Ohio
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Apr 1, 2022

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jul 1, 2019

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jul 1, 2020

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News - Ohio Federal Employee Plan (FEP) Apr 1, 2021

2020 FEP® Benefit information available online

January 2020 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jan 1, 2020

2021 FEP® benefit information available online

January 2021 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jan 1, 2021

New! Concierge Cancer Care program for Ohio Federal Employee Program members

July 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jul 1, 2022

Change to the Federal Employee Program clinical grievance and appeal address

March 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Mar 1, 2022

HEDIS 2022 Federal Employee Program medical record request requirements

March 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Mar 1, 2022

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

October 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Oct 1, 2022

Coordination of benefits for an FEP® member

December 2019 Anthem Provider News - Ohio Federal Employee Plan (FEP) Dec 1, 2019

Federal Employee Program® expands specialty pharmacy prior authorization list*

October 2020 Anthem Provider News - Ohio Federal Employee Plan (FEP) Oct 1, 2020

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jun 1, 2021

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Ohio Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News - Ohio Federal Employee Plan (FEP) Apr 1, 2020

Change in email submission of service requests for Federal Employee Program® members*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Federal Employee Plan (FEP) Aug 1, 2021

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Sep 1, 2022

2019 FEP Benefit information available online

December 2018 Anthem Ohio Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2018 Anthem Ohio Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Benefit change for Infliximab for Federal Employee Program (FEP)

December 2018 Anthem Ohio Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review*

October 2019 Anthem Provider News - Ohio Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification information for the Federal Employee Program*

October 2019 Anthem Provider News - Ohio Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News - Ohio Federal Employee Plan (FEP) Oct 1, 2019

2022 FEP benefit information available online

January 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jan 1, 2022

Process change for Federal Employee Program third-party correspondence requests

June 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jun 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program live webinar

May 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) May 1, 2022

Anthem Blue Cross and Blue Shield provider orientations

November 2022 Anthem Provider News - Ohio Medicaid Nov 1, 2022

Access instant health plan information via Availity Essentials on December 1, 2022

November 2022 Anthem Provider News - Ohio Medicaid Nov 1, 2022

Custom Learning Center located on Availity Essentials Payer Spaces

November 2022 Anthem Provider News - Ohio Medicaid Nov 1, 2022

Ohio Medicaid Provider Orientation Invitation

You are invited to Anthem Blue Cross and Blue Shield provider orientations for Ohio Medicaid
September 2022 Anthem Provider News - Ohio Medicaid Aug 23, 2022

Ohio Medicaid Provider Orientation Invitation

Join us for an Ohio Medicaid provider orientation by Anthem Blue Cross and Blue Shield.

Register today!

October 2022 Anthem Provider News - Ohio Medicaid Oct 3, 2022

Keep up with Medicare News - June 2022

June 2022 Anthem Provider News - Ohio Medicare Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Provider News - Ohio Medicare Jun 1, 2022

Keep up with Medicare News - May 2022

- Anthem expands specialty pharmacy precertification list-March 2022 update
- Anthem expands specialty pharmacy precertification list-April 2022 update
- New specialty pharmacy medical step therapy requirements-May 2022 update
May 2022 Anthem Provider News - Ohio Medicare May 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Provider News - Ohio Medicare Jun 1, 2022

Medical policies and clinical utilization management guidelines update

June 2022 Anthem Provider News - Ohio Medicare Jun 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Provider News - Ohio Medicare May 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

June 2022 Anthem Provider News - Ohio Medicare Jun 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Provider News - Ohio Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements-March 2022 update

May 2022 Anthem Provider News - Ohio Medicare May 1, 2022

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Keep up with Medicare News - November 2022

- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
November 2022 Anthem Provider News - Ohio Medicare Nov 1, 2022

Keep up with Medicare news

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Outpatient Rehabilitation Program transitioning to AIM

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

Medical Policies and Clinical Utilization Management Guidelines update -- July 2019

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

Home health billing guidelines for contracted providers

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

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

Sepsis diagnosis coding and billing reminder

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

Keep up with Medicare News - April 2022

- Medical Policies and Clinical Utilization Management Guidelines update
- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Anthem expands specialty pharmacy precertification list
April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

Keep up with Medicare News -- July 2019

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

Medicare News -- September 2019

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

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

Coming soon: Electronic attachments

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

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

Clinical Criteria updates

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

The impact of listening

April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

Customizations to the 23rd edition of the MCG Care Guidelines

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

Keep up with Medicare News - December 2021

  • Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline
  • Medical drug benefit clinical criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • New York City Medicare Advantage announcement
  • Medical policies and clinical utilization management guidelines update
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (WI only)
December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Clinical Criteria updates

April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

Changes to prior authorization (PA) requirements

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

Evaluation and management documentation guidelines

April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

Pharmacy benefit manager change to IngenioRx

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

Model of Care required training

April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

2022 Medicare Advantage service area and benefit updates

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Medicare News -- August 2019

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

Reimbursement policy update: Drug screen testing

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

New service types added to Availity

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

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

New Reimbursement Policy: Drug Screen Testing

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

Somatus is your resource for kidney care management

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

AIM Specialty Health programs may require documentation

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

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Special needs plans - provider training required

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

Submitting prior authorizations is getting easier

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Medicare News -- January 2020

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

2021 Medicare Advantage individual benefits and formularies

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

Does your practice offer telehealth services? Let us know!

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

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

Joint announcement to end delegation in Ohio

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

Introducing ConcertoHealth

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

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

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

August 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

Pilkington North America, Inc. offers Medicare Advantage option

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

In-Office Assessment program

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

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

Medicare News - July 2020

View 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
July 2020 Anthem Provider News - Ohio Medicare Jul 1, 2020

Medical policies and clinical utilization management guidelines update

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

Oncology dose reduction program beginning July 1, 2021

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

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

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

Clinical criteria updates notification - November 2020

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

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020
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