & Programs Nov 1, 2020

Prior authorization updates for specialty pharmacy effective February 1, 2021

November 2020 Anthem Maine Provider News Pharmacy Nov 1, 2020

Clinical criteria updates for specialty pharmacy

November 2020 Anthem Maine Provider News Pharmacy Nov 1, 2020

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum invitation - Maine Behavioral Health Oct 14, 2020

Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Maine Provider News Products & Programs Oct 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayed until December 1, 2020

October 2020 Anthem Maine Provider News Products & Programs Oct 1, 2020

FDA approvals and expedited pathways used - new molecular entities (NMEs)

October 2020 Anthem Maine Provider News Pharmacy Oct 1, 2020

Prior authorization updates for specialty pharmacy effective January 2021

October 2020 Anthem Maine Provider News Pharmacy Oct 1, 2020

Clinical criteria updates for specialty pharmacy

October 2020 Anthem Maine Provider News Pharmacy Oct 1, 2020
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