Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - July 2020

Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements starred (*) below.

 

• Important change to prior authorization requests for inpatient hospital admissions*
• UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and Setting determinations*
• Anthem prior authorization updates for specialty pharmacy are available - July 2020*
• New MCG 24th Edition Guidelines