CommercialDecember 1, 2022
December 2022 Newsletter
Administrative
CommercialDecember 1, 2022
Attention lab providers: COVID-19 update regarding reimbursementCommercialDecember 1, 2022
Important information about utilization managementCommercialDecember 1, 2022
State of Connecticut employer group - BlueCare Prime updateCommercialDecember 1, 2022
IngenioRx will become CarelonRx on January 1, 2023CommercialDecember 1, 2022
CAA: Timely updates help keep our provider directories currentCommercialDecember 1, 2022
Member assessment of PCP after-hours messaging in 2022CommercialDecember 1, 2022
Clinical practice and preventive health guidelines available on empireblue.comCommercialDecember 1, 2022
Signature requirements for laboratory orders or requisitionsCommercialDecember 1, 2022
Case management programCommercialDecember 1, 2022
Coordination of careCommercialDecember 1, 2022
Member’s assessment of behavioral healthcare after-hours messaging in 2022CommercialDecember 1, 2022
Members’ rights and responsibilitiesPolicy Updates
CommercialDecember 1, 2022
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List updateCommercialDecember 1, 2022
AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List updateCommercialDecember 1, 2022
Reimbursement policy update: Bundled Services and Supplies - ProfessionalCommercialDecember 1, 2022
Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - FacilityProducts & Programs
CommercialDecember 1, 2022
Clinical Criteria updates for specialty pharmacyCommercialDecember 1, 2022
Pharmacy information available on the provider websiteState & Federal
MedicaidDecember 1, 2022
Update to the Pregnancy Notification FormMedicaidDecember 1, 2022
Oral health equityMedicaidDecember 1, 2022
Keep up with Medicaid news - December 2022- Clinical Criteria updates
- Prior authorization requirement changes effective January 1, 2023
- Prior authorization updates for medications billed under the medical benefit
- Medical Policies and Clinical Utilization Management Guidelines update
- AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
Medicare AdvantageDecember 1, 2022
Courtesy notification of specialty pharmacy medical step therapy updatesMedicare AdvantageDecember 1, 2022
2023 Medicare Advantage service area and benefit updatesMedicare AdvantageDecember 1, 2022
Personal home helper benefit endingMedicare AdvantageDecember 1, 2022
Keep up with Medicare news - December 2022To view this publication online:
Visit https://providernews.anthem.com/new-york/publications/december-2022-newsletter-1590
Or scan this QR code with your phone