Ohio
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

Webinar recording now available for providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond

Anthem hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information - Ohio Behavioral Health Jun 25, 2020

Quality Corner: Follow-Up after Hospitalization for Mental Illness

June 2020 Anthem Provider News - Ohio Behavioral Health Jun 1, 2020

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum invitation - Ohio Behavioral Health Oct 14, 2020

Coding tip for psychological and neuropsychological testing

December 2019 Anthem Provider News - Ohio Behavioral Health Dec 1, 2019

New Substance Use Resource Center available

March 2020 Anthem Provider News - Ohio Behavioral Health Mar 1, 2020

New Codes for Applied Behavior Analysis (ABA)

January 2019 Anthem Ohio Provider Newsletter Behavioral Health Jan 1, 2019

Access requirements for behavioral health care services

December 2020 Anthem Provider News - Ohio Behavioral Health Dec 1, 2020

Shine Light on Depression

February 2020 Anthem Provider News - Ohio Behavioral Health Feb 1, 2020

The health of millennials: Trends in behavioral health conditions

April 2021 Anthem Provider News - Ohio Behavioral Health Apr 1, 2021

Access requirements for behavioral health care services

September 2019 Anthem Provider News - Ohio Behavioral Health Sep 1, 2019

Anthem to acquire Beacon Health Options

N/A Behavioral Health Jun 6, 2019

Pharmacy information available at anthem.com

April 2021 Anthem Provider News - Ohio Pharmacy Apr 1, 2021

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News - Ohio Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News - Ohio Pharmacy Jul 1, 2019

Notice of changes to prior authorization requirements for Designated Specialty Pharmacy Network

June 2021 Anthem Provider News - Ohio Pharmacy Jun 1, 2021

IngenioRx introduces new pharmacy network in 2021

January 2021 Anthem Provider News - Ohio Pharmacy Jan 1, 2021

Updates for specialty pharmacy are available - June 2021*

*Notice of Material Amendment/Change to Contract (MAC)
June 2021 Anthem Provider News - Ohio Pharmacy Jun 1, 2021

Prior authorization updates for specialty pharmacy are available - January 2021*

January 2021 Anthem Provider News - Ohio Pharmacy Jan 1, 2021

Pharmacy information available at anthem.com

June 2021 Anthem Provider News - Ohio Pharmacy Jun 1, 2021

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

August 2019 Anthem Provider News - Ohio Pharmacy Aug 1, 2019

Updated coverage for HIV PrEP medications

July 2020 Anthem Provider News - Ohio Pharmacy Jul 1, 2020

Pharmacy information available at anthem.com

August 2019 Anthem Provider News - Ohio Pharmacy Aug 1, 2019

Anthem prior authorization updates for specialty pharmacy are available - July 2020*

July 2020 Anthem Provider News - Ohio Pharmacy Jul 1, 2020

Access patient-specific drug benefit information through EMR

October 2018 Anthem Ohio Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy prior authorization list

October 2018 Anthem Ohio Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 Anthem Ohio Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy clinically equivalent drug list

October 2018 Anthem Ohio Provider Newsletter Pharmacy Sep 28, 2018

Pharmacy information available at anthem.com

October 2018 Anthem Ohio Provider Newsletter Pharmacy Sep 28, 2018

Anthem prior authorization updates for specialty pharmacy are available - June 2020*

June 2020 Anthem Provider News - Ohio Pharmacy Jun 1, 2020

Pharmacy information available at anthem.com

June 2020 Anthem Provider News - Ohio Pharmacy Jun 1, 2020

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021*

*Material Adverse Change (MAC)
March 2021 Anthem Provider News - Ohio Pharmacy Mar 1, 2021

Updates for specialty pharmacy are available - March 2021*

*Material Adverse Change (MAC)
March 2021 Anthem Provider News - Ohio Pharmacy Mar 1, 2021

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News - Ohio Pharmacy Mar 1, 2021

Anthem updates formulary lists for commercial health plan pharmacy benefit

October 2020 Anthem Provider News - Ohio Pharmacy Oct 1, 2020

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Ohio Provider Newsletter Pharmacy Feb 1, 2019

Prior authorization updates for specialty pharmacy are available - October 2020*

October 2020 Anthem Provider News - Ohio Pharmacy Oct 1, 2020

Anthem expands specialty pharmacy prior authorization list*

February 2019 Anthem Ohio Provider Newsletter Pharmacy Feb 1, 2019

FDA approvals and expedited pathways used - New Molecular Entities (NMEs)

October 2020 Anthem Provider News - Ohio Pharmacy Oct 1, 2020

Anthem expands specialty pharmacy medical step therapy drug list*

February 2019 Anthem Ohio Provider Newsletter Pharmacy Feb 1, 2019

Pharmacy information available at anthem.com

October 2020 Anthem Provider News - Ohio Pharmacy Oct 1, 2020

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization*

*Notice of Material Amendment/Change to Contract (MAC)
May 2021 Anthem Provider News - Ohio Pharmacy May 1, 2021

Anthem prior authorization updates for specialty pharmacy are available - May 2020*

May 2020 Anthem Provider News - Ohio Pharmacy May 1, 2020

Anthem expands specialty pharmacy prior authorization list*

June 2019 Anthem Provider Newsletter - Ohio Pharmacy Jun 1, 2019

Pharmacy information available at anthem.com

February 2019 Anthem Ohio Provider Newsletter Pharmacy Feb 1, 2019

Reminder: Anthem requires National Drug Code for professional and facility outpatient claims effective June 15, 2020*

June 2020 Anthem Provider News - Ohio Pharmacy Jun 1, 2020

Updates for specialty pharmacy are available - May 2021*

*Notice of Material Amendment/Change to Contract (MAC)
May 2021 Anthem Provider News - Ohio Pharmacy May 1, 2021

Pharmacy information available at anthem.com

December 2019 Anthem Provider News - Ohio Pharmacy Dec 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema*

May 2019 Anthem Provider Newsletter - Ohio Pharmacy May 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents*

May 2019 Anthem Provider Newsletter - Ohio Pharmacy May 1, 2019

Pharmacy information available at anthem.com

May 2019 Anthem Provider Newsletter - Ohio Pharmacy May 1, 2019

Update: Site of care medical necessity reviews for long-acting colony-stimulating factors not implemented on June 1, 2021*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019

June 2019 Anthem Provider Newsletter - Ohio Pharmacy Jun 1, 2019

Updated coverage for breast cancer prevention medications

October 2020 Anthem Provider News - Ohio Pharmacy Oct 1, 2020

Designated specialty pharmacy network updates effective October 1, 2021*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Updates for specialty pharmacy are available - July 2021*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Anthem clinical criteria and prior authorization updates for specialty pharmacy are available*

November 2019 Anthem Provider News - Ohio Pharmacy Nov 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Provider News - Ohio Pharmacy Nov 1, 2019

Certain specialty medication prior authorization requests may require additional documentation*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Anthem prior authorization updates for specialty pharmacy are available - April 2020*

April 2020 Anthem Provider News - Ohio Pharmacy Apr 1, 2020

National Drug Code requirement on outpatient claims*

March 2020 Anthem Provider News - Ohio Pharmacy Mar 1, 2020

Pharmacy information available at anthem.com

March 2020 Anthem Provider News - Ohio Pharmacy Mar 1, 2020

Anthem to delay most April 1, 2020 formulary list updates for commercial health plan pharmacy benefit

COVID-19 Information - Ohio Pharmacy Apr 1, 2020

Simplifying medication prior authorization processes

January 2019 Anthem Ohio Provider Newsletter Pharmacy Jan 1, 2019

Anthem Accepts Electronic Prior Authorization Requests for Prescription Medications Online

December 2018 Anthem Ohio Provider Newsletter Pharmacy Dec 1, 2018

Update regarding drugs not approved by the FDA

January 2019 Anthem Ohio Provider Newsletter Pharmacy Jan 1, 2019

Introducing the New Clinical Criteria Page for Injectable, Infused or Implanted Drugs

December 2018 Anthem Ohio Provider Newsletter Pharmacy Dec 1, 2018

Eligible facilities to bill modifiers JG and TB on 340B drugs

January 2019 Anthem Ohio Provider Newsletter Pharmacy Jan 1, 2019

Pharmacy Information Available at anthem.com

December 2018 Anthem Ohio Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available at anthem.com

January 2019 Anthem Ohio Provider Newsletter Pharmacy Jan 1, 2019

IngenioRx Introduces new pharmacy network in 2021

November 2020 Anthem Provider News - Ohio Pharmacy Nov 1, 2020

Prior authorization updates for specialty pharmacy are available - November 2020*

November 2020 Anthem Provider News - Ohio Pharmacy Nov 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

September 2020 Anthem Provider News - Ohio Pharmacy Sep 1, 2020

Specialty pharmacy updates are available - September 2020*

September 2020 Anthem Provider News - Ohio Pharmacy Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2021 Anthem Provider News - Ohio Pharmacy Feb 1, 2021

Designated specialty pharmacy network*

February 2021 Anthem Provider News - Ohio Pharmacy Feb 1, 2021

Prior authorization updates for specialty pharmacy are available - February 2021*

February 2021 Anthem Provider News - Ohio Pharmacy Feb 1, 2021

Pharmacy information available at anthem.com

February 2021 Anthem Provider News - Ohio Pharmacy Feb 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2020 Anthem Provider News - Ohio Pharmacy Aug 1, 2020

Voluntary site of care outreach for oncology checkpoint inhibitors beginning August 1, 2020

August 2020 Anthem Provider News - Ohio Pharmacy Aug 1, 2020

Important update to Anthem’s commercial drug lists

October 2019 Anthem Provider News - Ohio Pharmacy Oct 1, 2019

Pharmacy information available on anthem.com

August 2020 Anthem Provider News - Ohio Pharmacy Aug 1, 2020

Anthem specialty pharmacy medical step therapy drug list- clarification

October 2019 Anthem Provider News - Ohio Pharmacy Oct 1, 2019

Pharmacy information available at anthem.com

October 2019 Anthem Provider News - Ohio Pharmacy Oct 1, 2019

Clinical criteria and prior authorization updates for specialty pharmacy are available*

August 2019 Anthem Provider News - Ohio Pharmacy Aug 1, 2019

Prior authorization updates for specialty pharmacy are available - December 2020*

December 2020 Anthem Provider News - Ohio Pharmacy Dec 1, 2020

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - Ohio Pharmacy Mar 1, 2019

Important update to Anthem’s commercial drug lists

March 2019 Anthem Provider Newsletter - Ohio Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Ohio Pharmacy Mar 1, 2019

Anthem expands specialty pharmacy prior authorization list*

April 2019 Anthem Provider Newsletter - Ohio Pharmacy Apr 1, 2019

Important reminder regarding specialty pharmacy clinical site of care program

March 2019 Anthem Provider Newsletter - Ohio Pharmacy Mar 1, 2019

AIM IVR changes for non-oncology medical specialty drug reviews effective Jan. 1, 2021

December 2020 Anthem Provider News - Ohio Pharmacy Dec 1, 2020

Pharmacy information available at anthem.com

December 2020 Anthem Provider News - Ohio Pharmacy Dec 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News - Ohio Pharmacy Feb 1, 2020

Anthem prior authorization updates for specialty pharmacy are available - August 2020*

August 2020 Anthem Provider News - Ohio Pharmacy Aug 1, 2020

Clinical criteria and prior authorization updates for specialty pharmacy are available*

September 2019 Anthem Provider News - Ohio Pharmacy Sep 1, 2019

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Provider News - Ohio Pharmacy Apr 1, 2021

Updates for specialty pharmacy are available - April 2021*

*Notice of Material Amendment/Change to Contract (MAC)
April 2021 Anthem Provider News - Ohio Pharmacy Apr 1, 2021

Let’s vaccinate

June 2021 Anthem Provider News - Ohio Products & Programs Jun 1, 2021

UPDATE: New Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures is delayed

June 2020 Anthem Provider News - Ohio Products & Programs Jun 1, 2020
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