Ohio
Provider Communications

June 2022 Anthem Provider News - Ohio

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Title Category

Provider outreach to validate your provider data

Administrative

Forum: Exploring the Intersection of Race and Disability

Administrative

Once-a-year testing is critically important to providing quality diabetes care

Administrative

CAA: Provider directories accuracy is important

Administrative

Opioid overdose deaths: What can we do?

Behavioral Health

Process change for Federal Employee Program third-party correspondence requests

Federal Employee Plan (FEP)

Medical policy and clinical guideline updates - June 2022*

*Notice of Material Amendment/Change to Contract (MAC)
Medical Policy & Clinical Guidelines

Updated guidance on prior authorization requirements for admissions to in-network long-term acute care hospitals (LTACHs)*

*Notice of Material Amendment/Change to Contract (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM musculoskeletal clinical appropriateness guidelines*

*Notice of Material Amendment/Change to Contract (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM advanced imaging clinical appropriateness guidelines*

*Notice of Material Amendment/Change to Contract (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM sleep disorder management clinical appropriateness guidelines*

*Notice of Material Amendment/Change to Contract (MAC)
Medical Policy & Clinical Guidelines

Keep up with Medicare News - June 2022

Medicare

Evaluation and management services for COVID testing - professional

Medicare

Medical drug benefit clinical criteria updates

Medicare

Medical policies and clinical utilization management guidelines update

Medicare

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

Medicare

Specialty pharmacy updates - June 2022*

*Notice of Material Amendment/Change to Contract (MAC)
Pharmacy

Updates to AIM musculoskeletal program: Monitored anesthesia care reviews*

*Notice of Material Amendment/Change to Contract (MAC)
Products & Programs

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

*Notice of Material Amendment/Change to Contract (MAC)
Reimbursement Policies
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