Ohio
Provider Communications

October 2019 Anthem Provider News - Ohio

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Title Category

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- October 2019

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

UPDATE: new AIM Rehabilitative Program will begin November 1, 2019

Products & Programs

National Accounts 2020 Pre-certification list*

Administrative

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

Administrative

Anthem launches additional changes to anthem.com

Administrative

Important update to Anthem’s commercial drug lists

Pharmacy

Anthem specialty pharmacy medical step therapy drug list- clarification

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

Reimbursement Policy update: Place of Service-Professional*

Reimbursement Policies

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review*

Federal Employee Plan (FEP)

Pre-certification information for the Federal Employee Program*

Federal Employee Plan (FEP)

US Antibiotic Awareness Week is November 11-18, 2019

Federal Employee Plan (FEP)

Medicare News -- October 2019

Medicare

Aspire Telehealth Palliative Care program

Medicare

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Update: 2019 risk adjustment provider trainings

Medicare

Medicare preferred continuous glucose monitors

Medicare

Medical drug Clinical Criteria updates

Medicare

Prior authorization requirements changes effective November 1, 2019

Medicare
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