Connecticut
Provider Communications

December 2021 Anthem Connecticut Provider News

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Title Category

2022 Medicare Advantage service area and benefit updates

Medicare

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

Medicare

Behavioral healthcare appointment access requirements

Behavioral Health

Blue Precision program to be retired on December 31, 2021

Administrative

Case Management Program

Administrative

Chlamydia screening for teens and young adults

Administrative

Clinical criteria updates for specialty pharmacy

Pharmacy

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Coordination of care

Administrative

Drug Screen Testing policy update - effective March 1, 2022

Medicare

Good news: Non-payment remittance advice enhancements are here

Medicare

Importance of PCP after-hours messaging

Administrative

Important information about utilization management

Administrative

Keep up with Medicare news

  • 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
Medicare

Member rights and responsibilities

Administrative

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams - professional

Reimbursement Policies

Outpatient system updates for 2022

Administrative

Pharmacy information available on anthem.com

Pharmacy

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

Administrative

Professional system updates for 2022

Administrative

Reimbursement policy update: Assistant at Surgery (modifiers 80, 81, 82, AS) - professional

Reimbursement Policies

Reimbursement policy update: Virtual Visits - professional and facility

Reimbursement Policies

Reminder: EnrollSafe is available

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
Digital Tools

RETRACTION: Inpatient Facility Transfers - facility reimbursement policy

Reimbursement Policies

Specialty pharmacy updates - December 2021

Pharmacy

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines
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