Missouri
Provider Communications

Articles Recent

Title Publication Category Date

Keep up with Medicare News - May 2022

- Anthem expands specialty pharmacy precertification list-March 2022 update
- Anthem expands specialty pharmacy precertification list-April 2022 update
- New specialty pharmacy medical step therapy requirements-May 2022 update
May 2022 Anthem Provider News - Missouri Medicare May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Provider News - Missouri Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Provider News - Missouri Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements-March 2022 update

May 2022 Anthem Provider News - Missouri Medicare May 1, 2022

Evaluation and management services for COVID testing-Professional

May 2022 Anthem Provider News - Missouri Administrative May 1, 2022

2022 provider manual is now available

May 2022 Anthem Provider News - Missouri Administrative May 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Provider News - Missouri Administrative May 1, 2022

Anthem announces changes to post-payment audits conducted on our behalf

May 2022 Anthem Provider News - Missouri Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Provider News - Missouri Administrative May 1, 2022

Primary care appointment access and open panels

May 2022 Anthem Provider News - Missouri Administrative May 1, 2022

May is National High Blood Pressure Education Month: We’ve got this!

May 2022 Anthem Provider News - Missouri Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Provider News - Missouri Administrative May 1, 2022

Specialty pharmacy updates - May 2022

May 2022 Anthem Provider News - Missouri Pharmacy May 1, 2022

MCG Care Guidelines 26th Edition

May 2022 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News - Missouri Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program live webinar

May 2022 Anthem Provider News - Missouri Federal Employee Plan (FEP) May 1, 2022

Information from Anthem for Care Providers about COVID-19 (updated April 15, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Missouri Administrative Apr 15, 2022

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe & Effective Antibiotic Prescribing - Missouri Administrative Apr 5, 2022

Specialty pharmacy updates - April 2022

April 2022 Anthem Provider News - Missouri Pharmacy Apr 1, 2022

Update on requirement to obtain certain specialty drugs from CVS Specialty Pharmacy

April 2022 Anthem Provider News - Missouri Pharmacy Apr 1, 2022

Pharmacy information available at anthem.com

April 2022 Anthem Provider News - Missouri Pharmacy Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Missouri Administrative Apr 1, 2022

Reminder on Botox for Anthem members

April 2022 Anthem Provider News - Missouri Administrative Apr 1, 2022

CAA: Update your provider directory information

April 2022 Anthem Provider News - Missouri Administrative Apr 1, 2022

HEDIS 2022: Summary of changes from NCQA

April 2022 Anthem Provider News - Missouri Administrative Apr 1, 2022

Importance of behavioral healthcare after-hours messaging

April 2022 Anthem Provider News - Missouri Administrative Apr 1, 2022

Catching up on routine vaccines

April 2022 Anthem Provider News - Missouri Administrative Apr 1, 2022

Evaluation and management documentation guidelines

April 2022 Anthem Provider News - Missouri Administrative Apr 1, 2022

Procedure searches in Find Care

April 2022 Anthem Provider News - Missouri Digital Tools Apr 1, 2022

Member benefit lookup by procedure code

April 2022 Anthem Provider News - Missouri Digital Tools Apr 1, 2022

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Missouri Federal Employee Plan (FEP) Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Missouri Medicare Apr 1, 2022

Keep up with Medicare News - April 2022

- Medical Policies and Clinical Utilization Management Guidelines update
- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Anthem expands specialty pharmacy precertification list
April 2022 Anthem Provider News - Missouri Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Anthem Provider News - Missouri Medicare Apr 1, 2022

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Missouri Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Provider News - Missouri Medicare Apr 1, 2022

Clinical Criteria updates

April 2022 Anthem Provider News - Missouri Medicare Apr 1, 2022

Evaluation and management documentation guidelines

April 2022 Anthem Provider News - Missouri Medicare Apr 1, 2022

Model of Care required training

April 2022 Anthem Provider News - Missouri Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date. Read important information about this change here.
Transition to NYC Medicare Advantage Plus Delayed - Missouri Medicare Mar 15, 2022

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities has been approved by NBCC for 1.5 hours of NBCC credit. Motivo is solely responsible for all aspects of the program. NBCC Approval No. SP-3833.
Register today for a forum on Exploring Implicit Bias in Healthcare on March 16, 2022 - Missouri Administrative Mar 2, 2022

Evaluation and management services correct coding reminder - professional

March 2022 Anthem Provider News - Missouri Administrative Mar 1, 2022

Correction to February 2022 specialty pharmacy updates

March 2022 Anthem Provider News - Missouri Pharmacy Mar 1, 2022

Change to the Federal Employee Program clinical grievance and appeal address

March 2022 Anthem Provider News - Missouri Federal Employee Plan (FEP) Mar 1, 2022

Keep up with Medicare News - March 2022

- Medical step therapy updates
March 2022 Anthem Provider News - Missouri Medicare Mar 1, 2022

Specialty pharmacy updates - March 2022

March 2022 Anthem Provider News - Missouri Pharmacy Mar 1, 2022

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates

March 2022 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Mar 1, 2022

New! Vaccination resource page for providers

March 2022 Anthem Provider News - Missouri Administrative Mar 1, 2022

CAA: Have you reviewed your online provider directory information lately?

March 2022 Anthem Provider News - Missouri Administrative Mar 1, 2022

Updated preventive care guidance regarding screening colonoscopies

March 2022 Anthem Provider News - Missouri Administrative Mar 1, 2022

Understanding your patients’ differences is lifesaving

March 2022 Anthem Provider News - Missouri Administrative Mar 1, 2022

Your influence matters: Recommending cancer screenings to your patients

March 2022 Anthem Provider News - Missouri Administrative Mar 1, 2022

Simplifying requests for additional information

March 2022 Anthem Provider News - Missouri Digital Tools Mar 1, 2022

HEDIS 2022 Federal Employee Program medical record request requirements

March 2022 Anthem Provider News - Missouri Federal Employee Plan (FEP) Mar 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Provider News - Missouri Medicare Mar 1, 2022

Pharmacy: Medication adherence

March 2022 Anthem Provider News - Missouri Medicare Mar 1, 2022

Evaluation and management services correct coding reminder (professional)

March 2022 Anthem Provider News - Missouri Medicare Mar 1, 2022

Clinical criteria updates

March 2022 Anthem Provider News - Missouri Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Anthem Provider News - Missouri Medicare Mar 1, 2022

Prepare for the CAA: Keep your provider directory information current

February 2022 Anthem Provider News - Missouri Administrative Feb 1, 2022

AIM Specialty Health new phone number effective April 1, 2022

February 2022 Anthem Provider News - Missouri Administrative Feb 1, 2022

It is CAHPS survey time!

February 2022 Anthem Provider News - Missouri Administrative Feb 1, 2022

Submit a claim payment dispute electronically for Anthem commercial members

February 2022 Anthem Provider News - Missouri Administrative Feb 1, 2022

Heart disease is the number one killer of women

February 2022 Anthem Provider News - Missouri Administrative Feb 1, 2022

Specialty pharmacy updates - February 2022

February 2022 Anthem Provider News - Missouri Pharmacy Feb 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Provider News - Missouri Pharmacy Feb 1, 2022

Medical policy and clinical guideline updates - February 2022

February 2022 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Feb 1, 2022

Update: Continuation of skilled nursing facility (SNF) program in Missouri

February 2022 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Feb 1, 2022

Keep up with Medicare News - February 2022

- NYC Medicare Advantage Plus update
February 2022 Anthem Provider News - Missouri Medicare Feb 1, 2022

New Strategic Provider System will launch in April 2022

February 2022 Anthem Provider News - Missouri Medicare Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Provider News - Missouri Medicare Feb 1, 2022

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 28, 2022)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing, acute rehabilitation, and long term acute care hospital facilities.
COVID-19 Information - Missouri Administrative Jan 28, 2022

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing providers nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

Important Update for New 200k Group Retiree PPO Plan - Missouri Administrative Jan 5, 2022

Availity Authorization app available to Anthem providers in 2022

January 2022 Anthem Provider News - Missouri Medicare Jan 1, 2022

Well-child visits: Know the numbers

January 2022 Anthem Provider News - Missouri Administrative Jan 1, 2022

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
January 2022 Anthem Provider News - Missouri Digital Tools Jan 1, 2022

Is prior authorization required?

Answering your questions about the new Availity Authorization App
January 2022 Anthem Provider News - Missouri Digital Tools Jan 1, 2022

Reimbursement policy update: Multiple diagnostic imaging facility

*Material Adverse Change (MAC)
January 2022 Anthem Provider News - Missouri Reimbursement Policies Jan 1, 2022

2022 FEP benefit information available online

January 2022 Anthem Provider News - Missouri Federal Employee Plan (FEP) Jan 1, 2022

Keep up with Medicare News - January 2022

- AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update
- Medical step therapy updates
- Anthem expands specialty pharmacy precertification list
January 2022 Anthem Provider News - Missouri Medicare Jan 1, 2022

Professional claims: Billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem Provider News - Missouri Medicare Jan 1, 2022

Important update on Botox® for Anthem Medicare members

January 2022 Anthem Provider News - Missouri Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Provider News - Missouri Medicare Jan 1, 2022

Behavioral healthcare appointment access requirements

December 2021 Anthem Provider News - Missouri Administrative Dec 1, 2021

Important information about utilization management

December 2021 Anthem Provider News - Missouri Administrative Dec 1, 2021

Case management program

December 2021 Anthem Provider News - Missouri Administrative Dec 1, 2021

RETRACTION: Inpatient Facility Transfers - facility reimbursement policy

December 2021 Anthem Provider News - Missouri Reimbursement Policies Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Anthem Provider News - Missouri Medicare Dec 1, 2021

Specialty pharmacy updates - December 2021

December 2021 Anthem Provider News - Missouri Pharmacy Dec 1, 2021

Pharmacy information available at anthem.com

December 2021 Anthem Provider News - Missouri Pharmacy Dec 1, 2021

Medical policy and clinical guideline updates - December 2021

December 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 1, 2021

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

December 2021 Anthem Provider News - Missouri Reimbursement Policies Dec 1, 2021

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams - Professional

December 2021 Anthem Provider News - Missouri Reimbursement Policies Dec 1, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Anthem Provider News - Missouri Administrative Dec 1, 2021

Professional system updates for 2022

December 2021 Anthem Provider News - Missouri Administrative Dec 1, 2021
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