Missouri
Provider Communications

August 2019 Anthem Provider News - Missouri

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Title Category

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- August 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.
Administrative

Updated Provider Manual now available

Administrative

New location for Provider Manuals on anthem.com

Administrative

Update: Sepsis Coding

Administrative

Clinical criteria and prior authorization updates for specialty pharmacy are available*

Pharmacy

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

Medical Policy and Clinical Guideline Updates -- August 2019*

Medical Policy & Clinical Guidelines

Anthem customizations to MCG care guidelines 23rd edition*

Medical Policy & Clinical Guidelines

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Reimbursement Policy Update: Bundled Services-Professional*

Reimbursement Policies

Reimbursement Policy Update: Frequency Editing-Professional*

Reimbursement Policies

Medicare News -- August 2019

Medicare

New service types added to Availity

Medicare

New Reimbursement Policy: Drug Screen Testing

Medicare

AIM Specialty Health programs may require documentation

Medicare

Special needs plans - provider training required

Medicare
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