December 1, 2022

December 2022 Anthem Provider News - Ohio

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Administrative

AdministrativeCommercialDecember 1, 2022

Attention lab providers: COVID-19 update regarding reimbursement*
*Notice of Material Amendment/Change to Contract (MAC)

AdministrativeCommercialDecember 1, 2022

CAA: Timely updates help keep our provider directories current

AdministrativeCommercialDecember 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

AdministrativeCommercialDecember 1, 2022

Member assessment of PCP after-hours messaging in 2022

AdministrativeCommercialDecember 1, 2022

Members’ rights and responsibilities

AdministrativeCommercialDecember 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

AdministrativeCommercialDecember 1, 2022

Coordination of care

AdministrativeCommercialDecember 1, 2022

Case management program

AdministrativeCommercialDecember 1, 2022

Important information about utilization management

AdministrativeCommercialDecember 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

AdministrativeCommercialDecember 1, 2022

Signature requirements for laboratory orders or requisitions

Policy Updates

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update*
*Notice of Material Amendment/Change to contract (MAC)

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2022

Medical Policies and Clinical Guidelines updates - December 2022*
*Notice of Material Amendment/Change to contract (MAC)

Reimbursement PoliciesCommercialDecember 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

Reimbursement PoliciesCommercialDecember 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional*

*Notice of Material Amendment/Change to contract (MAC)

Reimbursement PoliciesCommercialDecember 1, 2022

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

*Notice of Material Amendment/Change to contract (MAC)

Products & Programs

PharmacyCommercialDecember 1, 2022

Pharmacy information available on the provider website

PharmacyCommercialDecember 1, 2022

Specialty pharmacy updates - December 2022*
*Notice of Material Amendment/Change to contract (MAC)

State & Federal

State & FederalMedicare AdvantageDecember 1, 2022

Keep up with Medicare News - December 2022
- Medical drug benefit Clinical Criteria updates
- Medical Policies and Clinical Utilization Management Guidelines update
- Signature requirements for laboratory orders or requisitions

State & FederalMedicare AdvantageDecember 1, 2022

Personal home helper benefit ending

State & FederalMedicare AdvantageDecember 1, 2022

Wound Care Connect program for Medicare Advantage and Group Retiree members

State & FederalMedicare AdvantageDecember 1, 2022

2023 Medicare Advantage service area and benefit updates