New Hampshire
Provider Communications

February 2019 Anthem New Hampshire Provider Newsletter

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Title Category

Aware Recovery Care provides comprehensive drug and alcohol addiction rehab programs

Behavioral Health

Body Mass Index reimbursement policy: facility

Reimbursement Policies

Claim edit enhancements for outpatient facility claims

Administrative

Clinical criteria updates for specialty pharmacy

Pharmacy

Clinical guideline updates are available on anthem.com

Medical Policy & Clinical Guidelines

Coverage change for contraceptives and contraceptive supplies effective January 1, 2019

Administrative

Eye refraction and routine eye exam billing information

Medicare

HEDIS® 2019 Federal Employee Program medical record request requirements

Federal Employee Plan (FEP)

Injectable Substances with Related Injection Services reimbursement policy update: professional

Reimbursement Policies

Keep up with Medicare news

Medicare

Member satisfaction with behavioral health outpatient services

Behavioral Health

New specialty Medicare Part B device preferred product program

Medicare

Reminder: Anthem follows Original Medicare policies

Medicare

Reminder: review ICD-10-CM coding guidelines: professional

Administrative

Sign up today for provider eUpdates

Administrative

Significant Edits: professional

Reimbursement Policies

Specialty pharmacy medical step therapy drug list expanded

Pharmacy

Specialty pharmacy prior authorization list expanded

Pharmacy

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

Products & Programs

Use grouped CPT codes for AIM Specialty Health authorizations

Medicare
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