Maine
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

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

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

Multi-dose packaging

May 2020 Anthem Maine Provider News Medicare May 1, 2020

Keep up with Medicare news

May 2020 Anthem Maine Provider News Medicare May 1, 2020

Updated COVID-19 Medicare Information

COVID-19 Information - Maine Medicare Apr 20, 2020

Keep up with Medicare news

April 2020 Anthem Maine Provider News Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Maine Provider News Medicare Apr 1, 2020

Medical drug benefit clinical criteria updates - November 2019

April 2020 Anthem Maine Provider News Medicare Apr 1, 2020

Medical drug benefit clinical criteria updates - December 2019

April 2020 Anthem Maine Provider News Medicare Apr 1, 2020

Keep up with Medicare news

March 2020 Anthem Maine Provider News Medicare Mar 1, 2020

Outpatient Rehabilitation Program transition: new prior authorization requirements effective April 1, 2020

March 2020 Anthem Maine Provider News Medicare Mar 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Anthem Maine Provider News Medicare Mar 1, 2020

Modifier 62 policy update: Co-Surgeons

February 2020 Anthem Maine Provider News Medicare Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Maine Provider News Medicare Feb 1, 2020

Keep up with Medicare news

February 2020 Anthem Maine Provider News Medicare Feb 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Medical drug benefit clinical criteria updates - August 2019

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Medical drug benefit clinical criteria updates - September 2019

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Postponed - review of professional claims with emergency room level 5 E/M codes

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

Keep up with Medicare news

January 2020 Anthem Maine Provider News Medicare Jan 1, 2020

2020 Medicare Advantage individual benefits and formularies

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

CMS reminder: expedited/urgent requests

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Group Retiree PPO plans

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization updates

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Prior authorization requirements for E0784, K0553 and K0554

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Electronic data interchange

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Anthem | MaineHealth to offer three new health maintenance organizations in 2020

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Introducing Interactive Care Reviewer

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

AMH Health, LLC (Anthem | MaineHealth) reimbursement policies

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Medical drug clinical criteria updates

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Reminder: refer Medicare Advantage members to in-network providers

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

March 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

2019 Enhanced Personal Health Care Program releases myFHR

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

Reimbursement Policy update: Drug Screen Testing

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

Rehabilitative services prior authorization review update for Medicare Advantage members

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

Bill Medicare Part D for shingles or tetanus vaccination claims

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Aspire Health telephonic palliative care program for Medicare members

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Medical drug clinical criteria updates

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Clinical laboratory improvement amendments

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Lowering health risks with no-cost statins

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Prior authorization requirements for continuous positive airway pressure supplies

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Assisting your patients in managing the Donut Hole

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Electronic attachments coming soon

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Clinical criteria updates

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Changes to prior authorization requirements effective December 1, 2019

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Keep up with Medicare news

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

New service types added to Availity

August 2019 Anthem Maine Provider News Medicare Aug 1, 2019

New reimbursement policy effective October 1, 2019 - Drug Screen Testing

August 2019 Anthem Maine Provider News Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Maine Provider News Medicare Aug 1, 2019

Special needs plans - provider training required

August 2019 Anthem Maine Provider News Medicare Aug 1, 2019

Keep up with Medicare news

August 2019 Anthem Maine Provider News Medicare Aug 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Maine Provider Newsletter Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Maine Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Anthem Maine Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

Fall prevention tips

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019
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