CommercialDecember 1, 2020

December 2020 Anthem Provider News - Ohio

Administrative

AdministrativeCommercialDecember 1, 2020

Case management program

AdministrativeCommercialDecember 1, 2020

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

AdministrativeCommercialDecember 1, 2020

Important information about utilization management

AdministrativeCommercialDecember 1, 2020

Members’ rights and responsibilities

AdministrativeCommercialDecember 1, 2020

Coordination of care

AdministrativeCommercialDecember 1, 2020

PCP after-hours access requirements

AdministrativeCommercialDecember 1, 2020

Anthem contracted air ambulance providers for Ohio

AdministrativeCommercialDecember 1, 2020

2-minute videos to engage patients about preventive care

AdministrativeCommercialDecember 1, 2020

Updated BlueCard® Provider Manual available

AdministrativeCommercialDecember 1, 2020

Access to claim denial information is now self-service

AdministrativeCommercialDecember 1, 2020

Anthem and Quest Diagnostics form strategic relationship

AdministrativeCommercialDecember 1, 2020

New Blue HPN® plans go live Jan. 1, 2021

Behavioral Health

Behavioral HealthCommercialDecember 1, 2020

Access requirements for behavioral health care services

Policy Updates

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Updates to AIM Radiation Oncology clinical appropriateness guideline*

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guideline*

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Updates to AIM Cardiology clinical appropriateness guidelines*

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Anthem expands hospice policy

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Medical policy and clinical guideline updates - December 2020*

Reimbursement PoliciesCommercialDecember 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)*

State & Federal

State & FederalMedicare AdvantageDecember 1, 2020

Digital transactions cut administrative tasks in half

State & FederalMedicare AdvantageDecember 1, 2020

Medical policies and clinical utilization management guidelines update

State & FederalMedicare AdvantageDecember 1, 2020

Pilkington North America, Inc. offers Medicare Advantage option

State & FederalMedicare AdvantageDecember 1, 2020

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

State & FederalMedicare AdvantageDecember 1, 2020

Joint announcement to end delegation in Ohio

State & FederalMedicare AdvantageDecember 1, 2020

2021 Medicare Advantage individual benefits and formularies