Ohio
Provider Communications

April 2020 Anthem Provider News - Ohio

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Title Category

Notice of Material Changes/Amendments to Contract and/or Prior Authorization Changes - April 2020

Notice of 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.

Administrative

Information from Anthem for Care Providers about COVID-19

* Please bookmark/add to favorites Provider News Home for the latest information about COVID-19.
Administrative

Anthem continues focus on updates to our public provider website

Administrative

Provider Transparency Update

Administrative

Anthem acquires Beacon Health Options

Administrative

Anthem prior authorization updates for specialty pharmacy are available - April 2020*

Pharmacy

Anthem to delay most April 1, 2020 formulary list updates for commercial health plan pharmacy benefit

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

MCG Care Guidelines 24th Edition*

Medical Policy & Clinical Guidelines

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements*

Medical Policy & Clinical Guidelines

HEDIS 2020 Federal Employee Program® medical record request requirements

Federal Employee Plan (FEP)

COVID-19 information from Anthem Blue Cross and Blue Shield

Medicare

Medicare News - April 2020

View these Medicare notices:
- Coding tip for psychological and neuropsychological testing
- Medical Policies and Clinical Utilization Management Guidelines update
- New Medicare Advantage opioid treatment Program benefit
- Prior authorization requirements: new 2020 codes for coverage and precertification
Medicare

Medical drug benefit Clinical Criteria updates - November 2019

Medicare

Medical drug benefit Clinical Criteria updates - December 2019

Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Trusted Senior Care Advantage - a delegated provider for southeastern Ohio Medicare Advantage membership

Medicare

Greater Dayton Senior Care Advantage - a delegated provider for Dayton, OH Medicare Advantage membership

Medicare
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