Maine
Provider Communications

Articles

Title Publication Category Date

Cologuard covered for Medicare Advantage members

June 2018 Maine newsletter Medicare Jun 19, 2018

Colonoscopy and related anesthesia services billing

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Commercial drug list important updates

March 2019 Anthem Maine Provider Newsletter Pharmacy Mar 1, 2019

Commercial risk adjustment (CRA) reporting update

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

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

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Commercial Risk Adjustment (CRA) reporting update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

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

October 2019 Anthem Maine Provider News Administrative Oct 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

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

ConditionCare Program benefits members and physicians

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Controlling high blood pressure

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

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

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

Coordination of care

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Copay reduction for walk-in center services effective January 1, 2019

November 2018 Anthem Maine Network eUpdate Administrative Nov 1, 2018

Coverage change for contraceptives and contraceptive supplies effective January 1, 2019

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Daily morphine equivalent dosing limit to apply effective September 1, 2018

August 2018 Anthem Maine Provider Newsletter Pharmacy Aug 1, 2018

Diagnosis-Related Group Newborn Inpatient Stays facility reimbursement policy update

June 2018 Maine newsletter Reimbursement Policies Jun 19, 2018

Digital Provider Enrollment application now available

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Documentation and Reporting Guidelines for E/M Services update: professional

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

Drug lists supporting commercial health plans updated

August 2018 Anthem Maine Provider Newsletter Pharmacy Aug 1, 2018

Drug Screen Testing update: professional

May 2019 Anthem Maine Provider Newsletter Reimbursement Policies May 1, 2019

Dual eligible special needs plans: provider training required

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Durable medical equipment miscellaneous code E1399 reminder

June 2018 Maine newsletter Administrative Jun 19, 2018

Durable Medical Equipment professional reimbursement policy reminders

June 2018 Maine newsletter Reimbursement Policies Jun 22, 2018

Durable medical equipment update effective October 14, 2018

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

Easter Seals relationship expanded to support commercial members with complex needs

June 2018 Maine newsletter Products & Programs Jun 22, 2018

EDI collaboration with Availity effective June 1, 2018

June 2018 Maine newsletter Administrative Jun 19, 2018

EDI Gateway migration updates

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Electronic attachments coming soon

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Electronic attachments coming soon

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Electronic member ID cards – Easy online access on the Availity portal

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Electronic prior authorization requests for prescription medications accepted online

December 2018 Anthem Maine Provider Newsletter Pharmacy Dec 1, 2018

Enhanced search and download options allow easy access to information at your fingertips

Enhanced search and download options allow easy access to information at your fingertips - Maine Administrative Oct 8, 2019

Explore new enhancements to Availity’s Education and Reference Center

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

Explore updates to medical attachment tool

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Eye refraction and routine eye exam billing information

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Fall prevention tips

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

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

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

Find a Doctor - new sort option

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Frequency Editing - professional

June 2019 Anthem Maine Provider Newsletter Reimbursement Policies Jun 1, 2019

Frequency Editing Reimbursement Policy update - professional

August 2019 Anthem Maine Provider News Reimbursement Policies Aug 1, 2019

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

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

August 2018 Anthem Maine Provider Newsletter Administrative Aug 1, 2018

Good HbA1c <8

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Grievance and appeal update

June 2018 Maine newsletter Administrative Jun 22, 2018

HEDIS® 2018 commercial results are in

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018: provider incentive winners announced

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

HEDIS® 2019 Federal Employee Program medical record request requirements

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

HEDIS® 2019 starts early February

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

HEDIS® 2019: Controlling High Blood Pressure

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

ICD-10-CM coding guidelines and laterality - professional

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Important Information about Utilization Management

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Important update to Anthem’s commercial drug lists

October 2019 Anthem Maine Provider News Pharmacy Oct 1, 2019

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

Individualized Care Program to support palliative care for commercial members

June 2018 Maine newsletter Products & Programs Jun 19, 2018

Injectable Substances with Related Injection Services reimbursement policy update: professional

February 2019 Anthem Maine Provider Newsletter Reimbursement Policies Feb 1, 2019

Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits members and physicians

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Integrated Medical and Behavioral Healthcare Services

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

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

Introducing Anthem’s Maine HMO Tiered Options

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Introducing new clinical criteria page for injectable, infused or implanted drugs

December 2018 Anthem Maine Provider Newsletter Pharmacy Dec 1, 2018

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Keep up with Medicare news

September 2019 Anthem Maine Provider News Medicare Sep 1, 2019

Keep up with Medicare news

March 2019 Anthem Maine Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Keep up with Medicare news

June 2018 Maine newsletter Medicare Jun 19, 2018

Keep up with Medicare news

January 2019 Anthem Maine Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

February 2019 Anthem Maine Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

April 2019 Anthem Maine Provider Newsletter Medicare Apr 1, 2019

Keep up with Medicare news

December 2018 Anthem Maine Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

May 2019 Anthem Maine Provider Newsletter Medicare May 1, 2019

Keep up with Medicare news

June 2019 Anthem Maine Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

August 2018 Anthem Maine Provider Newsletter Medicare Aug 1, 2018

Keep up with Medicare news

August 2019 Anthem Maine Provider News Medicare Aug 1, 2019

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

August 2018 Anthem Maine Provider Newsletter Pharmacy Aug 1, 2018

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

June 2018 Maine newsletter Administrative Jun 19, 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

Lowering health risks with no-cost statins

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

MA back pain management and cardiology UM programs to transition from OrthoNet to AIM

October 2018 Anthem Maine Provider Newsletter Medicare Oct 1, 2018

MA home health network to be delegated to myNEXUS

June 2018 Maine newsletter Medicare Jun 19, 2018

MA members receive incentives for completing screenings

August 2018 Anthem Maine Provider Newsletter Medicare Aug 1, 2018

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

MaineHealth and Anthem Blue Cross and Blue Shield launch joint venture

N/A Administrative Aug 19, 2019

Make the move to the Availity EDI Gateway today

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

March 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Maine Provider News Medicare Nov 1, 2019

Matrix to provide mobile health clinic assessments to ACA members

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

MCG care guidelines 23rd Edition

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

MCG Care Guidelines adopted for behavioral health services

June 2018 Maine newsletter Behavioral Health Jun 22, 2018

Medical drug clinical criteria updates

October 2019 Anthem Maine Provider News Medicare Oct 1, 2019

Medical non-oncology specialty drug review changes effective June 15, 2019

June 2019 Anthem Maine Provider Newsletter Pharmacy Jun 1, 2019

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

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

Medical policy updates are available on anthem.com

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

Medical policy updates are available on anthem.com

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