New Hampshire
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

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

June 2019 Anthem New Hampshire Provider Newsletter Medicare Jun 1, 2019

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem New Hampshire Provider Newsletter Medicare Dec 1, 2018

Wheelchair prior authorization information for DME providers and physicians

August 2018 Anthem New Hampshire Provider Newsletter Medicare Aug 1, 2018

Utilization management authorization rule operations

September 2021 New Hampshire Provider News Medicare Sep 1, 2021

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem New Hampshire Provider Newsletter Medicare Feb 1, 2019

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

November 2021 Anthem New Hampshire Provider News Medicare Nov 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Anthem New Hampshire Provider News Medicare Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem New Hampshire Provider News Medicare Dec 1, 2021

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem New Hampshire Provider News Medicare Jun 1, 2020

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Anthem New Hampshire Provider News Medicare Jan 1, 2021

Updated COVID-19 Medicare Information

COVID-19 Information - New Hampshire - Publication RETIRED as of November 8, 2022 Medicare Apr 20, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem New Hampshire Provider News Medicare Sep 1, 2020

Update: 2019 risk adjustment provider trainings

October 2019 Anthem New Hampshire Provider News Medicare Oct 1, 2019

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem New Hampshire Provider News Medicare Jul 1, 2022

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem New Hampshire Provider Newsletter Medicare Apr 1, 2019

Update - Inpatient Readmissions Policy G-13001 effective July 1, 2022

April 2022 Anthem New Hampshire Provider News Medicare Apr 1, 2022

Unlisted, Unspecified or Miscellaneous Codes policy update effective August 1, 2020

May 2020 Anthem New Hampshire Provider News Medicare May 1, 2020

The impact of listening

April 2022 Anthem New Hampshire Provider News Medicare Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem New Hampshire Provider News Medicare Apr 1, 2022

Submit PA medication requests electronically; new phone number for MA prescription PAs effective September 1, 2018

August 2018 Anthem New Hampshire Provider Newsletter Medicare Aug 1, 2018

State of New Hampshire offers Medicare Advantage option

December 2018 Anthem New Hampshire Provider Newsletter Medicare Dec 1, 2018

State of New Hampshire offers Medicare Advantage option

January 2019 - State of New Hampshire Offers Medicare Advantage Option Medicare Jan 10, 2019

Special needs plans - provider training required

August 2019 Anthem New Hampshire Provider News Medicare Aug 1, 2019

Somatus is your resource for kidney care management

December 2021 Anthem New Hampshire Provider News Medicare Dec 1, 2021

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem New Hampshire Provider News Medicare Oct 1, 2020

Sepsis diagnosis coding and billing reminder

July 2019 Anthem New Hampshire Provider News Medicare Jul 1, 2019

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem New Hampshire Provider News Federal Employee Plan (FEP) Apr 1, 2022

Risk adjustment and documentation training offered

January 2019 Anthem New Hampshire Provider Newsletter Medicare Jan 1, 2019

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

June 2019 Anthem New Hampshire Provider Newsletter Medicare Jun 1, 2019

Reminder: refer Medicare Advantage members to in-network providers

December 2019 Anthem New Hampshire Provider News Medicare Dec 1, 2019

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem New Hampshire Provider News Medicare Jan 1, 2020

Reminder: Changes to timely filing requirements for Medicare Advantage

September 2019 Anthem New Hampshire Provider News Medicare Sep 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem New Hampshire Provider Newsletter Medicare Feb 1, 2019

Reminder: AIM prior authorization phone number change for Medicare

September 2022 Anthem New Hampshire Provider News Medicare Sep 1, 2022

Reimbursement Policy update: Drug Screen Testing

November 2019 Anthem New Hampshire Provider News Medicare Nov 1, 2019

Reimbursement policy update - Modifiers 25 and 57: Evaluation and Management with Global Procedures (Policy G- 06003)

September 2022 Anthem New Hampshire Provider News Medicare Sep 1, 2022

Reimbursement policy update - DRG Inpatient Facility Transfers effective November 30, 2021

September 2021 New Hampshire Provider News Medicare Sep 1, 2021

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

October 2022 Provider Newsletter - New Hampshire Medicare Oct 1, 2022

Reimbursement for select HEDIS related CPT II codes for Medicare Advantage members coming soon

April 2019 Anthem New Hampshire Provider Newsletter Medicare Apr 1, 2019

Rehabilitative services prior authorization review update for Medicare Advantage members

November 2019 Anthem New Hampshire Provider News Medicare Nov 1, 2019

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem New Hampshire Provider News Medicare Jan 1, 2022

Provider transparency update

October 2020 Anthem New Hampshire Provider News Medicare Oct 1, 2020

Provider Chat - a fast, easy way to get your questions answered

November 2020 Anthem New Hampshire Provider News Medicare Nov 1, 2020

Professional claims - billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem New Hampshire Provider News Medicare Jan 1, 2022

Process change for Federal Employee Program® third-party correspondence requests

June 2022 Anthem New Hampshire Provider News Federal Employee Plan (FEP) Jun 1, 2022

Prior authorization/Precertification form notification

September 2021 New Hampshire Provider News Medicare Sep 1, 2021

Prior authorization requirements for E0784, K0553 and K0554

December 2019 Anthem New Hampshire Provider News Medicare Dec 1, 2019

Prior authorization requirements for continuous positive airway pressure supplies

October 2019 Anthem New Hampshire Provider News Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem New Hampshire Provider News Medicare Oct 1, 2019

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

July 2021 New Hampshire Provider News Medicare Jul 1, 2021

Prior authorization requirement changes effective January 1, 2021

October 2020 Anthem New Hampshire Provider News Medicare Oct 1, 2020

Prior authorization requirement changes effective December 1, 2022

September 2022 Anthem New Hampshire Provider News Medicare Sep 1, 2022

Prior authorization requirement changes effective December 1, 2020

October 2020 Anthem New Hampshire Provider News Medicare Oct 1, 2020

Prior authorization requirement change effective June 1, 2022

March 2022 Anthem New Hampshire Provider News Medicare Mar 1, 2022

Prior authorization for BiPAP equipment and supplies moving from AIM Specialty Health effective July 1, 2020

July 2020 Anthem New Hampshire Provider News Medicare Jul 1, 2020

Preventing claim denials: Shingles vaccine

August 2021 New Hampshire Provider News Medicare Aug 1, 2021

Preferred continuous glucose monitors

November 2020 Anthem New Hampshire Provider News Medicare Nov 1, 2020

Precertification request turnaround times for the Federal Employee Program

October 2019 Anthem New Hampshire Provider News Federal Employee Plan (FEP) Oct 1, 2019

Postponed - review of professional claims with emergency room level 5 E/M codes

January 2020 Anthem New Hampshire Provider News Medicare Jan 1, 2020

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem New Hampshire Provider Newsletter Medicare Oct 1, 2018

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem New Hampshire Provider News Medicare Sep 1, 2019

Personalized Match

November 2022 Provider Newsletter - New Hampshire Medicare Nov 1, 2022

Personal home helper benefit ending

December 2022 Provider Newsletter - New Hampshire Medicare Dec 1, 2022

Peer-to-peer process can help clarify clinical record

June 2018 New Hampshire newsletter Medicare Jun 19, 2018

Patient360 enhancement for medical providers

October 2020 Anthem New Hampshire Provider News Medicare Oct 1, 2020

Partial hospitalization services

May 2019 Anthem New Hampshire Provider Newsletter Medicare May 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem New Hampshire Provider News Medicare Jul 1, 2019

Outpatient Rehabilitation Program transition: new prior authorization requirements effective April 1, 2020

March 2020 Anthem New Hampshire Provider News Medicare Mar 1, 2020

Optum to collect medical records for risk adjustment

June 2020 Anthem New Hampshire Provider News Medicare Jun 1, 2020

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem New Hampshire Provider News Medicare Apr 1, 2021

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem New Hampshire Provider News Federal Employee Plan (FEP) Sep 1, 2022

Non-preferred products and corresponding preferred alternatives

March 2020 Anthem New Hampshire Provider News Medicare Mar 1, 2020

New York City Medicare Advantage announcement

November 2021 Anthem New Hampshire Provider News Medicare Nov 1, 2021

New specialty pharmacy medical step therapy requirements

May 2022 Anthem New Hampshire Provider News Medicare May 1, 2022

New specialty Medicare Part B device preferred product program

February 2019 Anthem New Hampshire Provider Newsletter Medicare Feb 1, 2019

New service types added to Availity

August 2019 Anthem New Hampshire Provider News Medicare Aug 1, 2019

New reimbursement policy effective October 1, 2019 - Drug Screen Testing

August 2019 Anthem New Hampshire Provider News Medicare Aug 1, 2019

New reimbursement policy effective January 1, 2022 - Sexually Transmitted Infections Testing - professional

October 2021 Anthem New Hampshire Provider News Medicare Oct 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem New Hampshire Provider News Medicare Mar 1, 2021

New Policy - Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (effective 10/1/21)

July 2021 New Hampshire Provider News Medicare Jul 1, 2021

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem New Hampshire Provider Newsletter Medicare Dec 1, 2018

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan - New Hampshire Medicare Oct 19, 2021

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing providers nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.


Important Update for New 200k Group Retiree PPO Plan - New Hampshire Medicare Jan 5, 2022

New medical step therapy requirements

October 2021 Anthem New Hampshire Provider News Medicare Oct 1, 2021

New MediBlue Select HMO Network effective January 1, 2019

December 2018 Anthem New Hampshire Provider Newsletter Medicare Dec 1, 2018

New MCG Care Guidelines 24th edition

August 2020 Anthem New Hampshire Provider News Medicare Aug 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem New Hampshire Provider News Medicare Feb 1, 2020

New address for Federal Employee Program® clinical grievances and appeals

March 2022 Anthem New Hampshire Provider News Federal Employee Plan (FEP) Mar 1, 2022

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Provider Newsletter - New Hampshire Medicare Feb 1, 2023

Multi-dose packaging

May 2020 Anthem New Hampshire Provider News Medicare May 1, 2020

Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option

June 2018 New Hampshire newsletter Medicare Jun 19, 2018

Modifier use reminders

June 2020 Anthem New Hampshire Provider News Medicare Jun 1, 2020

Modifier 62 policy update: Co-Surgeons

February 2020 Anthem New Hampshire Provider News Medicare Feb 1, 2020

Medication adherence incentive offered to EPHC providers

June 2018 New Hampshire newsletter Medicare Jun 19, 2018

Medication adherence

March 2022 Anthem New Hampshire Provider News Medicare Mar 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

October 2022 Provider Newsletter - New Hampshire Medicare Oct 1, 2022

Medicare preferred continuous glucose monitors

January 2020 Anthem New Hampshire Provider News Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

October 2019 Anthem New Hampshire Provider News Medicare Oct 1, 2019

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem New Hampshire Provider Newsletter Medicare Oct 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem New Hampshire Provider Newsletter Medicare Dec 1, 2018
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