Ohio
Provider Communications

June 2022 Anthem Provider News - Ohio

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Title Category

CAA: Provider directories accuracy is important

Administrative

Evaluation and management services for COVID testing - professional

Medicare

Forum: Exploring the Intersection of Race and Disability

Administrative

Keep up with Medicare News - June 2022

Medicare

Medical drug benefit clinical criteria updates

Medicare

Medical policies and clinical utilization management guidelines update

Medicare

Medical policy and clinical guideline updates - June 2022*

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

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

Administrative

Opioid overdose deaths: What can we do?

Behavioral Health

Process change for Federal Employee Program third-party correspondence requests

Federal Employee Plan (FEP)

Provider outreach to validate your provider data

Administrative

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

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

Specialty pharmacy updates - June 2022*

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

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 advanced imaging clinical appropriateness guidelines*

*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 musculoskeletal program: Monitored anesthesia care reviews*

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

Updates to AIM sleep disorder management clinical appropriateness guidelines*

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

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

Medicare
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