Policy Updates Reimbursement PoliciesMedicaid Managed CareAugust 1, 2024

Reimbursement policy update: Nurse Practitioner and Physician Assistant Services

(Policy G-20002, effective 11/01/2024)

Beginning with dates of service on or after 11/01/2024, Anthem will update the Nurse Practitioner and Physician Assistant Services reimbursement policy as indicated below.

The following services will be removed as physicians’ services:

    • Preventive Services
    • Radiology Services

The following services will be included as physicians’ services:

    • Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS)
    • Laboratory Services and Screening Services

For additional information, please review the Nurse Practitioner and Physician Assistant Services reimbursement policy at providers.anthem.com/oh.

Anthem Blue Cross and Blue Shield Medicaid is the trade name of Community Insurance Company. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

OHBCBS-CD-050446-24-CPN49984

PUBLICATIONS: August 2024 Provider Newsletter