The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.
Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilator
On June 14, 2021, Philips Respironics* issued a voluntary recall on specific brands of their continuous positive airway pressure (CPAP) machines, bilevel positive airway pressure (BiPAP) machines, and ventilators
Behavioral health midlevel providers may not bill E&M services codes
Anthem Blue Cross and Blue Shield wants to reiterate that behavioral health and substance use midlevel practitioners (such as social workers, marriage and family therapists, psychologists, etc.) are not permitted to perform or supervise medical services.
Specialty Pharmacy Prior Authorization Updates
On and after June 1, 2021, specialty pharmacy codes from current or new clinical criteria documents will be included in our precertification review process.
New vendor for vision services
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.
Prior authorizations to be submitted electronically
Effective January 1, 2021, Medicaid providers will be asked to submit prior authorizations electronically according to Indiana legislation outlined in House Bill 1546.