Notice of material changes/amendments to contract and prior authorization changes - August 2020

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.

 

• Anthem prior authorization updates for specialty pharmacy are available – August 2020
• Medical Policy and Clinical Guideline Updates – August 2020*
• Expansion of AIM Musculoskeletal Program effective November 1, 2020
• Reimbursement Policy Update: Claims requiring additional documentation (Facility)