Medical policies and clinical guidelines updates - September 2023

The following Anthem Blue Cross and Blue Shield (Anthem) medical policies and clinical guidelines were reviewed on November 10, 2022, for Indiana, Kentucky, Missouri, Ohio, and Wisconsin.

To view medical policies and utilization management guidelines, go to anthem.com > Select Providers > Select your state > Under Provider Resources, select Policies, Guidelines & Manuals. 

To help determine if prior authorization is needed for Anthem members, go to anthem.com > Select Providers > Select your state > Under Claims, select Prior Authorization. You can also call the prior authorization phone number on the back of the member’s ID card. 

To view medical policies and utilization management guidelines applicable to members enrolled in the Blue Cross and Blue Shield Service Benefit Plan (commonly referred to as the Federal Employee Program^® [FEP]), please visit fepblue.org > Policies & Guidelines.  

Below are the current clinical guidelines and/or medical policies we reviewed and updates that were approved.

* Denotes prior authorization required