Ohio
Provider Communications

Articles

Title Publication Category Date

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

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
December 2021 Anthem Provider News - Ohio Digital Tools Dec 1, 2021

Is prior authorization required?

Answering your questions about the new Availity Authorization App
December 2021 Anthem Provider News - Ohio Digital Tools Dec 1, 2021

Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Anthem Provider News - Ohio Digital Tools Dec 1, 2021

Company to retire Blue Precision program on December 31, 2021

December 2021 Anthem Provider News - Ohio Products & Programs Dec 1, 2021

Updated AIM musculoskeletal program site of care reviews delayed

December 2021 Anthem Provider News - Ohio Products & Programs Dec 1, 2021

Pharmacy information available at anthem.com

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

Reimbursement policy update: Virtual Visits - Professional and Facility

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

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

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

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

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

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

Reimbursement policy update: Drug screen testing

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

Somatus is your resource for kidney care management

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

Register today for a forum on Grief and Loss: The disproportionate impact of the pandemic on communities of color

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the disproportionate impact of the pandemic on communities of color.
Grief & Loss Forum - Ohio Administrative Nov 29, 2021

CME credits available in 2021 for a variety of clinical quality webinars - register now!

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

Join Anthem in talking about racism and its impact on health, and earn continuing education credits!

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

Change in coverage for continuous glucose monitors for some fully insured groups

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

Time to prepare for HEDIS medical record review

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

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

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

Be Antibiotics Aware: Protect your patient

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

Against medical advice (AMA) discharge physician tracking tool

November 2021 Anthem Provider News - Ohio Digital Tools Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
November 2021 Anthem Provider News - Ohio Digital Tools Nov 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News - Ohio Products & Programs Nov 1, 2021

Specialty pharmacy updates are available - November 2021*

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

Important update on Botox for Anthem members

November 2021 Anthem Provider News - Ohio Pharmacy Nov 1, 2021

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

November 2021 Anthem Provider News - Ohio Reimbursement Policies Nov 1, 2021

Keep up with Medicare News - November 2021

View these Medicare articles:
- Anthem expands specialty pharmacy prior authorization list
November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Anthem offering Advance Medical Directives program for 2022

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

New York City Medicare Advantage announcement

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Clinical criteria updates

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Ohio Administrative Oct 21, 2021

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

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Ohio Administrative Oct 5, 2021

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

October 2021 Anthem Provider News - Ohio Administrative Oct 1, 2021

Specialty pharmacy updates are available - October 2021*

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

Designated specialty pharmacy network updates effective January 1, 2022*

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

Medical policy and clinical guideline updates - October 2021*

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

New reimbursement policy: Multiple and Bilateral Surgery Processing - Facility*

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

Reimbursement policy clarification: Claims requiring additional documentation - Facility

October 2021 Anthem Provider News - Ohio Reimbursement Policies Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

Keep up with Medicare news - October 2021

View these Medicare articles:
- 2021 affirmative statement concerning utilization management decisions
- May 2021 Medical Policies and Utilization Management Guidelines update
October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

Looking to earn CME credits? Register for these on-demand webinars!

October 2021 Anthem Provider News - Ohio Administrative Oct 1, 2021

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

October 2021 Anthem Provider News - Ohio Administrative Oct 1, 2021

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Anthem Provider News - Ohio Administrative Oct 1, 2021

Are you talking to ALL of your patients about breast cancer screenings?

October 2021 Anthem Provider News - Ohio Administrative Oct 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

October 2021 Anthem Provider News - Ohio Administrative Oct 1, 2021

Clinical appeals

October 2021 Anthem Provider News - Ohio Administrative Oct 1, 2021

Reminder: EnrollSafe, the new EFT enrollment portal for Anthem providers replacing CAQH Enrollhub effective November 1, 2021

October 2021 Anthem Provider News - Ohio Digital Tools Oct 1, 2021

Procedure searches in Find Care

October 2021 Anthem Provider News - Ohio Digital Tools Oct 1, 2021

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

October 2021 Anthem Provider News - Ohio Products & Programs Oct 1, 2021

Pharmacy information available at anthem.com

October 2021 Anthem Provider News - Ohio Pharmacy Oct 1, 2021

New reimbursement policy: Sexually transmitted infections testing (Professional)

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

HEDIS medical record submission made easier with our Remote EMR Access Service

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

New medical step therapy requirements

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

Register today for the Exploring the Impact of Racial Trauma on the Health & Wellbeing of Children forum on September 29, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the impact of racial trauma on the health and wellbeing on children and adolescents
Racial Trauma & Children - Ohio Administrative Sep 15, 2021

Nurse practitioners eligible to be listed as primary care provider

September 2021 Anthem Provider News - Ohio Administrative Sep 1, 2021

Updates for specialty pharmacy are available - September 2021*

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

Reimbursement policy update: Sexually transmitted infections testing - Professional*

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

New reimbursement policy update: Inpatient Facility Transfers - Facility* - RETRACTION

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

Reimbursement policy update: Drug Screen Testing - Professional*

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

National Accounts 2022 Pre-certification list

September 2021 Anthem Provider News - Ohio Administrative Sep 1, 2021

Register now for our September CME webinars

September 2021 Anthem Provider News - Ohio Administrative Sep 1, 2021

Statin therapy for patients with diabetes

September 2021 Anthem Provider News - Ohio Administrative Sep 1, 2021

Six SIMPLE strategies to help increase medication adherence

September 2021 Anthem Provider News - Ohio Administrative Sep 1, 2021

Cure for the common cold: Rest, fluids and this free prescription pad

September 2021 Anthem Provider News - Ohio Administrative Sep 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

September 2021 Anthem Provider News - Ohio Administrative Sep 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers – replacing CAQH Enrollhub effective November 1, 2021.
September 2021 Anthem Provider News - Ohio Digital Tools Sep 1, 2021

Keep up with Medicare news - September 2021

View this Medicare article:
- Clinical criteria updates notification – May 2021

 

September 2021 Anthem Provider News - Ohio Medicare Sep 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers

September 2021 Anthem Provider News - Ohio Medicare Sep 1, 2021

Utilization management authorization rule operations

September 2021 Anthem Provider News - Ohio Medicare Sep 1, 2021

Prior authorization form notification

September 2021 Anthem Provider News - Ohio Medicare Sep 1, 2021

Register now for our August CME webinars

August 2021 Anthem Provider News - Ohio Administrative Aug 1, 2021
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