On and after June 1, 2021, specialty pharmacy codes from current or new clinical criteria documents will be included in our precertification review process.
Effective April 1, 2021, for Anthem Blue Cross and Blue Shield (Anthem) members enrolled in Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect, vision benefits will be coordinated by Superior Vision.* Anthem’s contract with Vision Service Plan* will end on March 31, 2021.
Effective January 1, 2021, Medicaid providers will be asked to submit prior authorizations electronically according to Indiana legislation outlined in House Bill 1546.
In order to communicate more efficiently with providers, Anthem Blue Cross and Blue Shield (Anthem) is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. Email is the quickest and most direct way to receive important information from Anthem. To receive email from Anthem (including some sent in lieu of fax or mail), fill out the following form.
Starting April 27, 2020, Anthem will launch the use of Availity’s Medical Attachment functionality for electronic communications. This new functionality allows providers to upload medical records and itemized bill information electronically instead of through traditional paper communications. This functionality can improve communications for medical record requests and receipt and will not impact the audit program.
Page Last Updated: 04/05/2021
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