Georgia
Provider Communications

Articles Recent

Title Publication Category Date

Reminder of New Referral Process

Georgia Provider News - May Products & Programs May 3, 2019

Pharmacy information available on Anthem.com

Georgia Provider News - May Pharmacy May 3, 2019

Clinical practice and preventive health guidelines available online

Georgia Provider News - May Administrative May 3, 2019

New AIM Rehabilitative program effective July 1, 2019

April 2019 Test Publication Products & Programs Apr 26, 2019

Anthem to enhance claim edits for outpatient facility claims

GA Feb TEST Administrative Feb 19, 2019

We’re changing our trade name

TEST_August GA Newsletter Administrative Aug 8, 2018

Additional support available for members with rare conditions

TEST_August GA Newsletter Products & Programs Aug 8, 2018

BCBSGa expands specialty pharmacy prior authorization list

TEST_August GA Newsletter Pharmacy Aug 8, 2018

Updates to AIM advanced imaging clinical appropriateness guidelines

TEST_August GA Newsletter Policy Updates Aug 8, 2018

MA members receive incentives for completing screenings

TEST_August GA Newsletter Medicare Aug 8, 2018

GA Amendment to Physician Agreement

GA April Newsletter _ Test Shae Administrative May 14, 2018

Shae's Test - S&F - State Health Benefit Plan

If you would like more information on navigating in Availity, select Help & Training | My Learning Plan from the top navigation menu on the Availity home page to plot your learning journey.
3/20 GA Test State Health Benefit Plan Mar 20, 2018

New Alpha/Numeric Member Identification Prefixes effective 04/15/2018

March 2018 BCBSGa Network Update Administrative Feb 26, 2018

Shae's Test Featured Article - Medicare Advantage

Improve member medication regimen Empire and the Centers for Medicare & Medicaid Services consider medication review and reconciliation a top priority to help ensure members take their medications safely. Our pharmacists use medication review and reconciliation to help members understand what medications they are taking, why they are taking them, how they should be taking their medication and to answer any questions or concerns they have about their medication regimen.
Shae's Test Publication 2018 GA Administrative Feb 22, 2018

Shae's Test Empire’s Electronic Tools and Resources Migrating to the Availity Portal

Beginning March 16, 2018 the Empire BlueCross BlueShield (“Empire”) secure provider facility and professional portals are transitioning a majority of online tools and resources to the Availity Portal (www.availity.com). At that time, Availity will be your exclusive secure web portal to access these important Empire electronic tools and resources.
Shae's Test Publication 2018 GA Administrative Feb 22, 2018

Shae's Test Policy Update - Not registered on the Availity Portal yet?

Visit www.availity.com to register today. If you already use Availity, no additional registration is needed. Empire will appear as one of your options in the payer drop-down lists.
Shae's Test Publication 2018 GA Policy Updates Feb 22, 2018

Shae's Test Med Policy and Clinical Guidelines

Empire expands specialty pharmacy prior authorization list
Shae's Test Publication 2018 GA Medical Policy & Clinical Guidelines Feb 22, 2018

Shae's Test - Reimbursement Policies

Effective for dates of service on and after May 1, 2018, intra-articular injections of hyaluronan for the treatment of pain due to reducing and non-reducing disc displacement disease of temporomandibular joint disorders, are considered investigational and not medically necessary. No prior authorization for these agents will be required, but rather reviewed post-service.
Shae's Test Publication 2018 GA Reimbursement Policies Feb 22, 2018

Shae's Test - Products and Programs - Empire expands specialty pharmacy prior authorization list

Effective for dates of service on and after May 1, 2018, the following specialty pharmacy codes from new or current medical policies or clinical UM guidelines will be included in our existing prior authorization review process.
Shae's Test Publication 2018 GA Products & Programs Feb 22, 2018

Shae's Test - P&P Behavioral Health - Hyaluronan Injections in joints other than the Knee (DRUG.00017)

Medical policy DRUG.00017 addresses the use of injections of hyaluronan in joints other than the knee, including osteoarthritis and temporomandibular joint disease. This therapy may also be referred to as viscosupplementation.
Shae's Test Publication 2018 GA Behavioral Health Feb 22, 2018

Shae's Test - P&P - Pharmacy

Revised Medical Policy Effective 11-09-2017
Shae's Test Publication 2018 GA Pharmacy Feb 22, 2018

Shae's Test - State and Federal - Medical Policy Updates

Archived Medical Policies Effective 12-27-2017 (The following policies have been archived and their content has been transferred to new Clinical UM Guidelines.)
Shae's Test Publication 2018 GA State & Federal Feb 22, 2018

Shae's Test - S&F - Federal Employee Plan (FEP)

Improve member medication regimen
Shae's Test Publication 2018 GA Federal Employee Plan (FEP) Feb 22, 2018

Shae's Test - Medicaid - New pharmacy electronic prior authorization request tool effective January 1, 2018

Empire BlueCross BlueShield HealthPlus (Empire) has partnered with CoverMyMeds to offer an electronic prior authorization (ePA) request tool that simplifies the process for requesting medications and checking the status of your submissions.
Shae's Test Publication 2018 GA Medicaid Feb 22, 2018

Shae's Test - S&F - Medicare - Availability The tool will be available beginning January 1, 2018.

These new features help simplify the prior authorization process. You will be able to:
Shae's Test Publication 2018 GA Medicare Feb 22, 2018

Shae's Test - S&F - State Health Benefit Plan

If you would like more information on navigating in Availity, select Help & Training | My Learning Plan from the top navigation menu on the Availity home page to plot your learning journey.
Shae's Test Publication 2018 GA State Health Benefit Plan Feb 22, 2018

Medical policy and clinical guideline updates

Medical policy and clinical guideline updates
February 2018 Network Update Medical Policy & Clinical Guidelines Feb 8, 2018

2/01/18 Notification of Preapproval List Changes (Including Non-AIM and moving to AIM)

2/01/18 Notification of Preapproval List Changes (Including Non-AIM and moving to AIM)
February 2018 Network Update Medical Policy & Clinical Guidelines Feb 8, 2018

TEST: Gamunex-C® and Octagam® are BCBSGa’s clinically equivalent immune globulin agents

Gamunex-C® and Octagam® are BCBSGa’s clinically equivalent immune globulin agents
N/A Policy Updates Feb 8, 2018
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