New Hampshire
Provider Communications

November 2019 Anthem New Hampshire Provider News

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Title Category

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guidelines

Products & Programs

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

Products & Programs

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

Products & Programs

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Products & Programs

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

Pharmacy

Pre-service clinical review and quantity limit updates for specialty pharmacy effective February 1, 2020

Pharmacy

Clinical criteria updates for specialty pharmacy

Pharmacy

Additional improvements coming to anthem.com

Administrative

Reminder: new AIM Rehabilitative Program effective November 1, 2019

Administrative

Appropriate coding helps provide a comprehensive picture of patients’ health

Administrative

Modifier use reminders

Administrative

Medical policy updates are available on anthem.com

Medical Policy & Clinical Guidelines

Clinical guideline updates are available on anthem.com

Medical Policy & Clinical Guidelines

March 2019 Medical Policies and Clinical Utilization Management Guidelines update

Medicare

2019 Enhanced Personal Health Care Program releases myFHR

Medicare

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

Medicare

Reimbursement Policy update: Drug Screen Testing

Medicare

Rehabilitative services prior authorization review update for Medicare Advantage members

Medicare

CMS reminder: expedited/urgent requests

Medicare

Bill Medicare Part D for shingles or tetanus vaccination claims

Medicare
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