CommercialMay 1, 2019

May 2019 Anthem Provider Newsletter - Missouri

Administrative

AdministrativeCommercialMay 1, 2019

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

AdministrativeCommercialMay 1, 2019

Electronic Member ID Cards - Easy online access on the Availity Portal

AdministrativeCommercialMay 1, 2019

Review of professional claims with emergency room level 5 E/M codes

AdministrativeCommercialMay 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

AdministrativeCommercialMay 1, 2019

Anthem Contracted Ambulance Providers

AdministrativeCommercialMay 1, 2019

Attention: Availity launches additional changes to the new look to our Medical Attachment submission tool

Policy Updates

Medical Policy & Clinical GuidelinesCommercialMay 1, 2019

Clinical Guideline Update - May 2019*

Medical Policy & Clinical GuidelinesCommercialMay 1, 2019

MCG care guidelines 23rd Edition*

Reimbursement PoliciesCommercialMay 1, 2019

Update: Drug Screen Testing - Professional*

Products & Programs

PharmacyCommercialMay 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema*

PharmacyCommercialMay 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents*

PharmacyCommercialMay 1, 2019

Pharmacy information available at anthem.com

State & Federal

State & FederalMedicare AdvantageMay 1, 2019

Keep up with Medicare news - May 2019