February 1, 2021

February 2021 Anthem Provider News - Ohio

Filter By: AllCommercial

Administrative

AdministrativeCommercialFebruary 1, 2021

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

AdministrativeCommercialFebruary 1, 2021

New provider directory indicator for telehealth services

AdministrativeCommercialFebruary 1, 2021

New Anthem utilization management tool now available on Availity: Authorization Rules Lookup tool

Policy Updates

Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2021

Medical Policy and Clinical Guideline Updates - February 2021*

Reimbursement PoliciesCommercialFebruary 1, 2021

Reimbursement policy update: Emergency Room Transfers - Facility*

Reimbursement PoliciesCommercialFebruary 1, 2021

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

Products & Programs

PharmacyCommercialFebruary 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

PharmacyCommercialFebruary 1, 2021

Designated specialty pharmacy network*

PharmacyCommercialFebruary 1, 2021

Prior authorization updates for specialty pharmacy are available - February 2021*

PharmacyCommercialFebruary 1, 2021

Pharmacy information available at anthem.com

State & Federal

State & FederalMedicare AdvantageFebruary 1, 2021

PN for UM AROW Item 1330

State & FederalMedicare AdvantageFebruary 1, 2021

Medical drug benefit clinical criteria updates - February 2021