July 1, 2020
July 2020 Anthem Provider News - Ohio
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CommercialJuly 1, 2020
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - July 2020Notice 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.
CommercialJuly 1, 2020
Important change to prior authorization requests for inpatient hospital admissions*CommercialJuly 1, 2020
Welcome to the Custom Learning Center in AvailityPolicy Updates
CommercialJuly 1, 2020
New MCG 24th Edition GuidelinesProducts & Programs
CommercialJuly 1, 2020
Update: New go-live date for level of care medical necessity review of upper and lower endoscopy proceduresCommercialJuly 1, 2020
Updated coverage for HIV PrEP medicationsCommercialJuly 1, 2020
Anthem prior authorization updates for specialty pharmacy are available - July 2020*State & Federal
Medicare AdvantageJuly 1, 2020
Medicare News - July 2020View these Medicare articles:
- New behavioral health discharge call-in line
- Medical policies and clinical utilization management guidelines update
- Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines
- Transition to AIM rehabilitative services clinical appropriateness guidelines
- Modifier use reminders
- New behavioral health discharge call-in line
- Medical policies and clinical utilization management guidelines update
- Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines
- Transition to AIM rehabilitative services clinical appropriateness guidelines
- Modifier use reminders
Medicare AdvantageJuly 1, 2020
Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue ShieldMedicare AdvantageJuly 1, 2020
2020 affirmative statement concerning utilization management decisionsMedicare AdvantageJuly 1, 2020
Medical drug benefit clinical criteria updatesMedicare AdvantageJuly 1, 2020
In-Office Assessment ProgramMedicare AdvantageJuly 1, 2020
2020 Special Needs PlansTo view this publication online:
Visit https://providernews.anthem.com/ohio/publications/july-2020-anthem-provider-news-ohio-680
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