Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - June 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 and are noted with a star (*):

• Anthem prior authorization updates for specialty pharmacy are available*
• National Drug Code requirement on outpatient claims*
• Medical Policy and Clinical Guideline Updates – June 2020*
• Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines*
• REMINDER: AIM Rehabilitative Program Pediatric Exclusions

 

Other Important Updates

• Medicare and Medicaid News