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

COVID-19

• COVID-19 information repository for Anthem Care Providers

 

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

• OH: The 2020 Provider Manual is now available*
• WI: Updated Provider Manual now available
• Anthem prior authorization updates for specialty pharmacy are available – May 2020*
• Updates to AIM Advanced Imaging Clinical Appropriateness Guideline*
• Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline*
• Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline*
• Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines*
• Reimbursement Policy Update: Claims requiring additional documentation (Facility)*

 

Other Important Updates

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