Maine
Provider Communications

Articles Category: Administrative

Title Publication Category Date

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Notices of material changes/amendments to contract - July 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:

  • Clinical criteria updates for specialty pharmacy
July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality Program to be discontinued effective December 31, 2022

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Update to facility editing: HCPCS code G0463

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesity

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Enhancing claims attachment processes through digital applications: Add attachments through Claims Status Inquiry

July 2022 Anthem Maine Provider News Digital Tools Jul 1, 2022

Coming soon: Anthem Provider Learning Hub makes Availity learning easier

July 2022 Anthem Maine Provider News Digital Tools Jul 1, 2022

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

New Prior Authorization Requirements for State of Maine Health Plan Members Administrative Jun 20, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 15, 2022

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield and Motivo* for Anthem providers on June 22, 2022.
Exploring the Intersection of Race and Disability forum - Maine Administrative Jun 8, 2022

Notices of material changes/amendments to contract - June 2022

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

Exploring the Intersection of Race and Disability forum

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

Provider outreach to validate your provider data

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

Notices of material changes/amendments to contract - May 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:

  • Provider Manual updated effective July 1, 2022
  • Medical policy and clinical guideline updates available on anthem.com
  • Clinical criteria updates for specialty pharmacy
  • Specialty pharmacy updates - May 2022
May 2022 Anthem Maine Provider News Administrative May 1, 2022

Provider Manual updated effective July 1, 2022

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

Primary care appointment access and open panels

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Anthem announces changes to post-payment audits conducted on our behalf

May 2022 Anthem Maine Provider News Administrative May 1, 2022

May is National High Blood Pressure Education Month: We’ve got this!

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Coding tips for reporting administration of Spravato®

May 2022 Anthem Maine Provider News Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Information from Anthem for Care Providers about COVID-19 (updated April 15, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Maine Administrative Apr 15, 2022

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe & Effective Antibiotic Prescribing - Maine Administrative Apr 5, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

HEDIS 2022: Summary of changes from NCQA

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Catching up on routine vaccines

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Reminder on Botox® for Anthem members

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

CAA: Update your provider directory information

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Procedure searches in Find Care

April 2022 Anthem Maine Provider News Digital Tools Apr 1, 2022

Notices of material changes/amendments to contract – April 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 article:

  • Specialty pharmacy updates - April 2022
April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Register today for the Exploring Implicit Bias in Healthcare for Historically Marginalized Body:
Register today for Exploring Implicit Bias Forum on March 16, 2022 - Maine Administrative Mar 2, 2022

Notices of material changes/amendments to contract – March 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:

  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
  • Clinical criteria updates for specialty pharmacy
  • Correction to February 2022 specialty pharmacy updates
  • Specialty pharmacy updates - March 2022
March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Consolidated Appropriations Act (CAA): Have you reviewed your online provider directory information lately?

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Enhancements to the Availity Authorization application are now available

March 2022 Anthem Maine Provider News Digital Tools Mar 1, 2022

New! Vaccination resource page for providers

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Updated preventive care guidance regarding screening colonoscopies

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Understanding your patients’ differences is lifesaving

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Your influence matters: Recommending cancer screenings to your patients

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Simplifying requests for additional information

March 2022 Anthem Maine Provider News Digital Tools Mar 1, 2022

GN, GO, GP therapy modifier requirement paused for Anthem Maine members

GN, GO, GP therapy modifier requirement paused for Anthem Maine members Administrative Feb 21, 2022

Provider Manual to be updated April 4, 2022

Maine Provider Manual update effective April 4, 2022 Administrative Feb 3, 2022

Notices of material changes/amendments to contract

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:

  • Specialty pharmacy updates - February 2022
  • Clinical criteria updates for specialty pharmacy
February 2022 Anthem Maine Provider News Administrative Feb 1, 2022

Prepare for the CAA: Keep your provider directory information current

February 2022 Anthem Maine Provider News Administrative Feb 1, 2022

Cancer Care Navigator

February 2022 Anthem Maine Provider News Administrative Feb 1, 2022

It is CAHPS survey time!

February 2022 Anthem Maine Provider News Administrative Feb 1, 2022

Heart disease is the number one killer of women

February 2022 Anthem Maine Provider News Administrative Feb 1, 2022

Important COVID-19 update: Prior authorization and other policy adjustments (updated January 18, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Maine Administrative Jan 18, 2022

Notices of material changes/amendments to contract

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 article:

  • Medical policy and clinical guideline updates
January 2022 Anthem Maine Provider News Administrative Jan 1, 2022

Well-child visits: Know the numbers

January 2022 Anthem Maine Provider News Administrative Jan 1, 2022

Anthem is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback
Availity Authorization App improvements - Maine Digital Tools Dec 28, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Blue Precision program to be retired on December 31, 2021

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

IMPORTANT: Taxonomy codes for APRNs, mid-wives, physician assistants, and behavioral health facilities billing on CMS-1500 form

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Important information about utilization management

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
December 2021 Anthem Maine Provider News Digital Tools Dec 1, 2021

Is prior authorization required?

Answering your questions about the new Availity Authorization App
December 2021 Anthem Maine Provider News Digital Tools Dec 1, 2021

Professional system updates for 2022

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Outpatient system updates for 2022

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Importance of PCP after-hours messaging

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Chlamydia screening for teens and young adults

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Member rights and responsibilities

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Coordination of care

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Case Management Program

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Reminder: EnrollSafe is available

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Anthem Maine Provider News Digital Tools Dec 1, 2021

Register today for a forum on Grief and Loss: The disproportionate impact of the pandemic on communities of color

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the disproportionate impact of the pandemic on communities of color.
Grief & Loss Forum - Maine Administrative Nov 29, 2021

Update on claims processing

Anthem Blue Cross and Blue Shield in Maine continues to manage workflow challenges that have caused delays in our ability to properly process and pay claims to some providers. To support you during this time, we have established a team dedicated to Maine healthcare providers.
Important update from Anthem in Maine Administrative Nov 22, 2021

Time to prepare for HEDIS® medical record review

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

CME credits available in 2021 for a variety of clinical quality webinars - register now!

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

Join Anthem in talking about racism and its impact on health, and earn continuing education credits!

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

Be Antibiotics Aware: Protect your patient

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

Change in coverage for continuous glucose monitors for some fully insured groups

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
November 2021 Anthem Maine Provider News Digital Tools Nov 1, 2021

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

November 2021 Anthem Maine Provider News Digital Tools Nov 1, 2021

Against medical advice (AMA) discharge physician tracking tool

November 2021 Anthem Maine Provider News Digital Tools Nov 1, 2021

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction", presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Maine Administrative Oct 21, 2021

Update on processing delays for provider applications and provider maintenance forms

Important message from Anthem in Maine Administrative Oct 13, 2021

Submit claims with complete and correct data to avoid claim denials

Submit claims with complete data to avoid claim denials - Maine Administrative Oct 8, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Maine Administrative Oct 5, 2021

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

October 2021 Anthem Maine Provider News Administrative Oct 1, 2021

Looking to earn CME credits? Register for on-demand webinars

Provider News test publication Administrative Oct 1, 2021

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

October 2021 Anthem Maine Provider News Administrative Oct 1, 2021

Are you talking to ALL of your patients about breast cancer screenings?

Provider News test publication Administrative Oct 1, 2021

Clinical appeals

October 2021 Anthem Maine Provider News Administrative Oct 1, 2021

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Anthem Maine Provider News Administrative Oct 1, 2021

Reminder: EnrollSafe replacing CAQH Enrollhub effective November 1, 2021

October 2021 Anthem Maine Provider News Digital Tools Oct 1, 2021

Procedure searches in Find Care

October 2021 Anthem Maine Provider News Digital Tools Oct 1, 2021

Submit provider claim payment disputes for Anthem’s Commercial lines of business via Availity beginning October 19, 2021

October 2021 Anthem Maine Provider News Digital Tools Oct 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

October 2021 Anthem Maine Provider News Digital Tools Oct 1, 2021

Exploring the Impact of Racial Trauma on the Health & Wellbeing of Children Forum

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the impact of racial trauma on the health and wellbeing on children and adolescents.

Racial Trauma & Children - Maine Administrative Sep 15, 2021

Register now for our September CME webinars!

September 2021 Maine Provider News Administrative Sep 1, 2021
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