Maine
Provider Communications

Articles

Title Publication Category Date

Anthem to acquire Beacon Health Options

Anthem to acquire Beacon Health Options Administrative Jun 6, 2019

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!

Clinical Quality CME Webinar Series - Maine Administrative May 27, 2021

Introducing lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Beginning June 1, 2020, Anthem is introducing our Anthem Health Access Plans for certain large group employers currently enrolled in our commercial lines of business only.
N/A Administrative May 26, 2020

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

Sign up today for provider eUpdates

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

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

Additional changes to anthem.com to launch in March

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Provider Manual updated effective July 1, 2022

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

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

Commercial Risk Adjustment Program update: Medical chart collection for ACA members due March 31, 2019

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Anthem acquires Beacon Health Options

N/A Administrative Mar 2, 2020

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
COVID-19 Information - Maine Administrative Jun 1, 2020

Precertification list changes effective January 1, 2023

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

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

National Accounts 2023 Pre-certification list

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

COVID-19 Information - Maine Administrative Jun 1, 2020

Important information about women’s preventive care visits

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

Outpatient/office physical, speech, and occupational therapy claim form requirements

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Anthem to accept Hospital in Home services

September 2022 Anthem Maine Provider News Administrative Sep 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

Digital Provider Enrollment application now available

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Drug code billing reminder

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

Explore updates to medical attachment tool

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Patient360 adds care gap alert feedback for medical providers

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

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

System upgrade billing requirements special notice

System upgrade billing requirements special notice for Maine providers Administrative Jun 10, 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

EDI Gateway migration updates

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Update on processing delays for provider applications and provider maintenance forms

Important message from Anthem in Maine Administrative Oct 13, 2021

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

May 2022 Anthem Maine Provider News Administrative May 1, 2022

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

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

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

Well-child visits: Know the numbers

January 2022 Anthem Maine Provider News Administrative Jan 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Maine Provider News Administrative May 1, 2022

HEDIS® 2019: Controlling High Blood Pressure

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

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

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

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Primary care appointment access and open panels

May 2022 Anthem Maine Provider News Administrative May 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

Clinical practice and preventive health guidelines available on anthem.com

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

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

Anthem and Quest Diagnostics form strategic relationship

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Update to facility editing: HCPCS code G0463

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Access to claim denial information is now self-service

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

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

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

July 2022 Anthem Maine Provider News Administrative Jul 1, 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

Coming soon - Interactive Care Reviewer Anthem’s self-service online prior authorization tool

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Post office boxes being retired because of low usage

November 2022 Provider Newsletter - Maine Administrative Nov 1, 2022

Reminder - New ID cards for many Anthem members

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

New! Vaccination resource page for providers

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Support documentation for AIM prior authorization requests

November 2022 Provider Newsletter - Maine Administrative Nov 1, 2022

Migrate your EDI transactions to Availity today

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

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

Anthem Waives Cost Share for COVID-19 Treatment (updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information - Maine Administrative May 29, 2020

Clinical Laboratory Improvement Amendments (CLIA) ID number required for electronic claims submissions

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

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

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Electronic attachments - X12 275 5010

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Anthem makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

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

COVID-19 Information - Maine Administrative Nov 8, 2022

Prior Authorization/Referral Request and Inpatient Admission/Discharge Notification transactions coming soon

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Updated preventive care guidance regarding screening colonoscopies

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Medical record standards

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

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

Resources to support diverse patients and communities

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

CAA: Keep your provider directory information current

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Appropriate coding helps provide a comprehensive picture of members’ health

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Understanding your patients’ differences is lifesaving

March 2022 Anthem Maine Provider News Administrative Mar 1, 2022

Two-minute videos to engage patients about preventive care

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Notices of material changes/amendments to contract - June 2022

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them, Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis. 
COVID-19 Information - Maine Administrative Apr 10, 2020

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

Monkeypox resources and recommendations for our care providers

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

New ID cards for some Anthem members

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Exploring the Intersection of Race and Disability forum

June 2022 Anthem Maine Provider News Administrative Jun 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Provider Newsletter - Maine Administrative Nov 1, 2022

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services - 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 8, 2021

Continuing to Explore the Intersection of Race and Disability

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

Update to provider/facility UM reimbursement penalties and corresponding update to Provider/Facility Manual

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Clinical validation - professional

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Payment recovery process simplified for National Accounts membership

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Prior authorization updates for commercial business effective March 1, 2021

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Changes to Claim Status Inquiry and Secure Messaging on the Availity Portal

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Provider Manual to be available on anthem.com June 1, 2018

June 2018 Maine newsletter Administrative Jun 22, 2018

Sign up today for provider eUpdates

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Make the move to the Availity EDI Gateway today

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

PCP searches in Find Care

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

Outpatient/office physical, speech, and occupational therapy claim form requirements

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

State-supplied vaccines reminder - professional

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Updated BlueCard® Program Provider Manual available January 1, 2021

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020
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