Missouri
Provider Communications
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- July 2019
Clinical Guidelines
- Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*
Reimbursement
- Clinical Validation: Professional*
- Update to Provider UM reimbursement penalties and corresponding update to Provider Manual*
Other Important Updates
- Pharmacy: Clinical criteria updates for specialty pharmacy
- FEP: Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care
Medicare and Medicaid News
Featured In:
July 2019 Anthem Provider News - Missouri