CommercialMarch 1, 2021
March 2021 Anthem Provider News - Ohio
Administrative
CommercialMarch 1, 2021
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - March 2021Notice 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.
CommercialMarch 1, 2021
Medical attachment capability now includes itemized bills and more!Policy Updates
CommercialMarch 1, 2021
Update: Notice of changes to the AIM Small Joint Surgery guidelineCommercialMarch 1, 2021
Anthem clarifies guidance on prior authorization requirements for admissions to in-network skilled nursing facilities (SNFs)**Material Adverse Change (MAC)
CommercialMarch 1, 2021
Claims editing update for ICD-10-CM Excludes 1 notesProducts & Programs
CommercialMarch 1, 2021
Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021**Material Adverse Change (MAC)
CommercialMarch 1, 2021
Updates for specialty pharmacy are available - March 2021**Material Adverse Change (MAC)
CommercialMarch 1, 2021
Some HIV medication combinations may require prior authorizationState & Federal
Medicare AdvantageMarch 1, 2021
Medicare News - March 2021View these Medicare articles:
- MCG Care Guidelines 24th edition customization
- DME checklist of information needed from providers
- MCG Care Guidelines 24th edition customization
- DME checklist of information needed from providers
Medicare AdvantageMarch 1, 2021
Access to more claim denial information is now self-serviceMedicare AdvantageMarch 1, 2021
New provider directory indicator for telehealth servicesMedicare AdvantageMarch 1, 2021
Medical policies and clinical utilization management guidelines updateTo view this publication online:
Visit https://providernews.anthem.com/ohio/publications/march-2021-anthem-provider-news-ohio-869
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