Maine
Provider Communications

Articles

Title Publication Category Date

Additional improvements coming to anthem.com

November 2019 Anthem Maine Provider News Administrative Nov 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Reminder: new AIM Rehabilitative Program effective November 1, 2019

November 2019 Anthem Maine Provider News Administrative Nov 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Maine Provider News Administrative Nov 1, 2019

U.S. Antibiotic Awareness Week November 11-18

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

National Accounts 2020 precertification list

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

Matrix to provide mobile health clinic assessments to ACA members

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

Members’ Rights and Responsibilities

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid available on anthem.com

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Modifier use reminders

November 2019 Anthem Maine Provider News Administrative Nov 1, 2019

Anthem launches Sydney on September 1; new app offers better digital health care support to members

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Reminder: Changes to timely filing requirements coming in October

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Controlling high blood pressure

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Vaginal birth after cesarean (VBAC) certified shared decision making aid available on anthem.com

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Provider transparency update

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Appointment access standards for primary care, specialty care and behavioral health practitioners

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

PCP after-hours access requirements

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Gestational age required for professional delivery claims effective November 1, 2018

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Penalties for late pre-certification update

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Prior authorization requests for prescription medications accepted online

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Availity EDI Gateway

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Availity EDI Gateway services training webinars scheduled

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

MyDiversePatients.com

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Member Explanation of Benefits gets a makeover

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Provider Transparency Update

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Anthem customizations to MCG care guidelines 23rd edition

August 2019 Anthem Maine Provider News Administrative Aug 1, 2019

Streamlined access to Anthem Provider Manual

August 2019 Anthem Maine Provider News Administrative Aug 1, 2019

Claim editing update for Excludes1 notes

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Introducing Anthem’s Maine HMO Tiered Options

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem Members

January 2019 - New Year Brings New ID Cards and New ID Numbers for Many Anthem Members Administrative Jan 24, 2019

Aware Recovery Care provides comprehensive drug and alcohol addiction rehab programs

February 2019 Anthem Maine Provider Newsletter Behavioral Health Feb 1, 2019

Member satisfaction with behavioral health outpatient services

February 2019 Anthem Maine Provider Newsletter Behavioral Health Feb 1, 2019

MCG Care Guidelines adopted for behavioral health services

June 2018 Maine newsletter Behavioral Health Jun 22, 2018

Member’s access to behavioral health care

December 2018 Anthem Maine Provider Newsletter Behavioral Health Dec 1, 2018

Outpatient behavioral health therapy visits

June 2018 Maine newsletter Behavioral Health Jun 19, 2018

Integrated Medical and Behavioral Healthcare Services

October 2018 Anthem Maine Provider Newsletter Behavioral Health Oct 1, 2018

LiveHealth Online Psychology: easy access to therapists and psychologists from the comfort of home

October 2018 Anthem Maine Provider Newsletter Behavioral Health Oct 1, 2018

Adaptive behavioral assessment & treatment code changes effective January 1, 2019

January 2019 Anthem Maine Provider Newsletter Behavioral Health Jan 1, 2019

Behavioral health: split claims spanning from 2018 into 2019

January 2019 Anthem Maine Provider Newsletter Behavioral Health Jan 1, 2019

New APA testing codes and definitions effective January 1, 2019

January 2019 Anthem Maine Provider Newsletter Behavioral Health Jan 1, 2019

Anthem engages with Alliant Health Solutions

August 2018 Anthem Maine Provider Newsletter Behavioral Health Aug 1, 2018

Access requirements for behavioral healthcare services

September 2019 Anthem Maine Provider News Behavioral Health Sep 1, 2019

Mailing address for Federal Employee Program® (FEP) paper claims and claims-related correspondence

August 2018 Anthem Maine Provider Newsletter Federal Employee Plan (FEP) Aug 1, 2018

Federal Employee Health Benefit Program® (FEP) PPO members will now require prior approval for specific specialty drugs and site of care

July 2019 Anthem Maine Provider News Federal Employee Plan (FEP) Jul 1, 2019

HEDIS® 2019 Federal Employee Program medical record request requirements

February 2019 Anthem Maine Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

Federal Employee Program® specialty pharmacy clinical site-of-care prior authorization review

October 2019 Anthem Maine Provider News Federal Employee Plan (FEP) Oct 1, 2019

Precertification request turnaround times for the Federal Employee Program

October 2019 Anthem Maine Provider News Federal Employee Plan (FEP) Oct 1, 2019

Benefit change for Infliximab for Federal Employee Program®

December 2018 Anthem Maine Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of benefits for a Federal Employee Program® (FEP®) member

December 2018 Anthem Maine Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

2019 FEP® benefit information available online

December 2018 Anthem Maine Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Un-adopted clinical guidelines effective June 1, 2019

July 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

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

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

Clinical guideline updates are available on anthem.com

February 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Medical policy updates are available on anthem.com

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical guideline updates are available on anthem.com

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Update on clinical guideline communication in October 2018 provider newsletter

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Medical policy updates are available on anthem.com

October 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Clinical guideline updates are available on anthem.com

October 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Medical policy updates are available on anthem.com

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Medical policy updates are available on anthem.com

November 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Clinical guideline updates are available on anthem.com

November 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Medical policy updates are available on anthem.com

May 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Medical policy updates are available on anthem.com

December 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Clinical guideline updates are available on anthem.com

May 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Clinical guideline updates are available on anthem.com

December 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Update on clinical guideline communication in October 2018 provider newsletter

December 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Coding Updates

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical guideline updates are available on anthem.com

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Coding Updates

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Medical policy updates are available on anthem.com

August 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Clinical Guideline CG-ANC-07 effective September 1, 2019

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical guideline updates are available on anthem.com

August 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Medical policy updates are available on anthem.com

September 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

Medical policy updates are available on anthem.com

August 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical guideline updates are available on anthem.com

August 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical criteria updates for specialty pharmacy

August 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical guideline updates are available on anthem.com

September 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Sep 1, 2019

New Clinical Guideline: Pneumatic Compression Devices effective December 1, 2019

September 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines 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

Dual eligible special needs plans: provider training required

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Maine Provider News Medicare Jul 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

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
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