Maine
Provider Communications

Articles Category: Administrative

Title Publication Category Date

Notices of material changes/amendments to contract - December 2022

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Case management program

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Important information about utilization management

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Coordination of care

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Information from Anthem for Care Providers about COVID-19 (updated November 8, 2022)

COVID-19 Information - Maine Administrative Nov 8, 2022

PCP searches in Find Care

PCP searches in Find Care - Maine Administrative Nov 2, 2022

Notices of material changes/amendments to contract - November 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:

  • Correction to reimbursement policy: Place of Service - Facility
  • Medical policy and clinical guideline updates available on anthem.com
  • Specialty pharmacy updates - November 2022
November 2022 Provider Newsletter - Maine Administrative Nov 1, 2022

Post office boxes being retired because of low usage

November 2022 Provider Newsletter - Maine Administrative Nov 1, 2022

Support documentation for AIM prior authorization requests

November 2022 Provider Newsletter - Maine Administrative Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Provider Newsletter - Maine Administrative Nov 1, 2022

Claims status message enhancements: providing clear descriptions and actionable next steps

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Authorization application enhancements: faster, easier, and more efficient

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Submit digital attachments within seven calendar days for claims filed with a PWK segment indicator

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Maine Administrative Oct 7, 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
October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

Precertification list changes effective January 1, 2023

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

National Accounts 2023 Pre-certification list

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

CAA: Review your online provider directory information

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

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

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

Provider Learning Hub is here

October 2022 Provider Newsletter – Maine Digital Tools Oct 1, 2022

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Maine Administrative Sep 9, 2022

Notices of material changes/amendments to contract - September 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:

  • Reimbursement policy update:  Modifier Rules – Professional
  • Specialty pharmacy updates - September 2022
  • Clinical criteria updates for specialty pharmacy

 

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

Anthem to accept Hospital in Home services

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

Monkeypox resources and recommendations for our care providers

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

Important information about women’s preventive care visits

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

Updates to the Claim Attachment workflow

September 2022 Anthem Maine Provider News Digital Tools Sep 1, 2022

Notices of material changes/amendments to contract - August 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:

  • Reimbursement policy update: Place of Service - Facility
  • Medical policy and clinical guideline updates are available on anthem.com
  • Specialty pharmacy updates
  • Clinical criteria updates for specialty pharmacy
August 2022 Anthem Maine Provider News Administrative Aug 1, 2022

Performance enhancements to the authorization application on Availity Essentials

August 2022 Anthem Maine Provider News Digital Tools Aug 1, 2022

Reminder: Inpatient/outpatient commercial claim denials

August 2022 Anthem Maine Provider News Administrative Aug 1, 2022

Timely updates help keep our provider directories current

August 2022 Anthem Maine Provider News Administrative Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Anthem Maine Provider News Digital Tools Aug 1, 2022

Add supporting documents directly to your claims with the new Claims Status Inquiry Send Attachments feature

August 2022 Anthem Maine Provider News Digital Tools Aug 1, 2022

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Maine Administrative Jul 20, 2022

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

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 - RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED. 
Future updates regarding COVID-19 will appear in the monthly Provider News publication.

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
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