Missouri
Provider Communications

December 2022 Anthem Provider News - Missouri

Download as PDF

Title Category

CAA: Timely updates help keep our provider directories current

Administrative

Attention lab providers: COVID-19 update regarding reimbursement

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Member assessment of PCP after-hours messaging in 2022

Administrative

Important information about utilization management

Administrative

Members’ rights and responsibilities

Administrative

Member’s assessment of behavioral healthcare after-hours messaging in 2022

Administrative

Coordination of care

Administrative

Case management program

Administrative

IngenioRx will become CarelonRx on January 1, 2023

Administrative

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

Policy Updates

Pharmacy information available on the provider website

Pharmacy

Specialty pharmacy updates - December 2022

Pharmacy

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Medical Policy & Clinical Guidelines

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

Medical Policy & Clinical Guidelines

Medical Policies and Clinical Guidelines updates - December 2022

Medical Policy & Clinical Guidelines

Reimbursement policy update: Multiple Surgery - Facility

Reimbursement Policies

Reimbursement policy update: Bundled Services and Supplies - Professional

Reimbursement Policies

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

Reimbursement Policies

Keep up with Medicare News - December 2022

- Medical drug benefit Clinical Criteria updates
- Medical Policies and Clinical Utilization Management Guidelines update
- Signature requirements for laboratory orders or requisitions
Medicare

2023 Medicare Advantage service area and benefit updates

Medicare

Personal home helper benefit ending

Medicare
Page 1 of 1