Maine
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing providers nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.


Important Update for New 200k Group Retiree PPO Plan - Maine Medicare Jan 5, 2022

2022 FEP® benefit information available online

January 2022 Anthem Maine Provider News Federal Employee Plan (FEP) Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Maine Provider News Medicare Jan 1, 2022

Professional claims - billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem Maine Provider News Medicare Jan 1, 2022

Important update on Botox® for Medicare members of AMH Health, LLC

January 2022 Anthem Maine Provider News Medicare Jan 1, 2022

Keep up with Medicare news

January 2022 Anthem Maine Provider News Medicare Jan 1, 2022

Drug Screen Testing policy update - effective March 1, 2022

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

Somatus is your resource for kidney care management

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

Keep up with Medicare news

  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
  • Medical drug benefit clinical criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • Medical Policies and Clinical Utilization Management Guidelines update
December 2021 Anthem Maine Provider News Medicare Dec 1, 2021

AMH Health, LLC offering advance medical directives program for 2022

November 2021 Anthem Maine Provider News Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Maine Provider News Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

November 2021 Anthem Maine Provider News Medicare Nov 1, 2021

Clinical criteria updates

November 2021 Anthem Maine Provider News Medicare Nov 1, 2021

Keep up with Medicare news

November 2021 Anthem Maine Provider News Medicare Nov 1, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan - Maine Medicare Oct 19, 2021

New medical step therapy requirements

October 2021 Anthem Maine Provider News Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

October 2021 Anthem Maine Provider News Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

October 2021 Anthem Maine Provider News Medicare Oct 1, 2021

New reimbursement policy effective January 1, 2022 - Sexually Transmitted Infections Testing - professional

October 2021 Anthem Maine Provider News Medicare Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Maine Provider News Medicare Oct 1, 2021

Keep up with Medicare news

October 2021 Anthem Maine Provider News Medicare Oct 1, 2021

Utilization management authorization rule operations

September 2021 Maine Provider News Medicare Sep 1, 2021

Prior authorization/Precertification form notification

September 2021 Maine Provider News Medicare Sep 1, 2021

Reimbursement policy update - DRG Inpatient Facility Transfers effective November 30, 2021

September 2021 Maine Provider News Medicare Sep 1, 2021

Keep up with Medicare news

September 2021 Maine Provider News Medicare Sep 1, 2021

Change in email submission of service requests for Federal Employee Program® members

August 2021 Maine Provider News Federal Employee Plan (FEP) Aug 1, 2021

Keep up with Medicare news

August 2021 Maine Provider News Medicare Aug 1, 2021

Keep up with Medicare news

July 2021 Maine Provider News Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem and AMH Health LLC results in improved patient care management

July 2021 Maine Provider News Medicare Jul 1, 2021

Let’s Vaccinate

July 2021 Maine Provider News Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

July 2021 Maine Provider News Medicare Jul 1, 2021

Medical drug benefit clinical criteria update

July 2021 Maine Provider News Medicare Jul 1, 2021

New Policy - Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (effective 10/1/21)

July 2021 Maine Provider News Medicare Jul 1, 2021

Inpatient readmissions policy reminder

June 2021 Anthem Maine Provider News Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Maine Provider News Medicare Jun 1, 2021

MCG Care Guidelines 25th Edition

June 2021 Anthem Maine Provider News Medicare Jun 1, 2021

Keep up with Medicare news

June 2021 Anthem Maine Provider News Medicare Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program

June 2021 Anthem Maine Provider News Federal Employee Plan (FEP) Jun 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Maine Provider News Medicare May 1, 2021

Keep up with Medicare news

May 2021 Anthem Maine Provider News Medicare May 1, 2021

Medical drug benefit clinical criteria updates - November 2020

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates - December 2020

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Maine Provider News Federal Employee Plan (FEP) Apr 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

Medical policies and clinical utilization management guidelines update for Anthem and AMH Health, LLC.

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

Medical drug benefit clinical criteria updates

February 2021 Anthem Maine Provider News Medicare Feb 1, 2021

Keep up with Medicare news

February 2021 Anthem Maine Provider News Medicare Feb 1, 2021

2021 FEP® Benefit information available online

January 2021 Anthem Maine Provider News Federal Employee Plan (FEP) Jan 1, 2021

Medical drug benefit clinical criteria updates

January 2021 Anthem Maine Provider News Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Anthem Maine Provider News Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Maine Provider News Medicare Jan 1, 2021

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Maine Provider News Medicare Dec 1, 2020

Medicare Advantage Group Retiree member eligibility, alpha prefix FAQs

December 2020 Anthem Maine Provider News Medicare Dec 1, 2020

Medical policies and clinical utilization management guidelines update applicable to Anthem and AMH Health, LLC.

December 2020 Anthem Maine Provider News Medicare Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Maine Provider News Medicare Dec 1, 2020

Keep up with Medicare news

December 2020 Anthem Maine Provider News Medicare Dec 1, 2020

Preferred continuous glucose monitors

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

Provider Chat - a fast, easy way to get your questions answered

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

Medical drug benefit clinical criteria updates

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

FDA approvals and expedited pathways used - new molecular entities

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

Keep up with Medicare news

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

Federal Employee Program expands specialty pharmacy prior authorization list

October 2020 Anthem Maine Provider News Federal Employee Plan (FEP) Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Prior authorization requirement changes effective December 1, 2020

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Prior authorization requirement changes effective January 1, 2021

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Provider transparency update

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Medical drug benefit clinical criteria updates

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Medical drug benefit clinical criteria updates

September 2020 Anthem Maine Provider News Medicare Sep 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Maine Provider News Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Anthem Maine Provider News Medicare Sep 1, 2020

Medical drug benefit clinical criteria updates

August 2020 Anthem Maine Provider News Medicare Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Maine Provider News Medicare Aug 1, 2020

AIM Musculoskeletal Program expansion

August 2020 Anthem Maine Provider News Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Maine Provider News Medicare Aug 1, 2020

Keep up with Medicare news

August 2020 Anthem Maine Provider News Medicare Aug 1, 2020

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Maine Provider News Federal Employee Plan (FEP) Jul 1, 2020

Medical drug benefit clinical criteria updates

July 2020 Anthem Maine Provider News Medicare Jul 1, 2020

In-office assessment program

July 2020 Anthem Maine Provider News Medicare Jul 1, 2020

Prior authorization for BiPAP equipment and supplies moving from AIM Specialty Health effective July 1, 2020

July 2020 Anthem Maine Provider News Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Anthem Maine Provider News Medicare Jul 1, 2020

Maine Education Association Benefits Trust offers Medicare Advantage option

July 2020 Anthem Maine Provider News Medicare Jul 1, 2020

Keep up with Medicare news

July 2020 Anthem Maine Provider News Medicare Jul 1, 2020

Modifier use reminders

June 2020 Anthem Maine Provider News Medicare Jun 1, 2020

Optum to collect medical records for risk adjustment

June 2020 Anthem Maine Provider News Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Maine Provider News Medicare Jun 1, 2020

Diabetes HbA1c HEDIS guidance

June 2020 Anthem Maine Provider News Medicare Jun 1, 2020

Keep up with Medicare news

June 2020 Anthem Maine Provider News Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Maine Provider News Medicare Jun 1, 2020

Unlisted, Unspecified or Miscellaneous Codes policy update effective August 1, 2020

May 2020 Anthem Maine Provider News Medicare May 1, 2020
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