New Hampshire
Provider Communications

Articles

Title Publication Category Date

Reminder - New ID cards for many Anthem members

Reminder - New ID cards for many Anthem members - New Hampshire Administrative Jul 2, 2020

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

July 2020 Anthem New Hampshire Provider News Products & Programs Jul 1, 2020

Prior authorization updates for specialty pharmacy effective October 1, 2020

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

Clinical criteria updates for specialty pharmacy

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

Update: New go live date for level of care medical necessity review of upper and lower endoscopy procedures

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

Interactive Care Reviewer: Anthem’s online prior authorization tool targeted to launch in Q3

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

Availity’s Custom Learning Center

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

New MCG 24th Edition Guidelines

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

Commercial Risk Adjustment (CRA) 2020 Program Year Progression: What’s in it for you and your patients?

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

Updated coverage for HIV PrEP medications

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

Medical policy and clinical guideline updates available on anthem.com

July 2020 Anthem New Hampshire Provider News Medical Policy & Clinical Guidelines Jul 1, 2020

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem New Hampshire Provider News Federal Employee Plan (FEP) Jul 1, 2020

Medical drug benefit clinical criteria updates

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

In-office assessment program

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

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

2020 Special Needs Plans

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

Keep up with Medicare news

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

Webinar recording now available for providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond

Anthem hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information - New Hampshire Behavioral Health Jun 25, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (updated June 9, 2020)

We are extending coverage for telehealth and telephonic-only care. Through September 30, 2020, Anthem will waive member cost shares for telehealth visits from in-network providers, including visits for mental health or substance use disorders.
COVID-19 Information - New Hampshire Administrative Jun 9, 2020

Information from Anthem for Care Providers about COVID-19 (updated June 9, 2020)

We recently updated FAQs to reflect the extension of coverage for telehealth and telephonic care.
COVID-19 Information - New Hampshire Administrative Jun 9, 2020

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
COVID-19 Information - New Hampshire Administrative Jun 1, 2020

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

COVID-19 Information - New Hampshire Administrative Jun 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

June 2020 Anthem New Hampshire Provider News Products & Programs Jun 1, 2020

Update: Level of Care Medical Necessity Review of Upper and Lower Endoscopy Procedures delayed

June 2020 Anthem New Hampshire Provider News Products & Programs Jun 1, 2020

Enhanced process for submitting behavioral health authorization requests now available

June 2020 Anthem New Hampshire Provider News Behavioral Health Jun 1, 2020

Quality Corner - Follow-Up after Hospitalization for Mental Illness

June 2020 Anthem New Hampshire Provider News Behavioral Health Jun 1, 2020

Clinical criteria updates for specialty pharmacy

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

Prior authorization updates for specialty pharmacy effective September 1, 2020

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

Pharmacy information available on anthem.com

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

Availity Portal Notification Center

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

Quality Corner: CPT® Category II codes - Collaborating for enhanced patient care

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

Commercial Risk Adjustment (CRA) Program update: Retrospective Program begins; Prospective Program continues

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

Modifier use reminders

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

Optum to collect medical records for risk adjustment

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

2020 Medicare risk adjustment provider trainings

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

Diabetes HbA1c HEDIS guidance

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

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

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

Keep up with Medicare news

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

Anthem Waives Cost Share for COVID-19 Treatment (updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the wavier of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information - New Hampshire Administrative May 29, 2020

Important COVID-19 update: Prior authorization and other policy adjustments (updated May 29, 2020)

We’ve updated guidance about prior authorization requirements and other policy adjustments in response to unprecedented demands on health care providers.
COVID-19 Information - New Hampshire Administrative May 29, 2020

Introducing lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Beginning June 1, 2020, Anthem is introducing our Anthem Health Access Plans for certain large group employers currently enrolled in our commercial lines of business only.
N/A Administrative May 26, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information - New Hampshire Administrative May 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

May 2020 Anthem New Hampshire Provider News Products & Programs May 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

May 2020 Anthem New Hampshire Provider News Products & Programs May 1, 2020

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Anthem New Hampshire Provider News Products & Programs May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Anthem New Hampshire Provider News Products & Programs May 1, 2020

Clinical criteria updates for specialty pharmacy

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

Specialty pharmacy updates effective August 1, 2020

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

View all COVID-19 related articles in one repository location - COVID-19 Information - New Hampshire

COVID-19 Information - New Hampshire Administrative May 1, 2020

Reminder about system updates

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

Quality Corner - Diabetes HbA1c<8 HEDIS guidance

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

Commercial Risk Adjustment (CRA) Prospective Program update: Assessing patients for risk adjustable conditions

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

Reimbursement policy update - Claims Requiring Additional Documentation (facility)

May 2020 Anthem New Hampshire Provider News Reimbursement Policies May 1, 2020

Medical policy and clinical guideline updates are available on anthem.com

May 2020 Anthem New Hampshire Provider News Medical Policy & Clinical Guidelines May 1, 2020

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

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

Multi-dose packaging

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

Keep up with Medicare news

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

Updated COVID-19 Medicare Information

COVID-19 Information - New Hampshire Medicare Apr 20, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them, Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis. 
COVID-19 Information - New Hampshire Administrative Apr 10, 2020

Anthem to delay most April 1 formulary list updates for commercial health plan pharmacy benefit

COVID-19 Information - New Hampshire Pharmacy Apr 1, 2020

Specialty pharmacy updates effective July 1, 2020

April 2020 Anthem New Hampshire Provider News Pharmacy Apr 1, 2020

Pharmacy information available on anthem.com

April 2020 Anthem New Hampshire Provider News Pharmacy Apr 1, 2020

Information from Anthem for Care Providers about COVID-19

Bookmark Provider News Home for the latest information for Care Providers about COVID-19.
April 2020 Anthem New Hampshire Provider News Administrative Apr 1, 2020

Anthem acquires Beacon Health Options

April 2020 Anthem New Hampshire Provider News Administrative Apr 1, 2020

Provider Manual to be updated July 1, 2020

April 2020 Anthem New Hampshire Provider News Administrative Apr 1, 2020

Continued focus on updates to public provider website

April 2020 Anthem New Hampshire Provider News Administrative Apr 1, 2020

Important update: Preferred Primary Care benefit design features $5 copay for services provided by designated preferred primary care providers

April 2020 Anthem New Hampshire Provider News Administrative Apr 1, 2020

MCG Care Guidelines 24th Edition

April 2020 Anthem New Hampshire Provider News Administrative Apr 1, 2020

Escalation process documents available on anthem.com

April 2020 Anthem New Hampshire Provider News Administrative Apr 1, 2020

Access surveys for PCP, specialists and behavioral health practitioners

April 2020 Anthem New Hampshire Provider News Administrative Apr 1, 2020

Ensure the accuracy of your information in the provider directory

April 2020 Anthem New Hampshire Provider News Administrative Apr 1, 2020

Provider transparency update

April 2020 Anthem New Hampshire Provider News Administrative Apr 1, 2020

HEDIS 2020 Federal Employee Program® medical records request requirements

April 2020 Anthem New Hampshire Provider News Administrative Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem New Hampshire Provider News Medicare Apr 1, 2020

Medical drug benefit clinical criteria updates - November 2019

April 2020 Anthem New Hampshire Provider News Medicare Apr 1, 2020

Medical drug benefit clinical criteria updates - December 2019

April 2020 Anthem New Hampshire Provider News Medicare Apr 1, 2020

Keep up with Medicare news

April 2020 Anthem New Hampshire Provider News Medicare Apr 1, 2020

Important update: New Preferred Primary Care benefit design features $5 copayment for services provided by designated preferred primary care providers

Important update: New Preferred Primary Care benefit design features $5 copayment for services provided by designated preferred primary care providers Administrative Mar 3, 2020

Anthem acquires Beacon Health Options

N/A Administrative Mar 2, 2020

Level of care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020

March 2020 Anthem New Hampshire Provider News Products & Programs Mar 1, 2020

Clinical criteria updates for specialty pharmacy

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

Pharmacy information available on anthem.com

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

New enhancements with Provider News

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

Reminder: non-physical, occupational or speech therapists must include modifiers on physical, occupational, or speech therapy claims

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

Patient360 enhancement for medical providers

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

Commercial Risk Adjustment (CRA) Program update: Medical chart collection for ACA members due March 31, 2020

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

Modifier use reminders

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

Important coding reminder for Walk-in Retail Health Clinics

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

Provider Maintenance Form (PMF) enhancement

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

Clinical guideline update effective June 1, 2020 - Paraesophageal Hernia Repair

March 2020 Anthem New Hampshire Provider News Medical Policy & Clinical Guidelines Mar 1, 2020

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

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

Keep up with Medicare news

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

Non-preferred products and corresponding preferred alternatives

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

New Year brings new ID cards for many Anthem members

New Year brings new ID cards for many Anthem members Administrative Feb 14, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2020 Anthem New Hampshire Provider News Products & Programs Feb 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

February 2020 Anthem New Hampshire Provider News Products & Programs Feb 1, 2020

Behavioral health outpatient visits for 2020

February 2020 Anthem New Hampshire Provider News Behavioral Health Feb 1, 2020

Formulary lists updated for commercial health plans

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

Clinical criteria updates for specialty pharmacy

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

CLIA claim requirements effective May 1, 2020

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