CommercialJune 1, 2019

June 2019 Anthem Provider Newsletter - Missouri

Administrative

AdministrativeCommercialJune 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- June 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 starred (*) below.

AdministrativeCommercialJune 1, 2019

AIM programs may require additional prior authorization documentation*

AdministrativeCommercialJune 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program begins; benefits of direct connection access to your EMR

AdministrativeCommercialJune 1, 2019

Find A Doctor -- New Sort Option

AdministrativeCommercialJune 1, 2019

Coming Soon: Anthem Electronic Attachments

AdministrativeCommercialJune 1, 2019

New ICR Immediate Decision List posted on Availity Payer Spaces

AdministrativeCommercialJune 1, 2019

Anthem launches additional changes to anthem.com for Q2

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJune 1, 2019

Medical Policy and Clinical Guideline Updates -- June 2019*

Medical Policy & Clinical GuidelinesCommercialJune 1, 2019

New Clinical Guideline: Inpatient Inter-Facility Transfers effective September 1, 2019*

Reimbursement PoliciesCommercialJune 1, 2019

New Reimbursement Policy: Ambulance Transportation -- Professional*

Reimbursement PoliciesCommercialJune 1, 2019

Reimbursement Policy Update: Frequency Editing -- Professional*

Products & Programs

Products & ProgramsCommercialJune 1, 2019

Reminder and update: new Rehabilitative Program effective July 1, 2019

PharmacyCommercialJune 1, 2019

Anthem expands specialty pharmacy prior authorization list*

PharmacyCommercialJune 1, 2019

Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019

PharmacyCommercialMay 1, 2019

Pharmacy information available at anthem.com

State & Federal

State & FederalMedicare AdvantageJune 1, 2019

Keep up with Medicare News -- June 2019

State & FederalMedicare AdvantageJune 1, 2019

Review of professional claims with emergency department level 5 E&M codes

State & FederalMedicare AdvantageJune 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?