CommercialFebruary 1, 2019

February 2019 Anthem Missouri Provider Newsletter

Administrative

AdministrativeCommercialFebruary 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: February 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.

AdministrativeCommercialFebruary 1, 2019

HEDIS® 2019: Controlling High Blood Pressure (CBP)

Behavioral Health

Behavioral HealthCommercialFebruary 1, 2019

Notification of New Codes for Applied Behavior Analysis (MO)

Behavioral HealthCommercialFebruary 1, 2019

Member Satisfaction with Behavioral Health Outpatient Services (MO)

Policy Updates

Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2019

Medical Policy and Clinical Guidelines: February 2019*

Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2019

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

Reimbursement PoliciesCommercialFebruary 1, 2019

Update regarding E/M with modifier 25 - Professional*

Reimbursement PoliciesCommercialFebruary 1, 2019

Reimbursement Policy Updates: February 2019*

Reimbursement PoliciesCommercialFebruary 1, 2019

Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*

Products & Programs

Federal Employee Program (FEP)CommercialFebruary 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

PharmacyCommercialFebruary 1, 2019

Clinical criteria updates for specialty pharmacy*

PharmacyCommercialFebruary 1, 2019

Anthem expands specialty pharmacy prior authorization list*

PharmacyCommercialFebruary 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list*

PharmacyCommercialFebruary 1, 2019

Pharmacy information available at anthem.com