CommercialMarch 1, 2023
March 2023 Anthem Provider News - Ohio
Administrative
CommercialMarch 1, 2023
Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviewsCommercialMedicare AdvantageMarch 1, 2023
Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measuresCommercialMedicare AdvantageMarch 1, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list updateCommercialMarch 1, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
New policy for EMR clinical data sharing and ADT notificationsCommercialMedicare AdvantageMarch 1, 2023
You are invited: Advancing Mental Health Equity for Youth & Young AdultsCommercialMarch 1, 2023
March is National Colorectal Cancer Awareness MonthPolicy Updates
CommercialMarch 1, 2023
Reimbursement policy update: Modifiers 25 and 57 - ProfessionalProducts & Programs
CommercialMedicare AdvantageMarch 1, 2023
Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023CommercialMarch 1, 2023
Pharmacy information available on our provider websiteCommercialMarch 1, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Specialty pharmacy updates for March 2023State & Federal
Medicaid Managed CareMarch 1, 2023
Member referrals: Employment Services Program and Housing Flex FundsMedicaid Managed CareMarch 1, 2023
Enhancing Provider News website and email communicationsMedicaid Managed CareMarch 1, 2023
Member ID cardsMedicare AdvantageMarch 1, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsMedicare AdvantageMarch 1, 2023
Annual planned visitsMedicare AdvantageMarch 1, 2023
Shared savings and transition care management after inpatient dischargesMedicare AdvantageMarch 1, 2023
Informational Update Modifier UsageMedicare AdvantageMarch 1, 2023
Keep up with Medicare News - March 2023- Carelon Medical Benefits Management, Inc. Genetic Testing Clinical Appropriateness Guidelines CPT code list update
- What date to select for inpatient admissions for claims
- Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Neulasta, Neulasta OnPro, Udenyca)
- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
To view this publication online:
Visit https://providernews.anthem.com/ohio/publications/march-2023-anthem-provider-news-ohio-1658
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