Missouri
Provider Communications

Provider Spotlight

Apr 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: April 2019

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.


Articles Recent

Title Publication Category Date

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: April 2019

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
April 2019 Anthem Provider Newsletter - Missouri Administrative Apr 1, 2019

New AIM Rehabilitative program effective July 1, 2019

April 2019 Anthem Provider Newsletter - Missouri Products & Programs Apr 1, 2019

Anthem expands specialty pharmacy prior authorization list*

April 2019 Anthem Provider Newsletter - Missouri Pharmacy Apr 1, 2019

New on Interactive Care Reviewer (ICR): Request Clinical Appeals

April 2019 Anthem Provider Newsletter - Missouri Administrative Apr 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

April 2019 Anthem Provider Newsletter - Missouri Administrative Apr 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

April 2019 Anthem Provider Newsletter - Missouri Administrative Apr 1, 2019

Medical Policy and Clinical Guidelines Updates - April 2019*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

New Reimbursement Policy: Partial Hospitalization Program and Intensive Outpatient Program Services Facility*

April 2019 Anthem Provider Newsletter - Missouri Reimbursement Policies Apr 1, 2019

Update regarding evaluation and management with modifier 25

April 2019 Anthem Provider Newsletter - Missouri Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Missouri Medicare Apr 1, 2019

Ozarks Schools Benefits Association, MO moves to Anthem Medicare Advantage plan

April 2019 Anthem Provider Newsletter - Missouri Medicare Apr 1, 2019

Keep up with Medicare news - April 2019

April 2019 Anthem Provider Newsletter - Missouri Medicare Apr 1, 2019

Dual Eligible Special Needs (D-SNP) Plans - provider training required

March 2019 Anthem Provider Newsletter - Missouri Medicare Mar 1, 2019

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

March 2019 Anthem Provider Newsletter - Missouri Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Missouri 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 Provider Newsletter - Missouri Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - Missouri Medicare Mar 1, 2019

Anthem Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2019

March 2019 Anthem Provider Newsletter - Missouri Administrative Mar 1, 2019

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - Missouri Pharmacy Mar 1, 2019

Important update to Anthem’s commercial drug lists

March 2019 Anthem Provider Newsletter - Missouri Pharmacy Mar 1, 2019

Anthem launches additional changes to anthem.com in March

March 2019 Anthem Provider Newsletter - Missouri Administrative Mar 1, 2019

What’s New 2019 Webinars

Sign up for a webinar to find out what's new at Anthem
March 2019 Anthem Provider Newsletter - Missouri Administrative Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Missouri Pharmacy Mar 1, 2019

Important reminder regarding specialty pharmacy clinical site of care program

March 2019 Anthem Provider Newsletter - Missouri Pharmacy Mar 1, 2019

Availity: Explore the updates to the Medical Attachment Tool

March 2019 Anthem Provider Newsletter - Missouri Administrative Mar 1, 2019

Availity: New look to Claim Status and Secure Messaging

March 2019 Anthem Provider Newsletter - Missouri Administrative Mar 1, 2019

Availity: Latest Updates to EDI Gateway Migration

March 2019 Anthem Provider Newsletter - Missouri Administrative Mar 1, 2019

Provider Transparency Update

March 2019 Anthem Provider Newsletter - Missouri Administrative Mar 1, 2019

What’s New 2019 Webinars

Sign up for a webinar to find out what's new at Anthem
Feb. 19, 2019 Anthem Network eUpdate - Missouri Administrative Feb 19, 2019

Notification of New Codes for Applied Behavior Analysis (MO)

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

Member Satisfaction with Behavioral Health Outpatient Services (MO)

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

Pharmacy information available at anthem.com

February 2019 Anthem Missouri Provider Newsletter Pharmacy Feb 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: February 2019

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
February 2019 Anthem Missouri Provider Newsletter Administrative Feb 1, 2019

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Missouri Provider Newsletter Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list*

February 2019 Anthem Missouri Provider Newsletter Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list*

February 2019 Anthem Missouri Provider Newsletter Pharmacy Feb 1, 2019

HEDIS® 2019: Controlling High Blood Pressure (CBP)

February 2019 Anthem Missouri Provider Newsletter Administrative Feb 1, 2019

Update regarding E/M with modifier 25 - Professional*

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

Medical Policy and Clinical Guidelines: February 2019*

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

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

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

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

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

Reimbursement Policy Updates: February 2019*

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

Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*

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

HEDIS 2019 Federal Employee Program® medical record request requirements

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

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Missouri Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Missouri Provider Newsletter Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Missouri Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Missouri Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Missouri Provider Newsletter Medicare Feb 1, 2019

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

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

Jan. 23, 2019 Anthem Missouri Provider Network eUpdate Administrative Jan 23, 2019

Anthem ePASS® Weekly Webinar Schedule

Sign up for an ePASS® Weekly Webinar!
Jan. 16, 2019 Anthem Missouri Provider Network eUpdate Administrative Jan 16, 2019

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Missouri Provider Newsletter Administrative Jan 1, 2019

HEDIS® 2019 starts early February

January 2019 Anthem Missouri Provider Newsletter Administrative Jan 1, 2019

Simplifying medication prior authorization processes

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Eligible facilities to bill modifiers JG and TB on 340B drugs

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Pharmacy information available at anthem.com

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Anthem Missouri Provider Newsletter Reimbursement Policies Jan 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Missouri Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Missouri Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Missouri Provider Newsletter Medicare Jan 1, 2019

Anthem Accepts Electronic Prior Authorization Requests for Prescription Medications Online

December 2018 Anthem Missouri Provider Newsletter Pharmacy Dec 1, 2018

Introducing the New Clinical Criteria Page for Injectable, Infused or Implanted Drugs

December 2018 Anthem Missouri Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy Information Available at anthem.com

December 2018 Anthem Missouri Provider Newsletter Pharmacy Dec 1, 2018

Anthem Streamlines Member ID Cards - Use Availity to Verify Members' Cost Shares and Benefits at Time of Service

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

Availity to Serve as EDI Entry Point for Electronic Submissions

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

Anthem to Enhance Claim Edits for Outpatient Facility Claims

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018 Commercial Results Are In

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

Case Management Program

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

Integrated Care Model for Plans Purchased on the Health Insurance Marketplace Benefits Patients and Physicians

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

Coordination of Care

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

Important Information about Utilization Management

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

Members’ Rights and Responsibilities

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Missouri Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Missouri Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Missouri Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Interactive Care Reviewer (ICR) New Features

December 2018 Anthem Missouri Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Bundled Services and Supplies (Professional)

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for Convenience Surgical Supply Kits: Professional

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

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

Medical Polices and Clinical Guidelines Updates - December 2018

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

View reimbursement policies online at anthem.com

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Updates - December 2018

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Update - Scope of License (Professional)

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

2019 FEP Benefit information available online

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

Coordination of Benefits for an FEP® member

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

Benefit change for Infliximab for Federal Employee Program (FEP)

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

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

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

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018
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