Maine
Provider Communications

Articles Month: June 2018

Title Publication Category Date

Easter Seals relationship expanded to support commercial members with complex needs

June 2018 Maine newsletter Products & Programs Jun 22, 2018

MCG Care Guidelines adopted for behavioral health services

June 2018 Maine newsletter Behavioral Health Jun 22, 2018

Pharmacy information available on anthem.com

June 2018 Maine newsletter Pharmacy Jun 22, 2018

Grievance and appeal update

June 2018 Maine newsletter Administrative Jun 22, 2018

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

June 2018 Maine newsletter Administrative Jun 22, 2018

Durable Medical Equipment professional reimbursement policy reminders

June 2018 Maine newsletter Reimbursement Policies Jun 22, 2018

Medical policy and clinical guidelines updates are available on anthem.com

June 2018 Maine newsletter Medical Policy & Clinical Guidelines Jun 22, 2018

AIM Musculoskeletal Program Clinical Appropriateness Guidelines updates

June 2018 Maine newsletter Products & Programs Jun 19, 2018

Individualized Care Program to support palliative care for commercial members

June 2018 Maine newsletter Products & Programs Jun 19, 2018

Outpatient behavioral health therapy visits

June 2018 Maine newsletter Behavioral Health Jun 19, 2018

Prior authorization requests for prescription medications accepted online

June 2018 Maine newsletter Pharmacy Jun 19, 2018

Sign-up today for Network eUPDATE – it’s free!

June 2018 Maine newsletter Administrative Jun 19, 2018

Member identification cards streamlined

June 2018 Maine newsletter Administrative Jun 19, 2018

Receive direct deposit of patient payments with Healthcare Bill Payments

June 2018 Maine newsletter Administrative Jun 19, 2018

Claim processing update for services requiring AIM pre-service clinical review

June 2018 Maine newsletter Administrative Jun 19, 2018

Pre-service clinical review drug list changes effective September 1, 2018

June 2018 Maine newsletter Administrative Jun 19, 2018

Level of care pre-service clinical review drug list changes effective September 1, 2018

June 2018 Maine newsletter Administrative Jun 19, 2018

Verifying eligibility for expanded hospice benefits

June 2018 Maine newsletter Administrative Jun 19, 2018

Durable medical equipment miscellaneous code E1399 reminder

June 2018 Maine newsletter Administrative Jun 19, 2018

Clinical practice and preventive health guidelines available on anthem.com

June 2018 Maine newsletter Administrative Jun 19, 2018

EDI collaboration with Availity effective June 1, 2018

June 2018 Maine newsletter Administrative Jun 19, 2018

Misrouted protected health information (PHI)

June 2018 Maine newsletter Administrative Jun 19, 2018

Diagnosis-Related Group Newborn Inpatient Stays facility reimbursement policy update

June 2018 Maine newsletter Reimbursement Policies Jun 19, 2018

Cervical Cancer Screening using Cytology and Human Papillomavirus Testing (CG-MED-43) not implemented

June 2018 Maine newsletter Reimbursement Policies Jun 19, 2018

Review of reimbursement policies – professional

June 2018 Maine newsletter Reimbursement Policies Jun 19, 2018

Cologuard covered for Medicare Advantage members

June 2018 Maine newsletter Medicare Jun 19, 2018

Peer-to-peer process can help clarify clinical record

June 2018 Maine newsletter Medicare Jun 19, 2018

MA home health network to be delegated to myNEXUS

June 2018 Maine newsletter Medicare Jun 19, 2018

Medication adherence incentive offered to EPHC providers

June 2018 Maine newsletter Medicare Jun 19, 2018

Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option

June 2018 Maine newsletter Medicare Jun 19, 2018

Keep up with Medicare news

June 2018 Maine newsletter Medicare Jun 19, 2018
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