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.


  • Prior authorization updates for specialty pharmacy are available*
  • Medical policy and clinical guideline updates*
  • Correction to Prior Authorization Update for Commercial business*
  • New reimbursement policy: Documentation Standards for Episodes of Care (Professional)*
  • Reimbursement policy update: Modifier rules (Professional)*
  • Reimbursement policy update: Bundled Services and Supplies (Professional)*
  • Reimbursement policy update: Multiple Diagnostic Imaging Facility (Facility)*

Featured In:
November 2020 Anthem Provider News - Ohio