Ohio
Provider Communications

Articles

Title Publication Category Date

New specialty pharmacy medical step therapy requirements-March 2022 update

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

Evaluation and management services for COVID testing-Professional*

*Notice of Material Amendment/Change to Contract (MAC)
May 2022 Anthem Provider News - Ohio Administrative May 1, 2022

Resources to support diverse patients and communities

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

Anthem announces changes to post-payment audits conducted on our behalf

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

CAA: Timely updates help keep our provider directories current

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

Primary care appointment access and open panels

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

May is National High Blood Pressure Education Month: We’ve got this!

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

Alcohol use disorder has a big cost

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

Specialty pharmacy updates - May 2022*

*Notice of Material Amendment/Change to Contract (MAC)
May 2022 Anthem Provider News - Ohio Pharmacy May 1, 2022

MCG Care Guidelines 26th Edition*

*Notice of Material Amendment/Change to Contract (MAC)
May 2022 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines May 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

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe & Effective Antibiotic Prescribing - Ohio Administrative Apr 5, 2022

Specialty pharmacy updates - April 2022*

*Notice of Material Amendment/Change to Contract (MAC)
April 2022 Anthem Provider News - Ohio Pharmacy Apr 1, 2022

Designated specialty pharmacy network updates*

*Notice of Material Amendment/Change to Contract (MAC)
April 2022 Anthem Provider News - Ohio Pharmacy Apr 1, 2022

Updated provider manual now available

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

The Anthem, Inc. name is changing

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

Reminder on Botox for Anthem members

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

CAA: Update your provider directory information

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

HEDIS 2022: Summary of changes from NCQA

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

Importance of behavioral healthcare after-hours messaging

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

Catching up on routine vaccines

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

Evaluation and management documentation guidelines

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

Procedure searches in Find Care

April 2022 Anthem Provider News - Ohio Digital Tools Apr 1, 2022

Pharmacy information available at anthem.com

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

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

The Anthem, Inc. name is changing

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

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

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

Reimbursement policy update: Inpatient readmissions

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

The impact of listening

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

Clinical Criteria updates

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

Evaluation and management documentation guidelines

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

Model of Care required training

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

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

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date. Read important information about this change here.
Transition to NYC Medicare Advantage Plus Delayed - Ohio Medicare Mar 15, 2022

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities has been approved by NBCC for 1.5 hours of NBCC credit. Motivo is solely responsible for all aspects of the program. NBCC Approval No. SP-3833.
Register today for a forum on Exploring Implicit Bias in Healthcare on March 16, 2022 - Ohio Administrative Mar 2, 2022

Evaluation and management services correct coding reminder - professional

March 2022 Anthem Provider News - Ohio Administrative Mar 1, 2022

Specialty pharmacy updates - March 2022*

*Notice of Material Amendment/Change to Contract (MAC)
March 2022 Anthem Provider News - Ohio Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates*

*Notice of Material Amendment/Change to Contract (MAC)
March 2022 Anthem Provider News - Ohio Pharmacy Mar 1, 2022

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates*

*Notice of Material Amendment/Change to Contract (MAC)
March 2022 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Mar 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

Keep up with Medicare News - March 2022

- Medical step therapy updates
- Phone number change for AIM in Ohio
March 2022 Anthem Provider News - Ohio Medicare Mar 1, 2022

Member benefit lookup by procedure code

March 2022 Anthem Provider News - Ohio Digital Tools Mar 1, 2022

New! Vaccination resource page for providers

March 2022 Anthem Provider News - Ohio Administrative Mar 1, 2022

CAA: Have you reviewed your online provider directory information lately?

March 2022 Anthem Provider News - Ohio Administrative Mar 1, 2022

Updated preventive care guidance regarding screening colonoscopies

March 2022 Anthem Provider News - Ohio Administrative Mar 1, 2022

Understanding your patients’ differences is lifesaving

March 2022 Anthem Provider News - Ohio Administrative Mar 1, 2022

Your influence matters: Recommending cancer screenings to your patients

March 2022 Anthem Provider News - Ohio Administrative Mar 1, 2022

Simplifying requests for additional information

March 2022 Anthem Provider News - Ohio Digital Tools Mar 1, 2022

Enhancements to the Availity Authorization application are now available

February 2022 Anthem Provider News - Ohio Digital Tools 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

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Provider News - Ohio Medicare Mar 1, 2022

Pharmacy: Medication adherence

March 2022 Anthem Provider News - Ohio Medicare Mar 1, 2022

Evaluation and management services correct coding reminder (professional)

March 2022 Anthem Provider News - Ohio Medicare Mar 1, 2022

Clinical criteria updates

March 2022 Anthem Provider News - Ohio Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Anthem Provider News - Ohio Medicare Mar 1, 2022

Prepare for the CAA: Keep your provider directory information current

February 2022 Anthem Provider News - Ohio Administrative Feb 1, 2022

AIM Specialty Health new phone number effective April 1, 2022

February 2022 Anthem Provider News - Ohio Administrative Feb 1, 2022

It is CAHPS survey time!

February 2022 Anthem Provider News - Ohio Administrative Feb 1, 2022

Submit a claim payment dispute electronically for Anthem commercial members

February 2022 Anthem Provider News - Ohio Administrative Feb 1, 2022

Heart disease is the number one killer of women

February 2022 Anthem Provider News - Ohio Administrative Feb 1, 2022

Specialty pharmacy updates - February 2022*

*Notice of Material Amendment/Change to Contract (MAC)
February 2022 Anthem Provider News - Ohio Pharmacy Feb 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Provider News - Ohio Pharmacy Feb 1, 2022

Medical policy and clinical guideline updates - February 2022*

*Notice of Material Amendment/Change to Contract (MAC)
February 2022 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Feb 1, 2022

Keep up with Medicare News - February 2022

- NYC Medicare Advantage Plus update
February 2022 Anthem Provider News - Ohio Medicare Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Provider News - Ohio Medicare Feb 1, 2022

Important COVID-19 update: Prior authorization and other policy adjustments (updated January 28, 2022)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing, acute rehabilitation, and long term acute care hospital facilities.
COVID-19 Information - Ohio Administrative Jan 28, 2022

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing providers nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

Important Update for New 200k Group Retiree PPO Plan - Ohio Administrative Jan 5, 2022

Well-child visits: Know the numbers

January 2022 Anthem Provider News - Ohio Administrative Jan 1, 2022

Reminder: Blue High Performance Network name changing for 2022

January 2022 Anthem Provider News - Ohio Administrative Jan 1, 2022

2022 FEP benefit information available online

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

Keep up with Medicare News - January 2022

- AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update
- Medical step therapy updates
- Anthem expands specialty pharmacy precertification list
January 2022 Anthem Provider News - Ohio Medicare Jan 1, 2022

Professional claims: Billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem Provider News - Ohio Medicare Jan 1, 2022

Important update on Botox® for Anthem Medicare members

January 2022 Anthem Provider News - Ohio Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Provider News - Ohio Medicare Jan 1, 2022

Anthem is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback
Availity Authorization App improvements - Ohio Digital Tools Dec 28, 2021

Updated BlueCard® provider manual available

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

Important information about utilization management

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

Case management program

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

Specialty pharmacy updates - December 2021*

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

Medical policy and clinical guideline updates - December 2021*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2021

RETRACTION: Inpatient Facility Transfers - facility reimbursement policy

December 2021 Anthem Provider News - Ohio Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Reimbursement Policies Dec 1, 2021

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams - Professional*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Reimbursement Policies Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

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

Submitting prior authorizations is getting easier

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

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

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

Professional system updates for 2022

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

Outpatient system updates for 2022

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

Chlamydia is asymptomatic. Only through screening will we know for sure

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

Behavioral healthcare appointment access requirements

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

Importance of PCP after-hours messaging

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

Member rights and responsibilities

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

Coordination of care

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

Clinical practice and preventive health guidelines available on anthem.com

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