Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements starred (*) below.

  • Designated specialty pharmacy network*
  • Prior authorization updates for specialty pharmacy are available – February 2021*
  • Medical Policy and Clinical Guideline Updates – February 2021*
  • Reimbursement policy update: Emergency Room Transfers – Facility*
  • Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services – Facility*



Featured In:
February 2021 Anthem Provider News - Ohio