CommercialMarch 1, 2023

March 2023 Anthem Provider News - Ohio

Administrative

AdministrativeCommercialMedicare AdvantageMarch 1, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

AdministrativeCommercialMedicare 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 update

AdministrativeCommercialMarch 1, 2023

Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements

New policy for EMR clinical data sharing and ADT notifications

AdministrativeCommercialMedicare AdvantageMarch 1, 2023

You are invited: Advancing Mental Health Equity for Youth & Young Adults
Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.

AdministrativeCommercialMarch 1, 2023

March is National Colorectal Cancer Awareness Month

Policy Updates

Reimbursement PoliciesCommercialMarch 1, 2023

Reimbursement policy update: Modifiers 25 and 57 - Professional

Products & Programs

Products & ProgramsCommercialMedicare AdvantageMarch 1, 2023

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

PharmacyCommercialMarch 1, 2023

Pharmacy information available on our provider website

PharmacyCommercialMarch 1, 2023

Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements

Specialty pharmacy updates for March 2023

State & Federal

State & FederalMedicaid Managed CareMarch 1, 2023

Member referrals: Employment Services Program and Housing Flex Funds

State & FederalMedicaid Managed CareMarch 1, 2023

Enhancing Provider News website and email communications

State & FederalMedicaid Managed CareMarch 1, 2023

Member ID cards

State & FederalMedicare AdvantageMarch 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

State & FederalMedicare AdvantageMarch 1, 2023

Annual planned visits

State & FederalMedicare AdvantageMarch 1, 2023

Shared savings and transition care management after inpatient discharges

State & FederalMedicare AdvantageMarch 1, 2023

Informational Update Modifier Usage

State & FederalMedicare AdvantageMarch 1, 2023

Keep up with Medicare News - March 2023
- Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List in Ohio
- 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