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.

 

Pharmacy

  • Anthem clinical criteria and prior authorization updates for specialty pharmacy are available*

 

Medical Policies/Clinical Guidelines

  • Medical Policy and Clinical Guidelines Updates – November 2019*
  • Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline*
  • Updates to AIM Radiation Therapy Clinical Appropriateness Guideline*
  • Updates to AIM Spine Surgery Clinical Appropriateness Guideline*
  • Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline*

 

Other Important Updates

  • Medicare and Medicaid News



Featured In:
November 2019 Anthem Provider News - Ohio