Medicare Advantage plans under Anthem Blue Cross and Blue Shield follow original Medicare guidelines and billing requirements for partial hospitalization services. CMS regulations (42 CFR 410.43(c)(1)) state that partial hospitalization programs (PHPs) are intended for members who require a minimum of 20 hours per week of therapeutic services as evidenced in their plan of care. All partial hospitalization services require prior authorization.  Read the full article.




ABSCRNU-0013-19 March 2019                                    76175MUPENMUB


Featured In:
May 2019 Anthem Provider Newsletter - Nevada