CommercialApril 1, 2020

April 2020 Anthem Provider News - Missouri

Administrative

AdministrativeCommercialApril 1, 2020

Information from Anthem for Care Providers about COVID-19
*Please bookmark/add to favorites Provider News Home for the latest information about COVID-19.

AdministrativeCommercialApril 1, 2020

Anthem continues focus on updates to our public provider website

AdministrativeCommercialApril 1, 2020

Provider Transparency Update

AdministrativeCommercialMarch 2, 2020

Anthem acquires Beacon Health Options

Policy Updates

Medical Policy & Clinical GuidelinesCommercialApril 1, 2020

MCG Care Guidelines 24th Edition*

Medical Policy & Clinical GuidelinesCommercialApril 1, 2020

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements*

Reimbursement PoliciesCommercialApril 1, 2020

REMINDER: Reimbursement Policy - Facility Revenue Code Billing

Products & Programs

Federal Employee Program (FEP)CommercialApril 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

PharmacyCommercialApril 1, 2020

Anthem prior authorization updates for specialty pharmacy are available - April 2020*

PharmacyCommercialApril 1, 2020

Anthem to delay most April 1, 2020 formulary list updates for commercial health plan pharmacy benefit

PharmacyCommercialMarch 1, 2020

Pharmacy information available at anthem.com

State & Federal

State & FederalMedicare AdvantageApril 1, 2020

COVID-19 information from Anthem Blue Cross and Blue Shield

State & FederalMedicare AdvantageApril 1, 2020

Medicare News - April 2020
View these Medicare notices:
- Coding tip for psychological and neuropsychological testing
- Medical Policies and Clinical Utilization Management Guidelines update
- New Medicare Advantage opioid treatment Program benefit
- Prior authorization requirements: new 2020 codes for coverage and precertification

State & FederalMedicare AdvantageApril 1, 2020

Medical drug benefit Clinical Criteria updates - November 2019

State & FederalMedicare AdvantageApril 1, 2020

Medical drug benefit Clinical Criteria updates - December 2019

State & FederalMedicare AdvantageApril 1, 2020

2020 Medicare risk adjustment provider trainings