Medical Policies and Clinical Guidelines updates – June 2024

The following Anthem’s Medical Policies and Clinical Guidelines were reviewed for Indiana, Kentucky, Missouri, Ohio, and Wisconsin.

To view Medical Policies and Clinical Utilization Management Guidelines, go to anthem.com > select Providers > select your state > under Provider Resources > select Policies, Guidelines & Manuals.

To help determine if prior authorization is needed for Anthem members, go to anthem.com > select Providers > select your state > under Claims > select Prior Authorization. You can also call the prior authorization phone number on the back of the member’s ID card.

To view medical policies and utilization management guidelines applicable to members enrolled in the Federal Employee Program^® (FEP), visit fepblue.org > Policies & Guidelines.

Below are the current Clinical Guidelines or Medical Policies we reviewed, and updates were approved.

* Denotes prior authorization required