CommercialApril 1, 2021

April 2021 Anthem Provider News - Ohio

Administrative

AdministrativeCommercialApril 1, 2021

Interactive bilingual website taking action for our health
Exclusively developed for the Latino Community

AdministrativeCommercialApril 1, 2021

Join Anthem in talking about racism and its impact on health

AdministrativeCommercialApril 1, 2021

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - April 2021
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.

AdministrativeCommercialApril 1, 2021

Keeping up with routine vaccination during COVID-19

AdministrativeCommercialApril 1, 2021

Chat directly with a prior authorization specialist

AdministrativeCommercialApril 1, 2021

Attention facilities: Sending admission, discharge and transfer data results in improved care management for patients

AdministrativeCommercialApril 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

AdministrativeCommercialApril 1, 2021

Understanding Availity roles for electronic data interchange (EDI)

AdministrativeCommercialApril 1, 2021

Information Center - Access important policies, forms and helpful resources

AdministrativeCommercialApril 1, 2021

Does your practice offer telehealth services? Let us know!

AdministrativeCommercialApril 1, 2021

Updated Provider Manual now available

AdministrativeCommercialApril 1, 2021

COVID fee schedule changes*
*Notice of Material Amendment/Change to Contract (MAC)

Behavioral Health

Behavioral HealthCommercialApril 1, 2021

The health of millennials: Trends in behavioral health conditions

Policy Updates

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

Update for Commercial providers: AIM sleep program CPT code E1399, NOC: Durable medical equipment, miscellaneous

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

Maximizing efficient, high quality COVID-19 screenings*
*Notice of Material Amendment/Change to Contract (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

MCG Care Guidelines 25th Edition available*
*Notice of Material Amendment/Change to Contract (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

Update: Clinical guideline adoption postponed*
*Notice of Material Amendment/Change to Contract (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

Medical policy and clinical guideline updates - April 2021*
*Notice of Material Amendment/Change to Contract (MAC)

Reimbursement PoliciesCommercialApril 1, 2021

New reimbursement policy: Newborn Inpatient Stays for facilities*
*Notice of Material Amendment/Change to Contract (MAC)

Products & Programs

Federal Employee Program (FEP)CommercialApril 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

PharmacyCommercialApril 1, 2021

Pharmacy information available at anthem.com

PharmacyCommercialApril 1, 2021

Updates for specialty pharmacy are available - April 2021*
*Notice of Material Amendment/Change to Contract (MAC)

PharmacyCommercialApril 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

State & Federal

State & FederalMedicare AdvantageApril 1, 2021

Clinical criteria updates notification - December 2020

State & FederalMedicare AdvantageApril 1, 2021

Clinical criteria updates notification - November 2020

State & FederalMedicare AdvantageApril 1, 2021

Oncology dose reduction program beginning July 1, 2021

State & FederalMedicare AdvantageApril 1, 2021

In-Office Assessment program

State & FederalMedicare AdvantageApril 1, 2021

Does your practice offer telehealth services? Let us know!