Anthem Provider Newsletter – Missouri March 2024
This month’s featured articles:
Administrative | Medicare Advantage
Digital Solutions | Medicare Advantage
Digital Solutions | Commercial
- Expansion of Carelon Medical Benefits Management, Inc. programs
- Beginning February 2024, you can submit Physical Health prior authorizations through the Authorization application on Availity.com
Education and Training | Commercial
Policy Updates | Medicare Advantage
Medical Policy & Clinical Guidelines | Medicare Advantage
Prior Authorization | Medicare Advantage
- Prior authorization requirement changes effective May 1, 2024
- Prior authorization requirement changes effective May 1, 2024
Reimbursement Policies | Commercial
Pharmacy | Commercial
- Specialty pharmacy updates — March 2024
- Important information about your Anthem patients’ Botox prescriptions
- Pharmacy information available on our provider website
- Prior authorization updates for therapeutic duplication of specialty drugs
Pharmacy | Medicare Advantage
- Anthem expands specialty pharmacy precertification list
- Overview of Medicare risk adjustment in-office prospective programs
- Notification of specialty pharmacy medical step therapy updates
Quality Management | Commercial
- Encourage Cervical Cancer Screening (CCS)
- Cervical Cancer Screening (CCS) and Prenatal and Postpartum Care (PPC) for HEDIS
Quality Management | Commercial / Medicare Advantage
- HEDIS 2024 documentation for Controlling High Blood Pressure (CBP) and Statin Therapy for Patients with Cardiovascular Disease (SPC)
- HEDIS Breast Cancer Screening (BCS) update
Quality Management | Medicare Advantage
Quality Management | Commercial