February 1, 2023
February 2023 Anthem Provider News - Ohio
Filter By: AllCommercial
Administrative
CommercialJanuary 31, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsCommercialMedicare AdvantageJanuary 31, 2023
AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.CommercialJanuary 31, 2023
Have you reviewed your online provider directory information lately?CommercialJanuary 31, 2023
Do you offer telehealth services? Let us know!CommercialMedicare AdvantageJanuary 31, 2023
Enhancing Provider News website and email communicationsPolicy Updates
CommercialJanuary 31, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Medical Policies and Clinical Guidelines updates - February 2023Medicare AdvantageJanuary 31, 2023
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update**Notice of Material Amendment/Change to contract (MAC)
CommercialMedicare AdvantageJanuary 31, 2023
Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines**Notice of Material Amendment/Change to contract (MAC)
Products & Programs
CommercialJanuary 31, 2023
2023 FEP benefit information available onlineCommercialJanuary 31, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Specialty pharmacy updates - February 2023State & Federal
Medicaid Managed CareJanuary 31, 2023
Electronic data interchange overviewMedicaid Managed CareJanuary 31, 2023
Custom Learning Center located on Availity Essentials Payer SpacesMedicaid Managed CareJanuary 31, 2023
Electronic remittance advice (835)Medicaid Managed CareJanuary 31, 2023
Anthem Blue Cross and Blue Shield reimbursement policiesMedicaid Managed CareJanuary 31, 2023
RETRACTED -Provider Pathways - eLearning from Anthem Blue Cross and Blue ShieldMedicaid Managed CareJanuary 31, 2023
The difference between Medicaid and CommercialMedicaid Managed CareJanuary 31, 2023
Access instant health plan information via Availity EssentialsMedicare AdvantageMedicaid Managed CareJanuary 31, 2023
Introducing the Provider Learning Hub for Anthem Blue Cross and Blue ShieldMedicaid Managed CareJanuary 31, 2023
Pregnancy notification process using the benefit look-up toolMedicare AdvantageJanuary 31, 2023
Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023Medicare AdvantageJanuary 31, 2023
Keep up with Medicare News - February 2023- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Fylnetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
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