Maine
Provider Communications

Articles Month: December 2022

Title Publication Category Date

Notices of material changes/amendments to contract - January 2023

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Engagement with your patient counts

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Anthem Blue Cross and Blue Shield local precertification change in Maine

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Medical policy and clinical guideline updates available on our provider website

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 30, 2022

Specialty pharmacy updates

Notice of material change/amendment to contract.
January 2023 Provider Newsletter - Maine Pharmacy Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases

January 2023 Provider Newsletter - Maine Federal Employee Plan (FEP) Dec 30, 2022

Engagement with your patient counts

January 2023 Provider Newsletter - Maine Medicare Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

January 2023 Provider Newsletter - Maine Medicare Dec 30, 2022

Keep up with Medicare news

Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
January 2023 Provider Newsletter - Maine Medicare Dec 30, 2022

Outpatient facility revenue code billing requirements

January 2023 Provider Newsletter - Maine Reimbursement Policies Dec 30, 2022

Professional system updates for 2023

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Provider Newsletter - Maine Administrative Dec 30, 2022

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

Clinical Criteria updates for specialty pharmacy

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Pharmacy Dec 1, 2022

Specialty pharmacy updates - December 2022

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Pharmacy Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

Notice of material change/amendment to contract.
December 2022 Provider Newsletter - Maine Reimbursement Policies Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Provider Newsletter - Maine Medicare Dec 1, 2022

Personal home helper benefit ending

December 2022 Provider Newsletter - Maine Medicare Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Provider Newsletter - Maine Medicare Dec 1, 2022

Keep up with Medicare news

Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
December 2022 Provider Newsletter - Maine Medicare 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

Pharmacy information available on the provider website

December 2022 Provider Newsletter - Maine Pharmacy Dec 1, 2022
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