Connecticut
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N/A Administrative Jun 4, 2020

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We recently updated FAQs to reflect the extension of coverage for telehealth and telephonic care.
N/A Administrative Jun 4, 2020

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Prior authorization of non-oncology specialty pharmacy drugs will be managed by Anthem’s medical specialty drug review team. Review of specialty pharmacy drugs for oncology indications will be managed by AIM Specialty Health® (AIM), a separate company, and are in italics.
N/A Administrative May 14, 2020

Important update: Milliman Care Guideline (MCG), 23rd Edition, Pelvic Organ Prolapse Repair

N/A Administrative May 7, 2020

Interim Guidance for Providers regarding COVID-19

*Please visit Provider News Home daily for the latest information about COVID-19. 
N/A Administrative Mar 26, 2020

Anthem recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic.

Anthem recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic. Today, unless otherwise required under State and Federal mandates, Anthem health plans will suspend select prior authorization requirements, cost sharing and claims review and handling protocols to allow health care providers to focus on caring for patients diagnosed with COVID-19.

Anthem recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic. Today, unless otherwise required under State and Federal mandates, Anthem health plans will suspend select prior authorization requirements, cost sharing and claims review and handling protocols to allow health care providers to focus on caring for patients diagnosed with COVID-19.
COVID-19 News from Anthem (Month Day, Year) - Connecticut Administrative Mar 26, 2020

Information from Anthem for Care Providers that perform ABA Services during COVID-19 - test

COVID-19 News from Anthem (Month Day, Year) - Connecticut Administrative Mar 26, 2020

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N/A Administrative Mar 26, 2020

Keep up with Medicare news - UPDATED

February 2020 Anthem Connecticut Provider News Medicare Mar 26, 2020

TESTING Updated COVID-19 Medicare Information

For the latest COVID-19 Medicare information, please check Important Medicare Advantage Updates .
TEST COVID-19 Information - Connecticut Medicare Mar 25, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2020 Anthem Connecticut Provider News Products & Programs Feb 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

February 2020 Anthem Connecticut Provider News Products & Programs Feb 1, 2020

Behavioral health outpatient visits for 2020

February 2020 Anthem Connecticut Provider News Behavioral Health Feb 1, 2020

Formulary lists updated for commercial health plans

February 2020 Anthem Connecticut Provider News Pharmacy Feb 1, 2020

Clinical criteria updates for specialty pharmacy

February 2020 Anthem Connecticut Provider News Pharmacy Feb 1, 2020

Shine Light on Depression school-based suicide prevention initiative

February 2020 Anthem Connecticut Provider News Administrative Feb 1, 2020

State of Connecticut Network of Distinction

February 2020 Anthem Connecticut Provider News Administrative Feb 1, 2020

SOAP Notes Health Assessments for 2019 calendar year due February 15, 2020

February 2020 Anthem Connecticut Provider News Administrative Feb 1, 2020

Medical policy updates are available on anthem.com

February 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Clinical guideline updates are available on anthem.com

February 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Modifier 62 policy update: Co-Surgeons

February 2020 Anthem Connecticut Provider News Medicare Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Connecticut Provider News Medicare Feb 1, 2020

Many Anthem members received new ID numbers effective January 1, 2020

Many Anthem members received new ID numbers effective January 1, 2020 - Connecticut Administrative Jan 9, 2020

New musculoskeletal and pain management solution effective for select National ASO accounts January 1, 2020

January 2020 Anthem Connecticut Provider News Products & Programs Jan 1, 2020

Outpatient facility edit implementation effective April 26, 2020

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

Important update: Milliman Care Guideline (MCG), 23rd Edition, Pelvic Organ Prolapse Repair

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

Upcoming retirement planned for legacy medical attachment submission tool

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

Let us help you accomplish your 2020 “To Do” list early - EDI migration

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

New Year brings new ID cards for many Anthem members

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

Sign up today for provider eUpdates

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

2020 FEP® benefit information available online

January 2020 Anthem Connecticut Provider News Administrative Jan 1, 2020

Introducing a new Medicare Advantage special needs plan for 2020

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Delegation of functions for Medicare Advantage plans

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Medical drug benefit clinical criteria updates - August 2019

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Medical drug benefit clinical criteria updates - September 2019

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Keep up with Medicare news

January 2020 Anthem Connecticut Provider News Medicare Jan 1, 2020

Reminder: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Connecticut Provider News Products & Programs Dec 1, 2019

Coding reminder for psychological and neuropsychological testing

December 2019 Anthem Connecticut Provider News Behavioral Health Dec 1, 2019

Clinical criteria updates for specialty pharmacy

December 2019 Anthem Connecticut Provider News Pharmacy Dec 1, 2019

Pharmacy information available on anthem.com

December 2019 Anthem Connecticut Provider News Pharmacy Dec 1, 2019

Retrieve Anthem member HEDIS® care gaps through Patient360 on the Availity Portal

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

System updates for 2020 - professional

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Payment recovery process simplified for National Accounts membership

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Verifying and updating your provider information

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Case Management Program

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Coordination of care

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Important information about utilization management

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Members’ Rights and Responsibilities

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

New Reimbursement Policies: Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers - professional

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Coordination of benefits for an FEP® member

December 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Dec 1, 2019

2020 Medicare Advantage individual benefits and formularies

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

CMS reminder: expedited/urgent requests

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Group Retiree PPO plans

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization updates

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Prior authorization requirements for E0784, K0553 and K0554

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Medical drug clinical criteria updates

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Reminder: refer Medicare Advantage members to in-network providers

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guidelines

November 2019 Anthem Connecticut Provider News Products & Programs Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

November 2019 Anthem Connecticut Provider News Products & Programs Nov 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 Anthem Connecticut Provider News Products & Programs Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Anthem Connecticut Provider News Products & Programs Nov 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Connecticut Provider News Pharmacy Nov 1, 2019

Pre-service clinical review and quantity limit updates for specialty pharmacy effective February 1, 2020

November 2019 Anthem Connecticut Provider News Pharmacy Nov 1, 2019

Clinical criteria updates for specialty pharmacy

November 2019 Anthem Connecticut Provider News Pharmacy Nov 1, 2019

Additional improvements coming to anthem.com

November 2019 Anthem Connecticut Provider News Administrative Nov 1, 2019

Reminder: new AIM Rehabilitative Program effective November 1, 2019

November 2019 Anthem Connecticut Provider News Administrative Nov 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Connecticut Provider News Administrative Nov 1, 2019

Modifier use reminders

November 2019 Anthem Connecticut Provider News Administrative Nov 1, 2019

Medical policy updates are available on anthem.com

November 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Clinical guideline updates are available on anthem.com

November 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

March 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

2019 Enhanced Personal Health Care Program releases myFHR

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Reimbursement Policy update: Drug Screen Testing

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Rehabilitative services prior authorization review update for Medicare Advantage members

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Bill Medicare Part D for shingles or tetanus vaccination claims

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Enhanced search and download options allow easy access to information at your fingertips

Enhanced search and download options allow easy access to information at your fingertips - Connecticut Administrative Oct 8, 2019

UPDATE: new AIM Rehabilitative Program will begin November 1, 2019

October 2019 Anthem Connecticut Provider News Products & Programs Oct 1, 2019

Specialty pharmacy medical step therapy drug list clarification

October 2019 Anthem Connecticut Provider News Pharmacy Oct 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Connecticut Provider News Pharmacy Oct 1, 2019

Pharmacy information available on anthem.com

October 2019 Anthem Connecticut Provider News Pharmacy Oct 1, 2019

Sign up today for provider eUpdates

October 2019 Anthem Connecticut Provider News Administrative Oct 1, 2019

Additional changes launched to anthem.com

October 2019 Anthem Connecticut Provider News Administrative Oct 1, 2019

U.S. Antibiotic Awareness Week November 11-18

October 2019 Anthem Connecticut Provider News Administrative Oct 1, 2019

National Accounts 2020 precertification list

October 2019 Anthem Connecticut Provider News Administrative Oct 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

October 2019 Anthem Connecticut Provider News Administrative Oct 1, 2019

Matrix to provide mobile health clinic assessments to ACA members

October 2019 Anthem Connecticut Provider News Administrative Oct 1, 2019

Reimbursement Policy update - Place of Service – professional

October 2019 Anthem Connecticut Provider News Reimbursement Policies Oct 1, 2019

Federal Employee Program® specialty pharmacy clinical site-of-care prior authorization review

October 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Oct 1, 2019

Precertification request turnaround times for the Federal Employee Program

October 2019 Anthem Connecticut Provider News Federal Employee Plan (FEP) Oct 1, 2019
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