| Name (for use in forms) | Title | Date | Provider-Update-Year | Market | Approval Status |
|---|
| KYKY_CAID_ProviderManual.pdf | Anthem Blue Cross and Blue Shield Medicaid Provider Manual | | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_AuthorizationNotification_July2014.pdf | Authorization Notification July 2014 | | 2014 | Kentucky | Approved |
| VAVA_CAID_RecontractingPharmacyNetwork.pdf | New Pharmacy Network | | 2015 | Virginia | Approved |
| KYKY_CAID_PharmacyFormularyChangeNotice.pdf | Pharmacy Formulary Change Notice | | 2014 | Kentucky | Approved |
| KYKY_CAID_NameChangeAnnouncement.pdf | Anthem Medicaid Name Change Announcement | | 2014 | Kentucky | Approved |
| KYKY_CAID_PU_MedicaidOpenEnrollment.pdf | Open Enrollment | | 2014 | Kentucky | Approved |
| WIWI_CAID_PU_AvailityProviderBulletin.PDF | Availity Provider Bulletin | | 2014 | Wisconsin | Approved |
| WIWI_CAID_PU_PCPFaxForm_ENG.PDF | PCP Change Fax Form (English) | | 2014 | Wisconsin | Approved |
| WIWI_CAID_PU_PCPFaxForm_SPA.PDF | PCP Change Fax Form (Spanish) | | 2014 | Wisconsin | Approved |
| VAVA_CAID_Patient360Announcement.pdf | Patient360 Information | | 2015 | Virginia | Approved |
| WIWI_CAID_PU_PCPRateIncreaseDecomissioningUpdate.pdf | PCP Rate Increase Decommissioning Update | | 2015 | Wisconsin | Approved |
| KYKY_CAID_2015AvailityFAQs.pdf | Availity FAQs | | 2015 | Kentucky | Approved |
| WIWI_CAID_PU_Dec2014ReimbPolicyBulletin.pdf | December 2014 Reimbursement Policy Bulletin | | 2014 | Wisconsin | Approved |
| KYKY_CAID_PU_UpdatedConfidentialityofRecordsPolicy.pdf | Updated Confidentiality of Records Policy | | 2015 | Kentucky | Approved |
| VAVA_MMP_OrthoNet_Announcement.pdf | OrthoNet to Conduct Post-service Prepay Reviews | | 2015 | Virginia, VA MMP | Approved |
| KYKY_CAID_PU_PharmacyChangeNotice.pdf | Pharmacy Formulary Change Notice Effective March 1, 2015 | | 2014 | Kentucky | Approved |
| KYKY_CAID_PU_CMHC_Billing_Guidance.pdf | CMHC Medicaid Billing Guidance Second Edition | | 2015 | Kentucky | Approved |
| KYKY_CAID_PU_Admin_Denial_Notification.pdf | KYKY_CAID_PU_Admin_Denial_Notification.pdf | | 2014 | Kentucky | Approved |
| WIWI_CAID_2015Q1_CUMGList.pdf | Q1 Clinical Utilization Management Guidelines List | | | Wisconsin | Approved |
| KYKY_CAID_PU_ProviderRelationsRegionsMap.pdf | Provider Relations Territory Map | | 2015 | Kentucky | Approved |
| KYKY_CAID_PU_FormularyChangeNotice.pdf | Pharmacy Formulary Change Notice Effective April 1, 2015 | | | Kentucky | Approved |
| WIWI_CAID_2015_Q1CUMGUpdate.pdf | Q1 Medical Policies and Clinical Utilization Management Guidelines Update | | 2015 | Wisconsin | Approved |
| KYKY_CAID_PU_2015ReimbursementPolicyBulletin_1.pdf | 2015 Issue #1 Reimbursement Policy Bulletin | | 2015 | Kentucky | Approved |
| VAVA_CAID_PU_2015ReimbursementPolicyBulletin_1.pdf | 2015 Issue #1 Reimbursement Policy Bulletin | | 2015 | Virginia | Approved |
| WIWI_CAID_PU_2015ReimbursementPolicyBulletin_1.pdf | 2015 Issue #1 Reimbursement Policy Bulletin | | 2015 | Wisconsin | Approved |
| KYKY_CAID_PU_LockInProgram.pdf | Member Lock-In Program | | 2015 | Kentucky | Approved |
| KYKY_CAID_PU_June2015AdvisoryNotice.pdf | | | | Kentucky | Approved |
| WIWI_CAID_PU_OrthoNetReview.pdf | Corrected information: OrthoNet medical neccessity reviews | | 2015 | Wisconsin | Approved |
| WIWI_CAID_PU_SSIDenialCodes.pdf | Anthem Blue Cross and Blue Shield adding SSI plan to Medicaid portfolio delayed | | | Wisconsin | Approved |
| KYKY_CAID_PU_FormularyChangeNotice_Q22015.pdf | Advair Formulary Change Notice Effective July 1, 2015 | | 2015 | Kentucky | Approved |
| KYKY_CAID_PU_PTCommitteeNotice.pdf | June Pharmacy and Therapeutics Advisory Committe Meeting and Agenda | | 2015 | Kentucky | Approved |
| VAVA_CAID_PU_LARCBlastFax.pdf | Postpartum long-acting contraception benefit now available | | 2015 | Virginia | Approved |
| VAVA_CAID_PU_ICD-10_Update.pdf | ICD-10 Coding Update | | 2015 | Virginia | Approved |
| KYKY_CAID_PU_ERANotice.pdf | Important Notice to Providers registered for ERA | | 2015 | Kentucky | Approved |
| VAVA_CAID_PU_ERANotice.pdf | Important Notice to Providers who are Registered for ERA | | 2015 | Virginia | Approved |
| WIWI_CAID_PU_ERANotice.pdf | Important Notice to Providers who are Registered for ERA | | 2015 | Wisconsin | Approved |
| CACA_CAID_PU_2012BillOutpatientMedications.pdf | How to Bill Claims for Outpatient Medications | 9/27/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2012ChildHealthDisabilityPreventionProgram.pdf | Child Health and Disability Prevention Program National Standard Codes Replacing Anthem Blue Cross Proprietary Codes Physician Bulletin | 1/9/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2012ChildHealthDisabilityPreventionProgramIPA.pdf | Child Health and Disability Prevention Program National Standard Codes Replacing Anthem Blue Cross Proprietary Codes IPA Bulletin | 1/9/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2012DrugRebateProgram.pdf | Medi-Cal Drug Rebate Program Drives Changes to Claims Billing | 2/24/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2012FutureMomsMaternityMgmt.pdf | Introducing Future Moms Maternity Management Program | 6/14/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2012HospiceBillingGuidelines.pdf | Hospice Billing Guidelines | 5/1/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2012IncentivesWellnessVisits.pdf | Member Incentives for Wellness and Screening Visits | 11/20/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2012PregnancyNotificationReportForm.pdf | Revised Online and Paper Pregnancy Notification Report Form | 5/14/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2012ReportingChangesAdmissionsClaims.pdf | Important Reporting Changes for Present on Admission Claims | 12/6/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2012RevisedMedPolicies.pdf | Anthem Blue Cross Implements New or Revised Medical Policies | 9/19/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2012TonsillectomiesUnder18.pdf | New Guideline and Prior Authorization Requirement for Tonsillectomies on Patients Under 18 Years of Age | 5/31/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2012TransitionConditionCare.pdf | Transition to ConditionCare | 5/25/2012 12:00 AM | 2012 | California | Approved |
| CACA_CAID_PU_2013ACAAttestationProcess.pdf | Affordable Care Act (ACA) Attestation Process | 10/10/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013AlphaPrefixEligReports.pdf | Alpha Prefix Added to Eligibility Reports Results in New Data Dictionary on ProviderAccess | 3/1/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013DeficienciesAudit.pdf | Deficiencies Revealed in Audit Require Improvement | 2/1/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013FeeScheduleUpdate.pdf | We are Changing our Fee Schedules Update Process | 8/12/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013HealthyFamiliesTransitionMediCal.pdf | Healthy Families Transition to Medi-Cal | 3/14/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013HIPAACompliantCodes.pdf | Effective Immediately: HIPAA-Compliant Codes Required on Claims | 10/30/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013MCPharmacyUpdates.pdf | Medi-Cal Pharmacy Updates: Where to Get Information | 2/28/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013NewRevisedMedicalPolicies.pdf | Anthem Blue Cross Implements New or Revised Medical Policies | 3/1/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013NewRevisedMedPolicies.pdf | Anthem Blue Cross Implements New or Revised Medical Policies | 7/15/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013PCPRateIncreaseReimb.pdf | PCP Rate Increase Reimbursements | 9/17/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013PharmacyVendorsRuralCountyMC.pdf | In-Network Pharmacy Vendors for Rural County Medi-Cal Managed Care | 10/30/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013PriorAuthorization.pdf | Community-Based Adult Services Prior Authorization Policy Enforced October 14, 2013 | 9/12/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013PriorAuthorizationUpdate.pdf | Update: Prior Authorization Required on Claims | 8/30/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013PriorAuthorizationWaiver.pdf | Prior Authorization Waiver Policy Enforced October 14, 2013 | 8/16/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013ResourceLibrary.pdf | Access the Anthem Blue Cross Resource Library for Office Improvements | 4/4/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013TransitionMediCalFAQ.pdf | Healthy Families Transition to Medi-Cal Frequently Asked Questions | 4/1/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013UpdatedProviderManual.pdf | Updated and Improved Provider Manual for Anthem Blue Cross Now Available Online | 8/7/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013UpdateServicesRequiringPriorAuth.pdf | Update: Change in Services Requiring Prior Authorization Effective August 1, 2013 | 4/23/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2013UsingEligibilityCapitationReports.pdf | Using Eligibility and Capitation Reports to Find Seniors and Persons with Disabilities on Your Patient Rosters | 2/1/2013 12:00 AM | 2013 | California | Approved |
| CACA_CAID_PU_2014ACAExpandsBehavioralHealthBenefits.pdf | Affordable Care Act Expands Behavioral Health Benefits | 2/14/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014CBASAuthTreatmentPolicy.pdf | Community-Based Adult Services (CBAS) Authorization for Treatment Policy for New Anthem Blue Cross Members | 2/3/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014ChangesCMSP.pdf | 2014 Changes to the County Medical Services Program (CMSP) | 2/10/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014ChangesDurableMedEquipPrecertReq.pdf | Upcoming changes to durable medical equipment precertification requirements | 9/29/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014ClinicalUMGuidelines.pdf | Clinical Utilization Management Guidelines | 3/31/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014ClinicalUMGuidelineUpdate.pdf | Clinical Utilization Management Guidelines update | 10/13/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014ClinicalUMGuidelineUpdate2.pdf | Clinical Utilization Management Guideline update | 10/22/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014CulturalCompetencyToolkit.pdf | New Cultural Competency Toolkit Now Available | 1/1/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014HomeHealthNursingPriorAuthCode.pdf | Home Health Nursing Services: Prior Authorization Code Update | 3/1/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014MedPoliciesUpdate.pdf | Medical Policies update | 11/11/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014MonitoringPersistentMedUpdate.pdf | Annual Monitoring Persistent Medication Update | 8/1/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014NewPharmacyPriorAuth.pdf | New pharmacy prior authorization form – state requirement Update | 12/12/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014NewRevisedMedicalPolicies.pdf | Medi-Cal New and Revised Medical Policies | 2/14/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014PharmacyVendors.pdf | In-Network Pharmacy Vendors for Anthem Medi-Cal Managed Care | 4/9/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014PrecertRequirementsGeneticTestCodes.pdf | Precertification requirements for genetic testing codes | 11/14/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014PrenatalUltrasoundCoverageCoding.pdf | Prenatal Ultrasound Coverage and Coding | 6/11/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014PrimaryCareRateIncrease.pdf | Anthem-Direct Contracted Providers and PMG/IPA Affiliated Providers | 3/19/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014PriorAuthInsourcing.pdf | Pharmacy Online Precertification Tool Update | 9/10/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014SleepStudyMgmtProgramHST.pdf | Sleep Study Management Program for In-Home Sleep Testing (HST) | 5/2/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014StayingHealthyAssessment.pdf | Updated Staying Healthy Assessment (SHA) | 3/11/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2014ValleyPresbyterianHospTerm.pdf | Notification of contract termination with Valley Presbyterian Hospital | 9/26/2014 12:00 AM | 2014 | California | Approved |
| CACA_CAID_PU_2015ClinicalUMGuidelinesUpdate.pdf | Clinical Utilization Management Guidelines update | 2/23/2015 12:00 AM | 2015 | California | Approved |
| CACA_CAID_PU_2015DignityHealthSacramentoTermFAQ.pdf | Dignity Health Sacramento termination | 4/1/2015 12:00 AM | 2015 | California | Approved |
| CACA_CAID_PU_2015MedicalPoliciesUpdate.pdf | Medical Policies Update: March 2015 | 3/1/2015 12:00 AM | 2015 | California | Approved |
| CACA_CAID_PU_2015MedPoliciesUpdate.pdf | Medical Policies Update: January 2015 | 1/30/2015 12:00 AM | 2015 | California | Approved |
| VAVA_CAID_PU_CUMGUpdate_2015_Q2.pdf | Q2 Clinical Utilization Management Guidelines Update | | 2015 | Virginia | Approved |
| WIWI_CAID_PU_CUMGUpdate_2015_Q2.pdf | Q2 Clinical Utilization Management Guidelines Update | | 2015 | Wisconsin | Approved |
| KYKY_CAID_PU_CUMGList_2015_Q2.pdf | Q2 Clinical Utilization Management Guidelines List | | 2015 | Kentucky | Approved |
| CACA_CAID_WebTour.pdf | Web tour of new Anthem Blue Cross Medicaid Provider Website | 5/10/2017 12:00 AM | 2017 | California | Approved |
| ININ_CAID_PU_2014ClinicalUMGuidelines.pdf | Clinical Utilization Management Guidelines | 3/31/2014 12:00 AM | 2014 | Indiana | Approved |
| ININ_CAID_PU_2014ClinicalUMGuidelinesUpdate.pdf | Clinical Utilization Management Guidelines update | 10/13/2014 12:00 AM | 2014 | Indiana | Approved |
| ININ_CAID_PU_2014ClinicalUMGuidelineUpdate.pdf | Clinical Utilization Management Guideline update | 10/22/2014 12:00 AM | 2014 | Indiana | Approved |
| ININ_CAID_PU_2014EarlyElectiveDeliveryRP.pdf | Anthem Medicaid’s Early Elective Delivery Reimbursement Policy Effective July 1, 2014 | 5/30/2014 12:00 AM | 2014 | Indiana | Approved |
| ININ_CAID_PU_2014MedicalPoliciesUpdate.pdf | Medical Policies update | 11/11/2014 12:00 AM | 2014 | Indiana | Approved |
| ININ_CAID_PU_2014PrecertRequirementsGeneticTestingCodes.pdf | Precertification requirements for genetic testing codes | 11/14/2014 12:00 AM | 2014 | Indiana | Approved |
| ININ_CAID_PU_2014ProviderReimbursementEligibility.pdf | Provider reimbursement eligibility | 12/23/2014 12:00 AM | 2014 | Indiana | Approved |
| ININ_CAID_PU_2014ReimbursementPolicyDec2014.pdf | Reimbursement Policy Bulletin | 12/29/2014 12:00 AM | 2014 | Indiana | Approved |
| ININ_CAID_PU_2014SleepStudyMgmtProgram.pdf | Sleep Study Management Program for in Home Sleep Testing (HST) | 5/22/2014 12:00 AM | 2014 | Indiana | Approved |
| ININ_CAID_PU_2015ChangesPharmacyBenefits.pdf | Changes to HIP Pharmacy Benefits and Prior Authorization | 2/1/2015 12:00 AM | 2015 | Indiana | Approved |
| ININ_CAID_PU_2015ClinicalUMGuidelines.pdf | Clinical Utilization Management Guidelines | 3/20/2015 12:00 AM | 2015 | Indiana | Approved |
| ININ_CAID_PU_2015HIPCopayments.pdf | Copay Bulletin | 2/1/2015 12:00 AM | 2015 | Indiana | Approved |
| ININ_CAID_PU_2015HIPExpansion.pdf | Healthy Indiana Plan expansion | 2/1/2015 12:00 AM | 2015 | Indiana | Approved |
| ININ_CAID_PU_2015HospitalAssessFee.pdf | Hospital Assessment Fee Bulletin | 1/29/2015 12:00 AM | 2015 | Indiana | Approved |
| ININ_CAID_PU_2015MedicalPoliciesUpdate.pdf | Medical policies update | 3/1/2015 12:00 AM | 2015 | Indiana | Approved |
| ININ_CAID_PU_2015ProviderReimbursementEligibility.pdf | Provider reimbursement eligibility | 3/31/2015 12:00 AM | 2015 | Indiana | Approved |
| ININ_CAID_PU_2015SmokingCessationPregnantWomen.pdf | Smoking cessation for pregnant women | 3/31/2015 12:00 AM | 2015 | Indiana | Approved |
| ININ_CAID_PU_2015VerificationBenefitPlanWebinterChange.pdf | Verification of Benefit plan using Web interchange | 1/29/2015 12:00 AM | 2015 | Indiana | Approved |
| KYKY_CAID_PU_Region3Expansion.pdf | Kentucky Region Three Expansion | | 2015 | Kentucky | Approved |
| CACA_CAID_PU_2015DiscontinueMailingPaperRemittances.pdf | Paper Remits Discontinued on October 1, 2015 | 7/15/2015 12:00 AM | 2015 | California | Approved |
| KYKY_CAID_PU_RPAllergyImmunotherapy.pdf | Allergy Treatment: Immunotherapy Reimbursement Policy Update Effective August 1, 2015 | | 2015 | Kentucky | Approved |
| VAVA_CAID_PU_ICD10Update.pdf | ICD-10 Update: Providers should register for ICD-10 Claims testing by September 1, 2015 | | 2015 | Virginia | Approved |
| WIWI_CAID_PU_PrenatalCoverage.pdf | Prenatal Ultrasound Coverage and Coding | | 2015 | Wisconsin | Approved |
| CACA_CAID_PU_2015EntyvioCyramza.pdf | Precertification for Entyvio and Cyramza | 8/3/2015 12:00 AM | 2015 | California | Approved |
| CACA_MMP_PU_2015EntyvioCyramza.pdf | Precertification for Part B Drugs Entyvio and Cyramza | 7/15/2015 12:00 AM | 2015 | California | Approved |
| KYKY_CAID_PU_EntyvioandCyramza.pdf | Precertification for Entyvio and Cyramza | | 2015 | Kentucky | Approved |
| VAVA_CAID_PU_EntyvioandCyramza.pdf | Precertification for Entyvio and Cyramza | | 2015 | Virginia | Approved |
| VAVA_MMP_PU_EntyvioandCyramza.pdf | Precertification for Part B Drugs Entyvio and Cyramza | | 2015 | Virginia | Approved |
| WIWI_CAID_PU_HomeTherapyPrecertificationRequirements.pdf | Update: Home Therapy Precertification Requirements Effective September 1, 2015 | | 2015 | Wisconsin | Approved |
| KYKY_CAID_PU_HomeTherapyPrecertificationRequirements.pdf | Update: Home therapy precertification requirements | | 2015 | Kentucky | Approved |
| CACA_CAID_PU_2015BHAuthRequirementChanges.pdf | Behavioral Health Authorization Requirement Changes Effective Nov 1, 2015 | 8/20/2015 12:00 AM | 2015 | California | Approved |
| KYKY_CAID_PU_CervicalLengthScreeningGuidelines.pdf | Cervical Length Screening Guidelines | | 2015 | Kentucky | Approved |
| VAVA_CAID_PU_CervicalLengthScreeningGuidelines.pdf | Cervical Length Screening Guidelines | | 2015 | Virginia | Approved |
| WIWI_CAID_PU_CervicalLengthScreeningGuidelines.pdf | Cervical Length Screening Guidelines | | 2015 | Wisconsin | Approved |
| WIWI_CAID_PU_BehavioralHealthNovemberAuthRequirementChanges.pdf | Behavioral Health: Authorization requirement changes effective November 1, 2015 | | 2015 | Wisconsin | Approved |
| CACA_CAID_PU_2015HemophiliaDrugsMedNecessityReview.pdf | Hemophilia drugs medical necessity reviews - effective November 1, 2015 | 8/31/2015 12:00 AM | 2015 | California | Approved |
| VAVA_CAID_PU_ChangestoTranspoProvider.pdf | Changes to nonemergency transportation partner | | 2015 | Virginia | Approved |
| VAVA_MMP_ICTParticipationReimbursement.pdf | PCP ICT Participation | | 2015 | Virginia, VA MMP | Approved |
| VAVA_MMP_NewPatientProcess.pdf | New Patient Payment Process | | 2015 | Virginia, VA MMP | Approved |
| VAVA_MMP_BHAuthorizationRequirementChanges.pdf | Behavioral health authorization requirement changes effective October 1, 2015 | | 2015 | Virginia | Approved |
| VAVA_CAID_PU_CUMGUpdate_2015Q3.pdf | Q3 Clinical Utilization Management Guidelines Update | | 2015 | Virginia | Approved |
| WIWI_CAID_PU_CUMGUpdate_2015Q3.pdf | Q3 Clinical Utilization Management Guidelines Update | | 2015 | Wisconsin | Approved |
| KYKY_CAID_PU_HemophiliaDrugsUpdate.pdf | Update: Hemophilia drugs require medical necessity reviews effective November 1, 2015 | | 2016 | Kentucky | Approved |
| ININ_CAID_PU_2015EntyvioCyramza.pdf | Prior authorization required for drugs Entyvio and Cyramza | 9/3/2015 12:00 AM | 2015 | Indiana | Approved |
| ININ_CAID_PU_2015OrthoFootwearKneeBracesPriorAuth.pdf | Prior authorization changes: Orthopedic footwear and custom-made knee braces | 6/15/2015 12:00 AM | 2015 | Indiana | Approved |
| ININ_CAID_PU_2015WebTour.pdf | Tour our updated provider website for the latest information | 9/22/2015 12:00 AM | 2015 | Indiana | Approved |
| CACA_CAID_PU_2015Q3MedPoliciesCUMGUpdate.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines Update | 9/22/2015 12:00 AM | 2015 | California | Approved |
| ININ_CAID_PU_2015Q3MedPoliciesCUMGUpdate.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines Update | 9/22/2015 12:00 AM | 2015 | Indiana | Approved |
| WIWI_CAID_MedicalPoliciesCUMGUpdate_2015_Q3.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines Update | | 2015 | Wisconsin | Approved |
| ININ_CAID_PU_2015PresumptiveEligibilityReminder.pdf | Presumptively eligible claims reminder | 9/23/2015 12:00 AM | 2015 | Indiana | Approved |
| WIWI_CAID_PU_OrthonetReviews.pdf | OrthoNet to conduct professional service coding reviews for musculoskeletal providers | | 2015 | Wisconsin | Approved |
| WIWI_CAID_PU_AllergyTreatmentRPUpdate.pdf | Reimbursement Policy Update Allergy Treatment: Immunotherapy | | 2015 | Wisconsin | Approved |
| VAVA_CAID_PU_AllergyTreatmentRPUpdate.pdf | Reimbursement Policy Update - Allergy Treatment: Immunotherapy | | 2015 | Virginia | Approved |
| ININ_CAID_PU_2015Q3MedicalPoliciesCUMGUpdate.pdf | Q3 Clinical Utilization Management Guidelines Update | 9/30/2015 12:00 AM | 2015 | Indiana | Approved |
| ININ_CAID_PU_2015InpatientReadmissionsRPRevised.pdf | Inpatient Readmissions: Reimbursement Policy Revised | 10/1/2015 12:00 AM | 2015 | Indiana | Approved |
| WIWI_CAID_PU_ProviderNewsletterUpdates.pdf | Provider Newsletter Updates | | 2015 | Wisconsin | Approved |
| VAVA_CAID_PU_HemophiliaDrugsUpdate.pdf | Hemophilia drugs authorization update effective November 15, 2015 | | 2015 | Virginia | Approved |
| CACA_CAID_PU_2015ScoliosisProgram.pdf | Scoliosis and spinal deformity medical necessity reviews | 10/23/2015 12:00 AM | 2015 | California | Approved |
| WIWI_CAID_PU_ScoliosisandSpinalDeformityReviews.pdf | Scoliosis and spinal deformity medical necessity reviews | | 2015 | Wisconsin | Approved |
| ININ_CAID_PU_2015CervicalLengthScreeningGuidelines.pdf | Cervical length screening guidelines | 8/20/2015 12:00 AM | 2015 | Indiana | Approved |
| CACA_CAID_PU_2015ObstetricUltrasoundBenefitChange.pdf | Obstetric ultrasound benefit limitations change | 10/29/2015 12:00 AM | 2015 | California | Approved |
| CACA_MMP_PU_2015ScoliosisProgram.pdf | Scoliosis and spinal deformity medical necessity reviews MMP | 11/4/2015 12:00 AM | 2015 | California | Approved |
| CACA_CAID_PU_2015NewTransportationVendor.pdf | New Transportation Vendor Effective December 1, 2015 | 11/10/2015 12:00 AM | 2015 | California | Approved |
| KYKY_CAID_PU_PharmacyTherapeuticCommitteeDecisions.pdf | Kentucky Pharmacy and Therapeutics Advisory Committee Meeting Decisions - June 4, 2015 | | | Kentucky | Approved |
| CACA_CAID_PU_2015PharmacyFormularyChange.pdf | Formulary Change Notice Effective December 1, 2015 | 12/1/2015 12:00 AM | 2015 | California | Approved |
| ININ_CAID_PU_2015PharmacyFormularyChangeNotice.pdf | Formulary Change Notice Effective December 1, 2015 | 12/1/2015 12:00 AM | 2015 | Indiana | Approved |
| VAVA_CAID_PU_FormularyChangeNotice_12-1-15.pdf | Formulary Change Notice Effective December 1, 2015 | | 2015 | Virginia | Approved |
| KYKY_CAID_PU_PharmacyandTherapeuticsMeetingAnnouncement.pdf | Pharmacy & Therapeutics Meeting Announcement | | 2015 | Kentucky | Approved |
| WIWI_CAID_PU_MemberAdvocateReferralForm.pdf | Member Advocate Referral Form For Providers | | 2015 | Wisconsin | Approved |
| WIWI_CAID_PU_Changetoclaimsubmissions.pdf | Change to inpatient claim submission requirements | | 2015 | Wisconsin | Approved |
| KYKY_CAID_PU_DataManagementProgramFlier.pdf | Data Management Program Flier | | 2015 | Kentucky | Approved |
| KYKY_CAID_PU_SmokingCessationLeadershipCenterWebinarSeries.PDF | Smoking Cessation Leadership Center webinar series | | 2015 | Kentucky | Approved |
| VAVA_MMP_PU_ChangestoBenefits.pdf | 2016 Summary of Benefits | | 2016 | Virginia | Approved |
| WIWI_CAID_PU_CustomeOrthoticPrecert.pdf | Custom Molded Orthotics Require Prior Authorization | | 2016 | Wisconsin | Approved |
| VAVA_CAID_PU_CustomOrthoticsPrecert.pdf | Custom Molded Orthotics Require Prior Authorization 15, 2015 | | 2016 | Virginia | Approved |
| KYKY_CAID_PU_FormularyUpdateNotice_February2016.pdf | Quarterly pharmacy formulary change notice effective February 1, 2016 | | 2015 | Kentucky | Approved |
| VAVA_CAID_PU_FormularyChangeNotice_February2016.pdf | Quarterly pharmacy formulary change notice effective February 1, 2016 | | 2015 | Virginia | Approved |
| KYKY_CAID_PU_MCGHealthCriteria.pdf | MCG Health, LLC Criteria to Determine Medical Necessity | | 2015 | Kentucky | Approved |
| VAVA_CAID_PU_MPTACNotification_Q42015.pdf | Q4 Medical Policies and Clinical Utilization Management Guidelines Update | | 2015 | Virginia | Approved |
| CACA_CAID_PU_MPTACUpdate_January2016.pdf | Q4 Medical Policies and Clinical Utilization Management Guidelines Update | 1/8/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_FormularyChangeNotice_January2016.pdf | Quarterly pharmacy formulary change notice effective February 1, 2016 | 1/7/2016 12:00 AM | 2015 | Indiana | Approved |
| WIWI_CAID_PU_RequirementsforSterilizationReimbursement.pdf | Requirements for sterilization reimbursement | | 2016 | Wisconsin | Approved |
| CACA_CAID_PU_2016FormularyChangeBlastFax.pdf | Quarterly pharmacy formulary change notice effective February 1, 2016 | 1/13/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_PU_2016PostpartumOutreachInitiative.pdf | Postpartum outreach initiative | 1/15/2016 12:00 AM | 2016 | Indiana | Approved |
| VAVA_CAID_PU_kneearthroscopy.pdf | Precertification for knee arthroscopy effective April, 1 2016 | | 2016 | Virginia | Approved |
| VAVA_CAID_PU_PrecertificationforKneeandHipArthroplasty.pdf | Precertification for knee and hip arthroplasty effective May 1, 2016 | | 2016 | Virginia | Approved |
| WIWI_CAID_PU_PrecertificationforKneeandHipArthroplasty.pdf | Precertification for knee and hip arthroplasty effective May 1, 2016 | | 2016 | Wisconsin | Approved |
| WIWI_CAID_PU_Precertforkneearthroscopy.pdf | Precertification for knee arthroscopy effective April 1, 2016 | | 2016 | Wisconsin | Approved |
| KYKY_CAID_PU_Precertforkneeandhiparthroplasty.pdf | Precertification for knee and hip arthroplasty effective May 1, 2016 | | 2016 | Kentucky | Approved |
| KYKY_CAID_PU_PharmacyTherapeuticCommitteeDecisions_Dec2015.pdf | Kentucky Pharmacy and Therapeutics Advisory Committee Meeting Decisions - December 16, 2015 | | 2016 | Kentucky | Approved |
| KYKY_CAID_PU_Precertforkneearthroscopy.pdf | Precertification for knee arthroscopy effective April 1, 2016 | | 2016 | Kentucky | Approved |
| VAVA_CAID_PU_RadiationTherapy.pdf | Radiation Therapy: Select Brachytherapy, IMRT CPT codes require prior authorization effective May 1, 2016 | | 2016 | Virginia | Approved |
| CACA_CAID_PU_2016HospitalTermBulletin.pdf | Hospital Termination Provider Bulletin- West Hills and Riverside Hospitals | 2/7/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_PU_2016KneeArthroscopy.pdf | Precertification for knee arthroscopy effective April 1, 2016 | 2/4/2016 12:00 AM | 2016 | Indiana | Approved |
| ININ_CAID_PU_2016KneeHipArthroscopy.pdf | Precertification for knee and hip arthroplasty effective May 1, 2016 | 2/4/2016 12:00 AM | 2016 | Indiana | Approved |
| KYKY_CAID_PU_17PLetter.pdf | Important information regarding 17P coverage | | 2016 | Kentucky | Approved |
| ININ_CAID_PU_2016CustomMoldedOrthotics.pdf | Custom molded orthotics require prior authorization | 4/28/2016 12:00 AM | 2016 | Indiana | Approved |
| WIWI_CAID_PU_Changestoclaimssubmissionsoutpatient.pdf | Changes to claims submission requirements for outpatient hospital services | | 2016 | Wisconsin | Approved |
| VAVA_MMP_PU_ReimbursementforICTParticipation.pdf | New for PCP – reimbursement for interdisciplinary care team (ICT) participation | | 2016 | Virginia, VA MMP | Approved |
| VAVA_MMP_PU_PrecertUpdatesNursingFacility.pdf | Precertification changes for custodial nursing facility care | | 2016 | Virginia, VA MMP | Approved |
| ININ_CAID_PU_2016MedPoliciesUMGuidelinesUpdate.pdf | Q4 Medical Policies and Clinical Utilization Management Guidelines Update | 3/4/2016 12:00 AM | 2016 | Indiana | Approved |
| KYKY_CAID_PU_RequestTaxonomyCodeUpdate.pdf | Request for to update taxonomy code | | 2016 | Kentucky | Approved |
| CACA_CAID_PU_2016QuarterlyPharmacyFormularyChange.pdf | Quarterly pharmacy formulary change | 3/24/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_PU_2016MedPoliciesUMGuidelinesUpdate2.pdf | Medical policies and Clinical Utilization Management Guidelines update | 3/30/2016 12:00 AM | 2016 | Indiana | Approved |
| WIWI_CAID_PU_PrenatalUltrasoundICD10Update.pdf | Prenatal Ultrasound Policy/ICD-10 Update | | 2016 | Wisconsin | Approved |
| KYKY_CAID_PU_PrenatalUltrasoundICD10Update.pdf | Prenatal Ultrasound Policy/ICD-10 Update | | 2016 | Kentucky | Approved |
| ININ_CAID_PU_2016QuarterlyPharmacyFormularyChange.pdf | Provider update: Quarterly pharmacy formulary change notice | 4/1/2016 12:00 AM | 2016 | Indiana | Approved |
| VAVA_CAID_PU_UltrasoundICD10Update.pdf | Prenatal Ultrasound Policy/ICD-10 Update | | 2016 | Virginia | Approved |
| VAVA_MMP_PU_AdditionalRadiationOncologyPAs.pdf | Additional Radiation Oncology PAs Directed to AIM | | 2016 | Virginia, VA MMP | Approved |
| CACA_CAID_PU_2016Q1MPTACUpdate.pdf | Medical policies and Clinical Utilization Management Guidelines update | 4/11/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_PU_2016Q1MPTACUpdate.pdf | Medical policies and Clinical Utilization Management Guidelines update | 4/11/2016 12:00 AM | 2016 | Indiana | Approved |
| KYKY_CAID_PU_QuarterlyFormularyUpdate_May12016.pdf | Quarterly pharmacy formulary change notice effective May 1, 2016 | | 2016 | Kentucky | Approved |
| WIWI_CAID_PU_2016_MedicalPoliciesandCUMGUpdate.pdf | Medical policies and Clinical Utilization Management Guidelines update | | 2016 | Wisconsin | Approved |
| VAVA_CAID_PU_2016_CoverageGuidelinesandCUMGUpdate.pdf | Coverage guidelines and Clinical Utilization Management Guidelines update | | 2016 | Virginia | Approved |
| CACA_CAID_PU_2016CertainDrugsMedicalNecessityReviews.pdf | Certain drugs medical necessity reviews | 4/14/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_PU_2016DrugsAddedPA.pdf | Effective June 15, 2016: Drugs added to prior authorization | 4/18/2016 12:00 AM | 2016 | Indiana | Approved |
| WIWI_CAID_PU_HealthyRewardsFlier.pdf | Healthy Rewards Program August Update Flier | | 2016 | Wisconsin | Approved |
| VAVA_CAID_PU_HealthyRewardsFlier.pdf | Healthy Rewards Flier | | 2018 | Virginia | Approved |
| CACA_CAID_PU_2016PharmacyPriorAuthIssueResolution.pdf | Update on Pharmacy Prior Authorization Submissions | 4/1/2016 12:00 AM | 2016 | California | Approved |
| VAVA_CAID_PU_ESIOutageUpdate.pdf | Update on Pharmacy Prior Authorization Submissions | | 2016 | Virginia | Approved |
| ININ_CAID_PU_2016ScoliosisSpinalDeformity.pdf | Prior Authorization Requirements For Scoliosis And Spinal Deformity Services | 4/27/2016 12:00 AM | 2016 | Indiana | Approved |
| ININ_CAID_PU_2016PrenatalUltrasoundICD10Update.pdf | Prenatal Ultrasound Policy/ICD-10 Update | 5/5/2016 12:00 AM | 2016 | Indiana | Approved |
| CACA_CAID_PU_2016KneeSpinalOrthosesPrecertUpdate.pdf | Precertification for knee and spine orthoses effective July 1, 2016 | 5/6/2016 12:00 AM | 2016 | California | Approved |
| VAVA_CAID_PU_Precertforkneeandspineorthoses.pdf | Precertification for knee and spine orthoses effective July 1, 2016 | | 2016 | Virginia | Approved |
| WIWI_CAID_PU_Precertforkneeandspineorthoses.pdf | Precertification for knee and spine orthoses effective July 1, 2016 | | 2016 | Wisconsin | Approved |
| ININ_CAID_PU_2016KneeSpinalOrthosesPrecertUpdate.pdf | Precertification for knee and spine orthoses effective July 1, 2016 | 5/10/2016 12:00 AM | 2016 | Indiana | Approved |
| CACA_CAID_PU_DiabeticChange.pdf | Discontinuation of Trividia Health (formerly Nipro Diagnostics, Inc.) diabetic supplies | 5/1/2016 12:00 AM | 2016 | California | Approved |
| KYKY_CAID_PU_DiabeticChange.pdf | Discontinuation of Trividia Health (formerly Nipro Diagnostics, Inc.) diabetic supplies | | 2016 | Kentucky | Approved |
| VAVA_CAID_PU_DiabeticChange.pdf | Discontinuation of Trividia Health (formerly Nipro Diagnostics, Inc.) diabetic supplies | | 2016 | Virginia | Approved |
| ININ_CAID_PU_OnlinePeerSupportforHCCMembers.pdf | Online Peer Support for Hoosier Care Connect Member | 6/10/2016 12:00 AM | 2016 | Indiana | Approved |
| WIWI_CAID_PU_DMEModifiers.pdf | DME Modifiers for New and Rented Equipment | | 2016 | Wisconsin | Approved |
| WIWI_CAID_PU_PrecertUpdateVascularembolization.pdf | Precertification update for vascular embolization or occlusion services | | 2016 | Wisconsin | Approved |
| VAVA_CAID_PU_QuarterlyFormularyChange_June2016.pdf | Quarterly pharmacy formulary change notice effective July 1, 2016 | | 2016 | Virginia | Approved |
| KYKY_CAID_PU_LARCBenefitLetter.pdf | New LARC benefit provider letter | | 2016 | Kentucky | Approved |
| KYKY_CAID_PU_FormularyChangeNotice_July2016.pdf | Quarterly pharmacy formulary change notice effective July 1, 2016 | | 2016 | Kentucky | Approved |
| CACA_CAID_PU_2016QuarterlyPharmacyFormularyChange2.pdf | Quarterly pharmacy formulary change notice effective July 1, 2016 | 6/27/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_PU_2016QuarterlyPharmacyFormularyChange2.pdf | Quarterly pharmacy formulary change notice effective July 1, 2016 | 6/27/2016 12:00 AM | 2016 | Indiana | Approved |
| CACA_CAID_PU_VascularEmbolizationOcclusionServices.pdf | Precertification update for vascular embolization or occlusion services | 7/1/2016 12:00 AM | 2016 | California | Approved |
| VAVA_CAID_PU_PrecertUpdateVascularEmbolization.pdf | Precertification update for vascular embolization or occlusion services | | 2016 | Virginia | Approved |
| KYKY_CAID_PU_NulojixPriorAuth.pdf | Prior authorization requirement for Nulojix effective August 5, 2016 | | 2016 | Kentucky | Approved |
| CACA_MMP_PU_2016UpdateKneeSpinalOrthosesPrecertUpdate.pdf | Update on precertification requirements for knee and spinal orthoses | 7/1/2016 12:00 AM | 2016 | California | Approved |
| VAVA_MMP_PriorAuthSpinalKnee.pdf | Update on precertification requirements for knee and spinal orthoses | | 2016 | Virginia | Approved |
| CACA_MMP_PU_2016VascularEmbolizationOcclusionServices.pdf | MMP Precertification update for vascular embolization or occlusion services | 7/11/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_PU_2016VascularEmbolizationOcclusionPriorAuth.pdf | Precertification update for vascular embolization or occlusion services | 7/11/2016 12:00 AM | 2016 | Indiana | Approved |
| ININ_CAID_PU_2016QuarterlyPharmacyFormularyChange3.pdf | Quarterly pharmacy formulary change notice effective September 1, 2016 | 7/25/2016 12:00 AM | 2016 | Indiana | Approved |
| CACA_CAID_PU_2016QuarterlyPharmacyFormularyChange3.pdf | Quarterly pharmacy formulary change notice effective September 1, 2016 | 7/25/2016 12:00 AM | 2016 | California | Approved |
| VAVA_CAID_PU_QuarterlyPharmacyChangeNotice_July2016.pdf | Quarterly pharmacy formulary change notice effective September 1, 2016 | | 2016 | Virginia | Approved |
| VAVA_MMP_PU_PriorAuthSpinalKnee.pdf | Update on precertification requirements for knee and spinal orthoses | | 2016 | Virginia, VA MMP | Approved |
| KYKY_CAID_PU_MCGGuidelines.pdf | 20th Edition of MCG to determine medical necessity | | 2016 | Kentucky | Approved |
| VAVA_CAID_PU_NondiscriminationAccessibilityUpdate.pdf | Federal nondiscrimination and accessibility update. | | 2016 | Virginia | Approved |
| WIWI_CAID_PU_FederalNondiscrimandAccessibilityUpdate.pdf | Federal nondiscrimination and accessibility update | | 2016 | Wisconsin | Approved |
| KYKY_CAID_PU_MedicaidPhysicianFeeSchedule.pdf | Medicaid physician fee schedule: place of service codes and pricing | | 2016 | Kentucky | Approved |
| CACA_CAID_PU_2016NondiscriminationAccessibilityUpdate.pdf | Federal nondiscrimination and accessibility update | 8/10/2016 12:00 AM | 2016 | California | Approved |
| KYKY_CAID_PU_FederalNDAccessibilityRequirementsUpdate.pdf | Federal nondiscrimination and accessibility update | | 2016 | Kentucky | Approved |
| KYKY_CAID_PU_ZikaVirusWarning.pdf | Public Health Officials Zika Virus Warning | | 2016 | Kentucky | Approved |
| KYKY_CAID_PU_FormularyChange.pdf | Quarterly pharmacy formulary change notice effective October 1, 2016 | | 2016 | Kentucky | Approved |
| CACA_MMP_PU_2016InjectableInfusableDrugs.pdf | MMP New Injectable Infusible Drugs Istodax, Ixempre and Taltz | 9/1/2016 12:00 AM | 2016 | California | Approved |
| VAVA_CAID_PU_FormularyChangeNotice.pdf | ICS Quarterly pharmacy formulary change notice effective September 1, 2016 | | 2016 | Virginia | Approved |
| WIWI_CAID_2016MPCUMGUpdateQ2.pdf | Q2 Medical policies and Clinical Utilization Management (UM) Guidelines (8/31/16) | | 2016 | Wisconsin | Approved |
| VAVA_CAID_2016MPCUMGUpdateQ2.pdf | Q2 Medical policies and Clinical Utilization Management (UM) Guidelines (8/31/16) | | 2016 | Virginia | Approved |
| CACA_CAID_PU_2016MedicalPoliciesNotificationQ2.pdf | Q2 Medical policies and Clinical Utilization Management (UM) Guidelines | 8/31/2016 12:00 AM | 2016 | California | Approved |
| VAVA_CAID_PU_QuarterlyFormularyChange_September2016.pdf | Quarterly pharmacy formulary change notice effective September 1, 2016 | | 2016 | Virginia | Approved |
| CACA_CAID_PU_QuarterlyFormularyChange_September2016.pdf | Quarterly pharmacy formulary change notice effective September 1, 2016 | 9/1/2016 12:00 AM | 2016 | California | Approved |
| VAVA_CAID_PU_QVARFormularyChangeSept2016.pdf | QVAR pharmacy formulary change notice effective September 1, 2016 | | 2016 | Virginia | Approved |
| ININ_CAID_PU_2016QuarterlyPharmacyFormularyChange4.pdf | QVAR pharmacy formulary change notice effective September 1, 2016 | 9/23/2016 12:00 AM | 2016 | Indiana | Approved |
| KYKY_CAID_QVARFormularyChangeSept2016.pdf | QVAR pharmacy formulary change notice effective September 1, 2016 | | 2016 | Kentucky | Approved |
| CACA_PU_QuarterlyFormularyChangeSept2016.pdf | QVAR pharmacy formulary change notice effective September 1, 2016 | 9/23/2016 12:00 AM | 2016 | California | Approved |
| VAVA_MMP_NewInjectableDrugs.pdf | New Injectable Infusible Drugs - Emend (fosaprepitant), Aloxi (palonosetron) and Afstyla (antihemophilic) | | 2016 | Virginia | Approved |
| CACA_MMP_PU_2016NewInjectableDrugs.pdf | New Injectable Infusible Drugs - Emend (fosaprepitant), Aloxi (palonosetron) and Afstyla (antihemophilic) | 10/1/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_2016Q2CUMG.pdf | Q2 Medical policies and Clinical Utilization Management (UM) Guidelines | 9/28/2016 12:00 AM | 2016 | Indiana | Approved |
| KYKY_CAID_PU_QuarterlyFormularyUpdate_Sept2016.pdf | Quarterly pharmacy formulary change notice effective September 1, 2016 | | 2016 | Kentucky | Approved |
| VAVA_CAID_PU_ZikaInformationPacket.pdf | Zika Virus Information Packet | | 2016 | Virginia | Approved |
| ININ_CAID_PU_2016QuarterlyPharmacyFormularyChange5.pdf | Quarterly pharmacy formulary change notice effective November 1, 2016 | 10/20/2016 12:00 AM | 2016 | Indiana | Approved |
| CACA_CAID_PU_2Q16FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective November 1, 2016 | 10/21/2016 12:00 AM | 2016 | California | Approved |
| VAVA_CAID_PU_QuarterlyPharmacyFormularyChange.pdf | Quarterly pharmacy formulary change notice effective November 1, 2016 | | 2016 | Virginia | Approved |
| KYKY_CAID_PU_QuarterlyFormularyUpdate_Nov2016.pdf | Quarterly pharmacy formulary change notice effective November 1, 2016 | | 2016 | Kentucky | Approved |
| CACA_MMP_PU_2016DoxilandSustol.pdf | MMP New Injectable/Infusible Drugs Doxil and Sustol - Effective January 1, 2017 | 11/2/2016 12:00 AM | 2016 | California | Approved |
| CACA_MMP_PU_2016PriorAuthChangeInterferonMecaserminAzacitidine.pdf | MMP Prior Authorization Change to Drugs Interferon, Mecasermin and Azacitidine - Effective February 1, 2017 | 11/2/2016 12:00 AM | 2016 | California | Approved |
| VAVA_CAID_PU_IBOutlierNotice.pdf | Change to inpatient diagnosis-related group claim submissions | | 2016 | Virginia | Approved |
| KYKY_CAID_PU_DRGUpdate.pdf | Diagnosis Related Group version update | | 2016 | Kentucky | Approved |
| VAVA_MMP_PU_PAElotuzmabInjectable.pdf | Prior authorization requirements for new injectable/infusible drugs: Darzalex (daratumumab) and Empliciti (elotuzumab) | | 2016 | Virginia | Approved |
| VAVA_CAID_PU_HomeHealthAuthandBillingRequirements.pdf | HealthKeepers, Inc. home health authorization and billing requirements - Effective November 1, 2016 | | 2016 | Virginia | Approved |
| WIWI_CAID_PU_ImplementationofAPRDRGPricing.pdf | Implementation of APR DRG Pricing | | 2016 | Wisconsin | Approved |
| CACA_CAID_PU_2016PriorAuthDarzalexEmpliciti.pdf | Prior authorization requirements for new injectable/infusible drugs: Darzalex (daratumumab) and Empliciti (elotuzumab) | 11/9/2016 12:00 AM | 2016 | California | Approved |
| KYKY_CAID_PU_PharmacyandTheraeuticsAdvisoryMtg_Dec2016.pdf | Pharmacy and Therapeutics Advisory Committee Meeting - December 7, 2016 | | | Kentucky | Approved |
| VAVA_CAID_PU_CUMGUpdatev2_Q32016.pdf | Coverage Guidelines and Clinical Utilization Management Guidelines update | | 2016 | Virginia | Approved |
| WIWI_CAID_PU_CUMGUpdatev2_q32016.pdf | Medical Policies and Clinical Utilization Management Guidelines update | | 2016 | Wisconsin | Approved |
| ININ_CAID_PU_2016Q3CUMG.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines update | 11/22/2016 12:00 AM | 2016 | Indiana | Approved |
| KYKY_CAID_PU_AuthRequirementChangesforBehavioralHealth.pdf | Authorization requirement changes for behavioral health | | 2016 | Kentucky | Approved |
| CACA_MMP_PU_2016PriorAuthNewInjectableDrugs.pdf | MMP New Injectable Infusible Drugs: Erelzi (etanercept), Amjevita (adalimumab), Voretigene neparvovec, Nanacog (recombinant factor IX) and Lartruvo (olaratumab) | 12/8/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_PU_2016More2017Changes.pdf | More changes on the way for 2017 | 12/9/2016 12:00 AM | 2016 | Indiana | Approved |
| KYKY_CAID_PU_ProcessChangeforNPITaxonomyCode.pdf | Process change for adding or updating the NPI/taxonomy code | | 2016 | Kentucky | Approved |
| CACA_CAID_PU_2016Q3MPTACUpdate.pdf | Medical Policies and Clinical Utilization Management Guidelines update | 12/16/2016 12:00 AM | 2016 | California | Approved |
| VAVA_CAID_PU_QuarterlyPharmacyFormularyChange_Feb2017.pdf | Quarterly pharmacy formulary change notice effective February 1, 2017 | | 2016 | Virginia | Approved |
| CACA_CAID_PU_2016FormularyChangeBlastFax2.pdf | Quarterly pharmacy formulary change notice effective February 1, 2017 | 12/19/2016 12:00 AM | 2016 | California | Approved |
| CACA_MMP_PU_2016PriorAuthTorisel.pdf | MMP PA Drugs Torisel | 12/15/2016 12:00 AM | 2016 | California | Approved |
| CACA_CAID_PU_2016PriorAuthIstodaxIxempraDoxiToriseInflectra.pdf | Istodax_Ixempra _Doxil_Torisel_Inflectra | 12/15/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_PU_2016PriorAuthIstodaIxempraDoxiToriseInflectra.pdf | Istodax, Ixempra, Doxil, Torisel, Inflectra | 12/15/2016 12:00 AM | 2016 | Indiana | Approved |
| KYKY_CAID_PU_ImportanceofBHCollaboration.pdf | Importance of Behavioral Health Collaboration | | 2016 | Kentucky | Approved |
| KYKY_CAID_PU_FormularyChangeNotice_Feb12017.pdf | Quarterly pharmacy formulary change notice effective February 1, 2017 | | 2017 | Kentucky | Approved |
| ININ_CAID_PU_2017UpdatesProviderAttachments.pdf | 2017 updates to provider attachments | 1/27/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_2017QuarterlyPharmacyFormularyChange.pdf | Quarterly pharmacy formulary change notice effective February 1, 2017 | 1/5/2017 12:00 AM | 2017 | Indiana | Approved |
| KYKY_CAID_PU_PharmacyTherapeuticCommitteeDecisions_Dec2016.pdf | Pharmacy and Therapeutics Committee Meeting Minutes - December 7, 2016 | | 2017 | Kentucky | Approved |
| VAVA_CAID_PU_IsotaxIxempraDoxilToriselInflectra.pdf | Istodax, Ixempra, Doxil, Torisel, Inflectra | | 2016 | Virginia | Approved |
| CACA_MMP_PU_2017CuvitruOcrevusLutathera.pdf | MMP Prior authorization change for new injectable/infusible drugs: Cuvitru, Ocrevus and Lutathera - effective March 1, 2017 | 1/18/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_QuarterlyFormularyUpdate_Jan2017.pdf | Quarterly pharmacy formulary change notice effective March 1, 2017 | | 2017 | Kentucky | Approved |
| WIWI_CAID_QualifiedTreatmentTrainees.pdf | Qualified treatment trainees | | 2017 | Wisconsin | Approved |
| CACA_MMP_PU_2017HospitalObservationServiceLimits.pdf | MMP Hospital observation service limits | 1/25/2017 12:00 AM | 2017 | California | Approved |
| ININ_CAID_PU_2017HospitalPresumptiveEligibilityGuide.pdf | Hospital presumptive eligibility reference guide | 1/30/2017 12:00 AM | 2017 | Indiana | Approved |
| VAVA_CAID_PU_QuarterlyPharmacyFormularyChange_March2017.pdf | Quarterly pharmacy formulary change notice effective March 1, 2017 | | 2017 | Virginia | Approved |
| WIWI_CAID_PU_PARequiredforCABG.pdf | PA required for Coronary Artery Bypass Graft (attachment reads CABG) | | 2017 | Wisconsin | Approved |
| WIWI_CAID_PU_PARequiredforIstodaxIxempraDoxilToriselInflectra.pdf | PA required for Istodax, Ixempra, Doxil, Torisel and Inflectra | | 2017 | Wisconsin | Approved |
| CACA_CAID_PU_2017QuarterlyPharmacyFormularyChange.pdf | Quarterly pharmacy formulary change notice effective March 1, 2017 | 2/1/2017 12:00 AM | 2017 | California | Approved |
| CACA_CAID_PU_2016AttendingNPI.pdf | Medicaid claims must have individual attending provider NPI | 12/14/2016 12:00 AM | 2016 | California | Approved |
| CACA_CAID_PU_2016PriorAuthCoronaryArteryBypassGraft.pdf | PA for Coronary Artery Bypass Graft | 12/14/2016 12:00 AM | 2016 | California | Approved |
| CACA_MMP_PU_2016PriorAuthCoronaryArteryBypassGraft.pdf | MMP PA for Coronary Artery Bypass Graft | 12/14/2016 12:00 AM | 2016 | California | Approved |
| CACA_MMP_PU_2016PriorAuthDoxilSustol.pdf | MMP PA for Doxil, Susutol | 12/14/2016 12:00 AM | 2016 | California | Approved |
| CACA_MMP_PU_2016PriorAuthInflectraCinqair.pdf | MMP Change to Infusible Drugs Inflectra, Cinqair | 12/14/2016 12:00 AM | 2016 | California | Approved |
| ININ_CAID_PU_2016PriorAuthCoronaryArteryBypassGraft.pdf | PA required for Coronary Artery Bypass Graft | 12/15/2016 12:00 AM | 2016 | Indiana | Approved |
| ININ_CAID_PU_2017Q4MPCUMGUpdate.pdf | Q4 Medical Policies and Clinical Utilization Management Guidelines Update | 2/8/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_CAID_PU_2016Q4MPCUMGUpdate.pdf | Q4 Medical Policies and Clinical Utilization Management Guidelines update | 2/6/2017 12:00 AM | 2016 | California | Approved |
| VAVA_CAID_PU_CUMGUpdate_2016_Q4.pdf | Q4 Coverage Guidelines and Clinical Utilization Management Guidelines update | | 2016 | Virginia | Approved |
| WIWI_CAID_PU_CUMGUpdate_Q42016.pdf | Q4 Medical Policies and Clinical Utilization Management Guidelines update | | 2016 | Wisconsin | Approved |
| KYKY_PharmacyTherapeuticCommitteeAgenda_Feb2017.pdf | Pharmacy and Therapeutics Advisory Committee Meeting - February 28, 2017 | | 2017 | Kentucky | Approved |
| ININ_CAID_PU_2017BHOutpatientPriorAuthFax.pdf | Behavioral health outpatient prior authorization fax | 2/14/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_2017ClaimsXten.pdf | Additional information on ClaimCheck® upgrade to ClaimsXten™ | 2/17/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_MMP_PU_2017PriorAuthEvomela.pdf | MMP Part B Drug Evomela | 11/6/2017 12:00 AM | 2017 | California | Approved |
| WIWI_CAID_PU_ClaimCheckupgradetoXten.pdf | Additional information on ClaimCheck® upgrade to ClaimsXten™ | | 2017 | Wisconsin | Approved |
| VAVA_CAID_PU_ClaimCheckUpgradetoClaimsXten.pdf | Additional information on ClaimCheck® upgrade to ClaimsXten™ | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_ClaimCheckUpgradetoClaimsXten.pdf | Additional information on ClaimCheck® upgrade to ClaimsXten™ | | 2017 | Kentucky | Approved |
| VAVA_CAID_PA_CABG.pdf | PA required for elective Coronary Artery Bypass Graft | | 2016 | Virginia | Approved |
| ININ_CAID_PU_2017AIMSpecialityHealthExpansion.pdf | AIM Specialty Health Expansion Bulletin - Revised | 2/20/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_2017ERAutoPayList.pdf | Changes to the ER Auto-Pay List | 2/20/2017 12:00 AM | 2017 | Indiana | Approved |
| VAVA_CAID_PU_LeadTesting.pdf | Screen for Lead: Every Child, Every Time | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_AuthorizationRuleAdditionsandDeletionsEffective4-17.pdf | Authorization rule additions and deletions effective April 1, 2017 | | 2017 | Kentucky | Approved |
| WIWI_CAID_PU_PARequiredforContinuousInterstitialGlucoseMonitoring.pdf | PA required for Continuous Interstitial Glucose Monitoring | | 2017 | Wisconsin | Approved |
| CACA_MMP_PU_2017ClaimsXtenUpgrade.pdf | MMP Additional information on ClaimCheck upgrade to ClaimsXten | 3/3/2017 12:00 AM | 2017 | California | Approved |
| ININ_CAID_PU_2017QuarterlyPharmacyFormularyChange2.pdf | Quarterly pharmacy formulary change notice effective March 1, 2017 | 3/10/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_CAID_PU_2017QuarterlyPharmacyFormularyChange2.pdf | Quarterly pharmacy formulary change notice effective May 1, 2017 | 3/15/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_FormularyChangeNotice_May12017.pdf | Quarterly pharmacy formulary change notice effective May 1, 2017 | | 2017 | Kentucky | Approved |
| VAVA_CAID_PU_QuarterlyPharmacyFormularyChange_May12017.pdf | Quarterly pharmacy formulary change notice effective May 1, 2017 | | 2017 | Virginia | Approved |
| VAVA_CAID_PU_AmendementtoProviderAgreement.pdf | Amendment to Provider Agreement | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_MedicalPolicyUpdateNotification_2017.pdf | Medical Policy Update Notification | | 2017 | Kentucky | Approved |
| WIWI_CAID_PU_PADrugsusedintheoutpatienthospitalsetting.pdf | Prior authorization of drugs used in the outpatient hospital setting | | 2017 | Wisconsin | Approved |
| KYKY_CAID_PU_ProviderAppeals_MedicalNecessityandPayment.pdf | Provider Appeals - Medical Necessity and Payment | | 2017 | Kentucky | Approved |
| ININ_CAID_PU_2017PrenatalUltrasoundMod52.pdf | IN Prenatal Ultrasound (PNU) Modifier-52 | 4/20/2017 12:00 AM | 2017 | Indiana | Approved |
| KYKY_PharmacyTherapeuticCommitteeMinutes_Feb2017.pdf | Pharmacy and Therapeutics Committee Meeting Minutes - February 28, 2017 | | 2017 | Kentucky | Approved |
| KYKY_CAID_PU_AuthorizationRuleAdditionsEffective5-17.pdf | Authorization rule additions effective May 1, 2017 | | 2017 | Kentucky | Approved |
| WIWI_CAID_PU_GeneticTestingServices.pdf | Genetic testing services to require prior authorization | | 2017 | Wisconsin | Approved |
| ININ_CAID_PU_2017QuarterlyPharmacyFormularyChange3.pdf | Quarterly pharmacy formulary change notice effective May 1, 2017 | 4/14/2017 12:00 AM | 2017 | Indiana | Approved |
| VAVA_CAID_PU_GeneticTestingServicesPriorAuth.pdf | Genetic Testing Services Prior Authorization | | 2017 | Virginia | Approved |
| CACA_MMP_PU_2017Patient360onAvaility.pdf | MMP Beginning in April: Access Patient360 directly through the Availity Web Portal | 4/19/2017 12:00 AM | 2017 | California | Approved |
| ININ_CAID_PU_2017GeneticTestingServices.pdf | Genetic Testing Services Prior Authorization | 6/15/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_MMP_PU_2017ContinuousInterstitialGlucoseMonitoring.pdf | MMP Prior authorization required for continuous interstitial glucose monitoring | 5/1/2017 12:00 AM | 2017 | California | Approved |
| VAVA_CAID_PU_Patient360AccessViaAvaility.pdf | Beginning in April: Access Patient360 directly through the Availity Web Portal | | 2017 | Virginia | Approved |
| CACA_CAID_PU_2017Patient360Availity.pdf | Beginning in April: Access Patient360 directly through the Availity Web Portal | 5/4/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_EXPRESSClaimEditsBulletin.pdf | Ordering, Referring, Prescribing and Attending Providers Webinar | | 2017 | Kentucky | Approved |
| WIWI_CAID_PU_Patient360AvailityAccess.pdf | Beginning in April: Access Patient360 directly through the Availity Web Portal | | 2017 | Wisconsin | Approved |
| KYKY_CAID_PU_ClaimDenialz21.pdf | Claim denial — Z21 provider type | | 2017 | Kentucky | Approved |
| ININ_CAID_PU_2017MemberIdentificationNumbers.pdf | Member identification numbers | 5/10/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_MMP_PU_2017InpatientReadmissionsUpdate.pdf | Inpatient Readmissions Update (MMP) | 5/10/2017 12:00 AM | 2017 | California | Approved |
| ININ_CAID_PU_2017PriorAuthPolicies.pdf | Policies for Prior Authorizations | 5/11/2017 12:00 AM | 2017 | Indiana | Approved |
| WIWI_CAID_PU_HomeVentilatorClaims.pdf | Home Ventilator Claims | | 2017 | Wisconsin | Approved |
| ININ_CAID_PU_2017Patient360Availity.pdf | Beginning in April: Access Patient360 directly through the Availity Web Portal | 5/15/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_2017QuarterlyPharmacyFormularyChange4.pdf | Quarterly pharmacy formulary change notice effective June 15, 2017 | 5/15/2017 12:00 AM | 2017 | Indiana | Approved |
| VAVA_CAID_PU_UpdatetoClaimsCheckupgrade.pdf | Update to the ClaimsCheck® upgrade to ClaimsXten™ | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_PandTCommitteeMeetingMinutes_April2017.pdf | Pharmacy and Therapeutics Committee Meeting Minutes - April 26, 2017 | | | Kentucky | Approved |
| CACA_MMP_PU_2017ClaimsXtenUpgrade2.pdf | MMP Update to the ClaimsCheck® upgrade to ClaimsXten™ | 5/15/2017 12:00 AM | 2017 | California | Approved |
| VAVA_CAID_PU_InpatientReadmissionsUpdate.pdf | Inpatient Readmissions Update | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_ClaimsCheckArticle.pdf | Update to the ClaimsCheck® upgrade to ClaimsXten™ | | 2017 | Kentucky | Approved |
| WIWI_CAID_PU_ClaimsCheckArticle.pdf | Update to the ClaimsCheck® upgrade to ClaimsXten™ | | 2017 | Wisconsin | Approved |
| KYKY_CAID_FQHCClaimsEncounters.pdf | Federally qualified health center claims encounters | | 2017 | Kentucky | Approved |
| CACA_CAID_PU_2017ProviderPreventableConditionsReporting.pdf | Notification of Provider Preventable Conditions Reporting | 6/7/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_QuarterlyPharmacyChangeNotice_May26_2017.pdf | Quarterly pharmacy formulary change notice effective May 26, 2017 | | 2017 | Kentucky | Approved |
| CACA_MMP_PU_2017PriorAuthPartBSpinraza.pdf | MMP Prior authorization requirements for Part B drug: Spinraza (nusinersen) | 5/30/2017 12:00 AM | 2017 | California | Approved |
| CACA_MMP_PU_2017PriorAuthPartBBavencio.pdf | MMP Prior authorization requirements for Part B drug: Bavencio (avelumab) | 5/30/2017 12:00 AM | 2017 | California | Approved |
| CACA_MMP_PU_2017PriorAuthPartBHerceptin.pdf | MMP Prior authorization requirements for Part B drug: Herceptin (trastuzumab) | 5/30/2017 12:00 AM | 2017 | California | Approved |
| WIWI_CAID_PU_PeerToPeerThirdPartyReviews.pdf | Peer to Peer Third Party | | 2017 | Wisconsin | Approved |
| WIWI_CAID_PU_LicensedMidwivesBulletin.pdf | Licensed Midwives Bulletin | | 2017 | Wisconsin | Approved |
| WIWI_CAID_PU_CUMGUpdate_Q12017.pdf | Q1 Medical Policies and Clinical Utilization Management Guidelines update | | 2017 | Wisconsin | Approved |
| KYKY_CAID_PU_AlliantHealthSolutionsCollaboration.pdf | Alliant Health Solutions collaboration | | 2017 | Kentucky | Approved |
| CACA_MMP_PU_ModifierFXandRPUpdate.pdf | MMP Modifier FX and Reimbursement Policy Update | 6/7/2017 12:00 AM | 2017 | California | Approved |
| VAVA_MMP_PU_ModifierFXandRPUpdate.pdf | Modifier FX and Reimbursement Policy Update (MMP) | | 2017 | Virginia | Approved |
| WIWI_CAID_PU_AIMInitiativeAnnouncement.pdf | AIM Initiative Announcement | | 2017 | Wisconsin | Approved |
| WIWI_CAID_PU_Wheelchaircomponentoraccessory.pdf | Wheelchair component or accessory, not otherwise specified to require prior authorization | | 2017 | Wisconsin | Approved |
| VAVA_CAID_PU_WheelchairComponentorAccessory.pdf | Wheelchair component or accessory, not otherwise specified to require prior authorization | | 2017 | Virginia | Approved |
| CACA_CAID_PU_2017WheelchairComponent.pdf | Wheelchair component or accessory, not otherwise specified to require prior authorization | 6/8/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_SportsPhysicalFlier.pdf | Member Value-Added Benefit: Free Sports Physicals | | 2017 | Kentucky | Approved |
| CACA_CAID_PU_2015UpdatedEncounterStandards.pdf | Updated Encounter Standards | 6/5/2015 12:00 AM | 2015 | California | Approved |
| WIWI_CAID_PU_2016CAHPSducation.pdf | 2016 CAHPS Education | | 2017 | Wisconsin | Approved |
| ININ_CAID_PU_2017BillingAppropriateNPITaxonomy.pdf | Billing Appropriate NPI and Taxonomy | 6/16/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_CAID_PU_2017QuarterlyPharmacyFormularyChange3.pdf | Quarterly pharmacy formulary change notice effective August 1, 2017 | 6/21/2017 12:00 AM | 2017 | California | Approved |
| CACA_CAID_PU_2017MediCalInNetworkPharmacyVendors.pdf | In-network pharmacy vendors for Medi-Cal Managed Care (Medi-Cal) | 6/26/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_Patient360NewsletterArticle.pdf | Beginning in April: Access Patient360 directly through the Availity Web Portal | | 2017 | Kentucky | Approved |
| KYKY_CAID_PU_FormularyChangeBlastFax.pdf | Quarterly pharmacy formulary change notice effective August 1, 2017 | | 2017 | Kentucky | Approved |
| VAVA_CAID_PU_QuarterlyPharmacyFormularyChange_August2017.pdf | Quarterly pharmacy formulary change notice effective August 1, 2017 | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_WhatisHEDIS2017.pdf | What does HEDIS mean to you? | | 2017 | Kentucky | Approved |
| KYKY_CAID_PU_AlliantHealthSolutionsPartnership.pdf | Alliant Health Solutions Partnership | | 2017 | Kentucky | Approved |
| ININ_CAID_PU_2017QuarterlyPharmacyFormularyChange5.pdf | Quarterly pharmacy formulary change notice effective August 1, 2017 | 6/29/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_Q1MPTACNotification2017.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines | 7/3/2017 12:00 AM | 2017 | Indiana | Approved |
| VAVA_CAID_PU_Q1MPTACNotification2017.pdf | Q1 Coverage Guidelines and Clinical Utilization Management Guidelines update | | 2017 | Virginia | Approved |
| VAVA_CAID_PU_HospiceAmendment_8-1.pdf | Hospice amendment effective August 1, 2017 | | 2017 | Virginia | Approved |
| VAVA_CAID_PU_Earlyinterventionservicesamendment.pdf | Early intervention services amendment effective August 1, 2017 | | 2017 | Virginia | Approved |
| WIWI_CAID_PU_HemophiliaFactor.pdf | Hemophilia factor injections to require prior authorization | | 2017 | Wisconsin | Approved |
| VAVA_CAID_PU_HemophiliaFactor.pdf | Hemophilia factor injections to require prior authorization | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_FormularyChangeNoticeBlastFax_July2017.pdf | Quarterly pharmacy formulary change notice effective July 1, 2017 | | 2017 | Kentucky | Approved |
| CACA_CAID_PU_FormularyChangeBlastFax_July2017.pdf | Quarterly pharmacy formulary change notice effective July 1, 2017 | 7/1/2017 12:00 AM | 2017 | California | Approved |
| ININ_CAID_PU_FormularyChangeBlastFax_July2017.pdf | Quarterly pharmacy formulary change notice effective July 1, 2017 | 7/1/2017 12:00 AM | 2017 | Indiana | Approved |
| KYKY_CAID_PU_ORPAWebinarPresentation.pdf | ORPA Webinar Presentation | | 2017 | Kentucky | Approved |
| VAVA_CAID_PU_LeadTestingFAQ.pdf | Lead Testing FAQ | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_VaccinesAddedtothePharmacy.pdf | Vaccines Added to the Pharmacy Benefit | | 2017 | Kentucky | Approved |
| ININ_CAID_PU_2017HemophiliaFactorInjectionsPA.pdf | Hemophilia factor injections to require prior authorization | 7/14/2017 12:00 AM | 2017 | Indiana | Approved |
| KYKY_CAID_PU_WheelchairComponentorAccessory.pdf | Wheelchair component or accessory, not otherwise specified to require prior authorization | | 2017 | Kentucky | Approved |
| CACA_MMP_PU_PartBDrugImfinzi2017.pdf | MMP Prior authorization requirements for Part B drug: Imfinzi (durvalumab) | 7/17/2017 12:00 AM | 2017 | California | Approved |
| CACA_MMP_PU_PartBDrugYondelis2017.pdf | MMP Prior authorization requirements for Part B drug: Yondelis (trabectedin) | 7/17/2017 12:00 AM | 2017 | California | Approved |
| CACA_CAID_PU_2017Q1MedPoliciesCUMGUpdate.pdf | Q1 Medical Policies and Clinical Utilization Management Guidelines update | 7/24/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_Q1MPTACNotification2017.pdf | Q1 2017 MPTAC Notification | | 2017 | Kentucky | Approved |
| ININ_CAID_PU_TemporaryNewbornCaseBulletin.pdf | Temporary newborn cases | 7/25/2017 12:00 AM | 2017 | Indiana | Approved |
| KYKY_CAID_PU_FQHC_RHC_ClaimEncounters.pdf | Federally qualified health center and rural health center claims encounters | | 2017 | Kentucky | Approved |
| WIWI_CAID_PU_2017NoticeofPregnancyIncentive.pdf | Pregnancy Notification Incentive | | 2017 | Wisconsin | Approved |
| KYKY_CAID_PU_Hemophiliafactorinjectionrequirepriorauth.pdf | Hemophilia factor injections to require prior authorization | | 2017 | Kentucky | Approved |
| KYKY_CAID_PU_ProviderContactInformation.pdf | Kentucky Provider Important Contact Information | | 2017 | Kentucky | Approved |
| ININ_CAID_PU_UpdatedContactInformation.pdf | Changes in contact information | 8/2/2017 12:00 AM | 2017 | Indiana | Approved |
| WIWI_CAID_PU_CUMGUpdate_2017_Q2.pdf | Q2 Medical Policies and Clinical Utilization Management Guidelines update | | 2017 | Wisconsin | Approved |
| VAVA_CAID_PU_CUMGUpdate_2017_Q2.pdf | Q2 Coverage Guidelines and Clinical Utilization Management Guidelines update | | 2017 | Virginia | Approved |
| ININ_CAID_PU_WheelchairComponentOrAccessory.pdf | Wheelchair component or accessory, not otherwise specified to require prior authorization | 8/8/2017 12:00 AM | 2017 | Indiana | Approved |
| VAVA_CAID_PU_ADAcompliance.pdf | Americans with Disabilities Act compliance | | 2017 | Virginia | Approved |
| ININ_CAID_PU_POWERAccountEstimateTool.pdf | New service estimate tool for members | 8/16/2017 12:00 AM | 2017 | Indiana | Approved |
| VAVA_CCC_PU_OrthoticsRequirePriorAuth.pdf | Orthotics to require prior authorization | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_PharmacyVaccinesAdded.pdf | Vaccines added to the pharmacy benefit | | 2017 | Kentucky | Approved |
| WIWI_CAID_PU_MedicaidAutomaticCrossover_MedicareCoordinationofbenefits.pdf | Medicaid automatic crossover: Medicare coordination of benefits | | 2017 | Wisconsin | Approved |
| VAVA_CAID_CCCPLUSLTSSAuthGuide.pdf | Anthem CCC Plus Long-term Services and Supports Authorization Guide | | 2017 | Virginia | Approved |
| CACA_MMP_PU_OrthoticsToRequirePriorAuth.pdf | Orthotics to require prior authorization | 8/25/2017 12:00 AM | 2017 | California | Approved |
| ININ_CAID_PU_DigitalSolutionsBulletin.pdf | Digital self-service solutions at your fingertips | 9/6/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_DurableEquiptmentPolicyChanges.pdf | CA MMP Stakeholders’ Meeting Minutes – May 2017 | 9/11/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_FaxChangeNotice.pdf | Medicaid Pharmacy PA Fax Number Change | 12/22/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_CAID_PU_FormularyChange.pdf | Quarterly pharmacy formulary change notice effective November 1, 2017 | 9/14/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_FormularyChangeNotice_Sept12017.pdf | Quarterly pharmacy formulary change notice effective November 1, 2017 | | 2017 | Kentucky | Approved |
| VAVA_CAID_PU_QuarterlyPharmacyFormularyChange_Sept2017.pdf | Quarterly pharmacy formulary change notice effective November 1, 2017 | | 2017 | Virginia | Approved |
| CACA_CAID_PU_NPISurgicalCodes.pdf | Include National Provider Identifier on surgical procedure UB04 bills - MMP | 9/22/2017 12:00 AM | 2017 | California | Approved |
| VAVA_CAID_PU_NPISurgicalCodes.pdf | Include National Provider Identifier on surgical procedure UB04 bills - MMP | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_EarlyElectiveDelivery.pdf | Reimbursement for early elective deliveries at 37 and 38 weeks’ gestation that do not meet medical necessity criteria | | 2019 | Kentucky | Approved |
| ININ_CAID_PU_AIMGeneticTesting.pdf | AIM Genetic Testing | 12/22/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_CAID_PU_2017Q2MedPoliciesCUMGUpdate.pdf | Q2 Medical Policies and Clinical Utilization Management Guidelines update | 9/18/2017 12:00 AM | 2017 | California | Approved |
| ININ_CAID_PU_TemporaryTimelyFilingNotice.pdf | Temporary modification to timely claims filing | 9/22/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_2017Q2MPCUMGUpdate.pdf | Q2 Medical Policies and Clinical Utilization Management Guidelines update | 9/22/2017 12:00 AM | 2017 | Indiana | Approved |
| WIWI_CAID_PU_HealthyRewardsBehavioralHealthNotice.pdf | Healthy Rewards Behavioral Health Notice | | 2017 | Wisconsin | Approved |
| ININ_CAID_PU_2Q17FormularyChangeBlastFax.pdf | Quarterly pharmacy formulary change notice effective November 1, 2017 | 10/3/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_CAID_2017Q3CUMG.pdf | Q3 2017 Clinical Utilization Management (UM) Guidelines | 10/9/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_NOCProcess.pdf | New review process for not otherwise classified drug codes | | 2017 | Kentucky | Approved |
| VAVA_CAID_PU_NOCProcess.pdf | New review process for not otherwise classified drug codes | | 2017 | Virginia | Approved |
| WIWI_CAID_PU_NOCProcess.pdf | New review process for not otherwise classified drug codes | | 2017 | Wisconsin | Approved |
| KYKY_CAID_PU_FaxChangeNoticeWeb.pdf | New Pharmacy Prior Authorization Fax Number | | 2018 | Kentucky | Approved |
| VAVA_CAID_PU_PTSDUpdateNICU.pdf | New case management program to identify PTSD in parents of infants in the NICU | | 2017 | Virginia | Approved |
| ININ_CAID_PU_FaxAlert.pdf | Changes to the durable medical equipment policy | 10/13/2017 12:00 AM | 2017 | Indiana | Approved |
| KYKY_CAID_PU_AntibioticOveruse2017.pdf | Antibiotic overuse | | 2017 | Kentucky | Approved |
| CACA_MMP_PU_2017PartBDrugsRenflexis_Rituxan Hyclea_Zilretta.pdf | MMP Prior authorization requirements for Part B drugs: Renflexis (infliximab-abda), Rituxan Hyclea (rituximab/hyaluronidase) and Zilretta (triamcinolone acetonide SR) | 10/10/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_SUDPregnancyNAS.pdf | Substance use disorders in pregnancy and neonatal abstinence syndrome | | 2017 | Kentucky | Approved |
| KYKY_CAID_PU_EXPRESSDRGOutlierProcessUpdate.pdf | DRG Outlier Claims Updated | | 2017 | Kentucky | Approved |
| CACA_CAID_PU_MavyretFormularyChangeFax.pdf | Mavyret pharmacy formulary change notice effective November 1, 2017 | 10/17/2017 12:00 AM | 2017 | California | Approved |
| CACA_MPU_2017AcupunctureBillingBulletin.pdf | Acupuncture services effective | 11/1/2017 12:00 AM | 2017 | California | Approved |
| ININ_CAID_PU_2017PAOpioidTreatmentEnrollment.pdf | Physician assistant and opioid treatment program enrollment | 10/17/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_2017SUDisordersPregnancyNAS.pdf | Substance use disorders in pregnancy and neonatal abstinence syndrome | 10/17/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_CAID_PU_2017Q3MedPoliciesCUMGUpdate.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines update | 10/18/2017 12:00 AM | 2017 | California | Approved |
| VAVA_CAID_PU_MavyretPharmacyFormularyChange.pdf | Mavyret pharmacy formulary change notice effective November 1, 2017 | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_MavyretFormularyChange.pdf | Mavyret pharmacy formulary change notice effective November 1, 2017 | | 2017 | Kentucky | Approved |
| VAVA_CAID_Q32017MPTACNotification.pdf | Q3 Coverage Guidelines and Clinical Utilization Management Guidelines update | | 2017 | Virginia | Approved |
| KYKY_CAID_PU_EXPRESSPTCommMtngAnnoun.pdf | Pharmacy and Therapeutics Advisory Committee Meeting - October 25, 2017 | | 2017 | Kentucky | Approved |
| WIWI_CAID_Q3_2017_MPTACNotification.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines update | | 2017 | Wisconsin | Approved |
| ININ_CAID_PU_2017BillingAppropriateNPITaxonomy2.pdf | Billing appropriate NPI and taxonomy — August 2017 | 10/24/2017 12:00 AM | 2017 | Indiana | Approved |
| KYKY_CAID_PU_FAQonORPAedits.pdf | Frequently asked questions on Ordering, Referring, Prescribing and Attending edits | | 2017 | Kentucky | Approved |
| KYKY_CAID_PU_MPTACUpdate_2017_Q2.pdf | Q2 Medical Policies and Clinical Utilization Management Guidelines update | | 2017 | Kentucky | Approved |
| ININ_CAID_PU_2017FaxExpGrievancesAppeals.pdf | New fax number for expedited member grievances and appeals | 10/25/2017 12:00 AM | 2017 | Indiana | Approved |
| KYKY_CAID_PU_PHandBHCollaborativeCare.pdf | Physical and behavioral health: collaborating care | | 2017 | Kentucky | Approved |
| ININ_CAID_EPARequestTool.pdf | New Pharmacy Electronic Prior Authorization (ePA) Request Tool | 12/22/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_MMP_PU_TwoHealthPlanCoverageMemo.pdf | Two Health Plan Coverage via Automated Eligibility Verification System (AEVS) | 5/7/2018 12:00 AM | 2017 | California | Approved |
| ININ_CAID_PU_2017NonemergencyTransportationVendorChange.pdf | Change to nonemergent transportation vendor | 11/8/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_Q3_2017_MPTAC_Notification.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines update | 11/6/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_2017ERAutoPayProcessChange.pdf | ER Auto-Pay List process change | 11/10/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_MMP_PU_PartBDrugsAliqopaCinvantiOpsiria.pdf | MMP Prior Authorization requirements for Part B Drugs Aliqopa, Cinvanti, and Opsiria | 11/14/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_MedicalPolicy.pdf | Medical Policy Update | | 2017 | Kentucky | Approved |
| ININ_CAID_PU_EXPRESSSuboxoneFormularyChangeBlastFax.pdf | Suboxone pharmacy formulary change notice effective December 1, 2017 | 12/1/2017 12:00 AM | 2017 | Indiana | Approved |
| KYKY_CAID_Q32017MPTACNotification.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines update | | 2017 | Kentucky | Approved |
| KYKY_CAID_PU_UpdateQ3MedicalPolicy.pdf | Update 2017 Q3 Medical Policy | | 2017 | Kentucky | Approved |
| KYKY_CAID_PU_FormularyChangeDEC2017.pdf | Quarterly pharmacy formulary change notice effective February 1, 2018 | | 2018 | Kentucky | Approved |
| CACA_CAID_PU_Q3_FormularyChangeDEC2017.pdf | Quarterly pharmacy formulary change notice effective February 1, 2018 | 2/1/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CAID_PU_2018PharmacyFormularyChange.pdf | Quarterly pharmacy formulary change notice effective February 1, 2018 | | 2018 | Virginia | Approved |
| ININ_CAID_PU_2017NewReviewProcessDrugCodes.pdf | New review process for not otherwise classified drug codes | 12/15/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_CAID_Part BDrugsBesponsaVyxeosMMPDSNP.pdf | MMP Prior authorization requirements for Part B drugs Besponsa and Vyxeos | 12/15/2017 12:00 AM | 2017 | California | Approved |
| CACA_MMP_PU_2017NewMedElectronicPARequestTool.pdf | MMP New medication electronic prior authorization request tool effective January 1, 2018 | 12/18/2017 12:00 AM | 2017 | California | Approved |
| CACA_MMP_PU_2017NewPAFaxNumber.pdf | MMP New pharmacy prior authorization fax number effective January 1, 2018 | 12/18/2017 12:00 AM | 2017 | California | Approved |
| CACA_CAID_PU_AgeLimitsFormulary.pdf | Age limits pharmacy formulary change notice effective February 1, 2018 | 12/20/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_AgeLimitFormulary.pdf | Age limits pharmacy formulary change notice effective February 1, 2018 | | 2018 | Kentucky | Approved |
| VAVA_CAID_AgeLimitsFormularyChange.pdf | Age limits pharmacy formulary change notice effective February 1, 2018 | | 2018 | Virginia | Approved |
| ININ_CAID_PU_NPI_TaxonomyRules.pdf | NPI/Taxonomy rule reimbursements | 12/20/2017 12:00 AM | 2017 | Indiana | Approved |
| VAVA_CAID_PU_PreAuthRuleLevEloHisIduFul.pdf | Levoleucovorin calcium, elosulfase alfa, histrelin acetate, idursulfase and fulvestrant to require prior authorization | | 2018 | Virginia | Approved |
| ININ_CAID_PU_2018AgeLimitsPharmacyFormularyChange.pdf | Age limits pharmacy formulary change notice effective February 1, 2018 | 12/28/2017 12:00 AM | 2017 | Indiana | Approved |
| CACA_CAID_PU_PreAuthRuleLevEloHisIduFul.pdf | Levoleucovorin calcium, elosulfase alfa, histrelin acetate, idursulfase and fulvestrant to require prior authorization | 12/28/2017 12:00 AM | 2017 | California | Approved |
| KYKY_CAID_PU_CodeAlignment.pdf | J codes to require pharmacy prior authorization | | 2018 | Kentucky | Approved |
| WIWI_CAID_PU_PreAuthRuleLevEloHisIduFul.pdf | Levoleucovorin calcium, elosulfase alfa, histrelin acetate, idursulfase and fulvestrant to require prior authorization | | 2018 | Wisconsin | Approved |
| ININ_CAID_HIPChanges2018Notice.pdf | Changes to the Healthy Indiana Plan | 12/27/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_NPI_TaxonomyRules.pdf | NPI/Taxonomy Rules | 12/22/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_HowToCorrectDenials.pdf | How To Correct Denials | 12/22/2017 12:00 AM | 2017 | Indiana | Approved |
| ININ_CAID_PU_RevTaxonomyBulletinAug2017.pdf | Billing Appropriate NPI and taxonomy | 12/22/2017 12:00 AM | 2017 | Indiana | Approved |
| VAVA_CAID_2017Q3CUMGUpdate.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines Updates | | 2018 | Virginia | Approved |
| CACA_CAID_PU_2017Q3CUMGUpdate.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines Updates | 1/2/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_PU_3Q17FormularyChangeBlastFax.pdf | Quarterly pharmacy formulary change notice effective February 1, 2018 | 1/9/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_CAID_PU_UpdatedCLResources.pdf | Updated Cultural and Linguistic Resources Now Available | 1/18/2018 12:00 AM | 2018 | California | Approved |
| CACA_CAID_PU_ElotuzumabPANotice.pdf | Elotuzumab to require prior authorization | 1/19/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_ElotuzumabPANotice.pdf | Elotuzumab to require prior authorization | | 2018 | Kentucky | Approved |
| VAVA_CAID_PU_ElotuzumabPANotice.pdf | Elotuzumab to require prior authorization | | 2018 | Virginia | Approved |
| WIWI_CAID_PU_ElotuzumabPANotice.pdf | Elotuzumab to require prior authorization | | 2018 | Wisconsin | Approved |
| NVNV_CAID_PU_AgeLimitsFormularyChange_Feb2018.pdf | Age limits pharmacy formulary change notice effective February 1, 2018 | | 2018 | Nevada | Approved |
| NVNV_CAID_PU_BHFAQs.pdf | Behavioral health frequently asked questions | | 2018 | Nevada | Approved |
| NVNV_CAID_PU_PriorAuthforRehabMentalHealthServices.pdf | Prior authorization process for rehabilitative mental health services | | 2018 | Nevada | Approved |
| ININ_CAID_PU_DRG_LengthsOfStay.pdf | Policies and procedures for diagnosis-related group lengths of stay | 1/24/2018 12:00 AM | 2018 | Indiana | Approved |
| NVNV_CAID_PU_QuarterlyFormularyChange_Feb2018.pdf | Quarterly pharmacy formulary change notice effective February 1, 2018 | | 2018 | Nevada | Approved |
| NVNV_CAID_PU_RebrandAnnouncement.pdf | Amerigroup Community Care is now Anthem Blue Cross and Blue Shield Healthcare Solutions | | 2018 | Nevada | Approved |
| ININ_CAID_PU_DistroOpioidTreatmentProviderEnrollment.pdf | Opioid Treatment Provider Enrollment | 1/26/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PU_LevoleucovorinCalciumPriorAuth.pdf | Prior Authorization needed for Levoleucovorin calcium, elosulfase alfa, histrelin acetate, idursulfase and fulvestrant | | 2018 | Kentucky | Approved |
| KYKY_Q32017CUMGAdditionsNotice.pdf | Medical Policies update | | 2018 | Kentucky | Approved |
| ININ_CAID_PU_Q3CUMGUpdateJan2018.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines Updates | 1/29/2018 12:00 AM | 2018 | Indiana | Approved |
| WIWI_CAID_NewFaxNumberPharmacyPriorAuth_2018.pdf | New Fax Number for Pharmacy Medical Injectable Prior Authorization Requests | | | Wisconsin | Approved |
| VAVA_CAID_PU_NewFaxNumbersPharmacyPriorAuth.pdf | New Fax Numbers for Pharmacy Prior Authorization Requests | | | Virginia | Approved |
| CACA_MMP_PU_PriorAuthforRebFibHem.pdf | Rebinyn, Fibryna and Hemlibra | 2/5/2018 12:00 AM | 2018 | California | Approved |
| CACA_MMP_PU_PriorAuthVarubiFasenra.pdf | MMP Prior Authorization for: Varubi and Fasenra | 2/5/2018 12:00 AM | 2018 | California, CAMMP | Approved |
| CACA_CAID_PU_BrineuraTremfyaInjectableZinplavaDrugs.pdf | MMP Prior Authorization for: Brineura, Tremfya and Zinplava | 2/5/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_PU_Elotuzumab.pdf | Elotuzumab to require prior authorization | 2/6/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PU_OpioidDisorderCourseFlyer.pdf | February 24 Treatment of Opioid Disorder Course Flyer | | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_OpioidDisorderCourseFlyer_March10.pdf | March 10 Treatment of Opioid Disorder Course Flyer | | 2018 | Kentucky | Approved |
| KYKY_CAID_PharmandTherapAdvisoryCommitteeMeetingDates2018.pdf | Pharmacy and Therapeutics Advisory Committee 2018 Meeting Dates | | | Kentucky | Approved |
| VAVA_CCC_PU_Eightinjectdrugsrequirepriorauth.pdf | Anthem CCC Plus Eight injectable drugs will require prior authorization | | 2018 | Virginia, VA MMP | Approved |
| VAVA_CAID__PU_EightInjectdrugsrequirepriorauth.pdf | Eight injectable drugs will require prior authorization | | 2018 | Virginia | Approved |
| KYKY_CAID_PU_ReimbursementForEarlyElectiveDeliveries.pdf | Reimbursement for Early Elective Deliveries | | 2018 | Kentucky | Approved |
| WIWI_CAID_InjectableDrugsMCD.pdf | Eight injectable drugs will require prior authorization | 2/14/2018 12:00 AM | 2018 | Wisconsin | Approved |
| CACA_CAID_InjectableDrugsMCD.pdf | Eight injectable drugs will require prior authorization | 2/14/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_NoticetoEMSProviders_Feb2018.pdf | Notice to EMS Providers | | 2018 | Kentucky | Approved |
| CACA_CAID_PU_AIMMusculoskeletalNotice.pdf | AIM Musculoskeletal Guidelines | 2/13/2018 12:00 AM | 2018 | California | Approved |
| NVNV_CAID_PU_ICSPharmFormChangeNotice.pdf | ICS Pharmacy Formulary Change Notice | | 2018 | Nevada | Approved |
| CACA_CAID_PU_ICSPharmFormChangeNotice.pdf | ICS Pharmacy Formulary Change Notice | 2/19/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_PU_PharmFormularyChangeNotice.pdf | ICS Pharmacy Formulary Change Notice | 2/19/2018 12:00 AM | 2018 | Indiana | Approved |
| VAVA_CAID_PU_PhamFormChangeNotice_2-19.pdf | ICS Pharmacy Formulary Change Notice | 2/19/2018 12:00 AM | 2018 | Virginia | Approved |
| VAVA_CAID_PU_UMAffirmativeStatement.pdf | 2018 Utilization Management Affirmative Statement | | 2018 | Virginia | Approved |
| VAVA_CCC_PU_UMAffirmativeStatement.pdf | Anthem CCC Plus 2018 Utilization Management Affirmative Statement | | 2018 | Virginia, VA MMP | Approved |
| CACA_CAID_PU_UMAffirmativeStatement.pdf | 2018 Utilization Management Affirmative Statement | 2/20/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_UMAffirmativeStatement.pdf | 2018 Utilization Management Affirmative Statement | | 2018 | Kentucky | Approved |
| WIWI_CAID_PU_UMAffirmativeStatement.pdf | 2018 Utilization Management Affirmative Statement | | 2018 | Wisconsin | Approved |
| CACA_CAID_PU_HyaluronanInjectionsUpdate.pdf | Medical Policy update - Hyaluronan Injections | 2/19/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CAID_PU_HyaluronanInjectionsUpdate.pdf | Medical Policy update - Hyaluronan Injections | 2/19/2018 12:00 AM | 2018 | Virginia | Approved |
| WIWI_CAID_PU_HyaluronanInjectionsUpdate.pdf | Medical Policy update - Hyaluronan Injections | 2/19/2018 12:00 AM | 2018 | Wisconsin | Approved |
| NVNV_CAID_PU_2018ProViewforCredentialing.pdf | Effective June 1, 2018, providers will be required to use ProView for credentialing | | 2018 | Nevada | Approved |
| KYKY_CAID_PU_MultiRadiologyProcedurePayReduct.pdf | Multiple Radiology Payment Reduction | | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_RadiologyBenefitManagement.pdf | Update to radiology benefit management | | 2018 | Kentucky | Approved |
| ININ_CAID_PU_First8visitsofTherapyProviderBulletin.pdf | First 8 Visits of Therapy Provider Bulletin | 2/27/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_PU_UM_Affirmation_Statement.pdf | MMP 2018 Utilization Management Affirmative Statement | 2/27/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_IMDExclusionRule.pdf | Medicaid Institutions for Mental Diseases Exclusion Rule | | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_Claimsbilledmodifiers.pdf | Claims billed with modifiers GR, GY, GX and GZ | | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_NonpricedCodesEffective_4_15_18.pdf | Participating hospitals: nonpriced codes effective April 15, 2018 | | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_PrecertificationChanges.pdf | Changes to precertification | | 2018 | Kentucky | Approved |
| NVNV_CAID_PU_EXPRESSPreAuthRuleLevEloHisIduFul.pdf | Levoleucovorin calcium, elosulfase alfa, histrelin acetate, idursulfase and fulvestrant to require prior authorization (3/12/18) | | 2018 | Nevada | Approved |
| CACA_CAID_PartBDrugsMylotargMvasi.pdf | MMP Prior authorization requirements for Part B drugs: Mylotarg and Mvasi | 3/12/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_EXPRESSPrecertforSUDServices.pdf | Precertification for certain substance use disorder services | 3/13/2018 12:00 AM | 2018 | Indiana | Approved |
| NVNV_CAID_AIMMusculoskeletalNotice.pdf | AIM Musculoskeletal Guidelines Notification effective March 1, 2018 | | 2018 | Nevada | Approved |
| ININ_CAID_PU_AIMMusculoskeletalNotice.pdf | AIM Musculoskeletal Guidelines | 3/21/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PU_BillingGuidelinesforTransgenderMembers.pdf | Billing Guidelines for Transgender Members | | 2018 | Kentucky | Approved |
| CACA_CAID_PU_MylotargDrugPrecertificationUpdate.pdf | Prior authorization requirement update for Mylotarg | 3/20/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CCC_PU_ MylotargDrugPrecertificationUpdate.pdf | Anthem CCC Plus Prior authorization requirement update for Mylotarg | 3/20/2018 12:00 AM | 2018 | Virginia | Approved |
| VAVA_CAID_MylotargDrugPrecertificationUpdate.pdf | Prior authorization requirement update for Mylotarg | 3/20/2018 12:00 AM | 2018 | Virginia | Approved |
| WIWI_CAID_MylotargDrugPrecertificationUpdate.pdf | Prior authorization requirement update for Mylotarg | 3/20/2018 12:00 AM | 2018 | Wisconsin | Approved |
| CACA_CAID_PU_Q4CUMGNotif.pdf | Q4 Medical Policies and Clinical Utilization Management Guidelines Updates | 4/23/2018 12:00 AM | 2018 | California | Approved |
| NVNV_CAID_PU_Q4CUMGNotif.pdf | Q4 Medical Policies and Clinical Utilization Management Guidelines Updates | 3/19/2018 12:00 AM | 2018 | Nevada | Approved |
| VAVA_CAID_PU_Q4CUMGNotif.pdf | Q4 Medical Policies and Clinical Utilization Management Guidelines Updates | 3/19/2018 12:00 AM | 2018 | Virginia | Approved |
| WIWI_CAID_PU_Q4CUMGNotif.pdf | Q4 Medical Policies and Clinical Utilization Management Guidelines Updates | 3/19/2018 12:00 AM | 2018 | Wisconsin | Approved |
| ININ_CAID_PAsPMPs.pdf | Physicians assistants may now serve as primary medical providers | 3/26/2018 12:00 AM | 2018 | Indiana | Approved |
| NVNV_CAID_PU_Elotuzumabrequirepriorauth.pdf | Elotuzumab to require prior authorization | | 2018 | Nevada | Approved |
| CACA_CAID_EXPRESSNewMedicareCards.pdf | New Original Medicare ID Cards on the Way | 3/30/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_Changestoprecertification.pdf | Changes to Precertification | | 2018 | Kentucky | Approved |
| CACA_CAID_HomeHealthBillingBulletin.pdf | Home Health Nursing Visits Updates: Effective | 2/8/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_PU_UMAffirmationStatement.pdf | 2018 Utilization Management Affirmative Statement | 4/3/2018 12:00 AM | 2018 | Indiana | Approved |
| VAVA_CAID_PharmacyFormularyChangeNotice_2018_Q1.pdf | Quarterly pharmacy formulary change notice effective May 1, 2018 | | 2018 | Virginia | Approved |
| NVNV_CAID_PU_QuarterlyFormularyChange_May2018.pdf | Quarterly pharmacy formulary change notice effective May 1, 2018 | | 2018 | Nevada | Approved |
| CACA_CAID_PU_FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective May 1, 2018 | 4/6/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_PU_MedlineBreastPumpNotif.pdf | Medline Breast Pump Form update | 6/27/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_2017CUMGNotif.pdf | Q4 Medical Policies and Clinical Utilization Management Guidelines Updates | 4/4/2018 12:00 AM | 2018 | Indiana | Approved |
| NVNV_CAID_PU_WAVEQ3CUMGMPAdditions.pdf | Q3 Medical Policies and Clinical Utilization Management Guidelines Updates | | 2018 | Nevada | Approved |
| CACA_CAID_PU_PartBDrugsZavalinEptacog.pdf | MMP Prior authorization requirements for Part B drugs: ZEVALIN and Eptacog | 4/6/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_PU_4Q17FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective May 1, 2018 | 4/5/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_PU_HyaluronanInjectionsUpdate.pdf | Medical Policy update - Hyaluronan Injections | | 2018 | Kentucky | Approved |
| ININ_CAID_PU_UpdatedInformationAuthorizatiions.pdf | Updated information for prior authorizations | 4/12/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_PU_WAVENursingBenefitExhaustion.pdf | Skilled nursing facility (SNF) benefits and medical necessity reviews | 4/9/2018 12:00 AM | 2018 | Indiana | Approved |
| WIWI_CAID_MedicaidKeyContactList.pdf | Medicaid Key Contact List | | 2018 | Wisconsin | Approved |
| ININ_CAID_PU_WAVEBillingPostpartumVisits.pdf | Billing for postpartum visits | 4/17/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_CAID_PU_ElectricalStimulationDevice.pdf | MMP Electrical stimulation device to require prior authorization | 4/20/2018 12:00 AM | 2018 | California | Approved |
| CACA_CAID_PU_TCellTherapyRequirement.pdf | MMP Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service | 4/20/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CAID_PU_ElectriStimulaDevice.pdf | Electrical stimulation device to require prior authorization | 4/20/2018 12:00 AM | 2018 | Virginia | Approved |
| VAVA_CAID_PU_CAR_T_TherapyNotice.pdf | Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service | 4/20/2018 12:00 AM | 2018 | Virginia | Approved |
| CACA_CAID_PU_ChimericAntigenReceptor.pdf | Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service | 4/20/2018 12:00 AM | 2018 | California | Approved |
| CACA_MMP_PU_PriorAuthReqCardiovascularService2018.pdf | MMP Prior authorization requirements for cardiovascular services | 4/24/2018 12:00 AM | 2018 | California | Approved |
| NVNV_CAID_PU_HyaluronanInjectionsUpdate.pdf | Medical Policy update - Hyaluronan Injections | | 2018 | Nevada | Approved |
| CACA_CAID_PU_TrelstarPartBDrug.pdf | MMP Prior authorization requirement for Part B drug: Trelstar | 4/30/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_CARTTherapyNotice.pdf | Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service | | 2018 | Kentucky | Approved |
| CACA_MMP_ProviderDirectory2018_TAG_MayAddendum.pdf | Provider and Pharmacy Directory - May Addendum - Tagalog | 5/1/2018 12:00 AM | 2018 | CAMMP | Approved |
| CACA_MMP_ProviderDirectory2018_VIET_MayAddendum.pdf | Provider and Pharmacy Directory - May Addendum - Vietnamese | 5/1/2018 12:00 AM | 2018 | CAMMP | Approved |
| WIWI_CAID_WAVELowerExtrVascularIntervcodes.pdf | Lower extremity vascular intervention codes require prior authorization | 5/2/2018 12:00 AM | 2018 | Wisconsin | Approved |
| VAVA_CAID_WAVELowerExtrVascularIntervcodes.pdf | Lower extremity vascular intervention codes require prior authorization | 5/2/2018 12:00 AM | 2018 | Virginia | Approved |
| VAVA_CAID_PU_DarzalexPriorAuthReq.pdf | Prior authorization requirements for Darzalex drug | | 2018 | Virginia | Approved |
| CACA_CAID_PU_DarzalexPriorAuthReq.pdf | Prior authorization requirements for Darzalex drug | 5/3/2018 12:00 AM | 2018 | California | Approved |
| WIWI_CAID_PU_DarzalexPriorAuthReq.pdf | Prior authorization requirements for Darzalex drug | | 2018 | Wisconsin | Approved |
| VAVA_CAID_PU_ICSFormularyChangeNotice.pdf | ICS pharmacy formulary change notice update: effective April 15, 2018 | | 2018 | Virginia | Approved |
| CACA_CAID_PU_ServicesRequiringPriorAuth.pdf | Services requiring prior authorization | 5/4/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CAID_PU_ServicesRequiringPriorAuth.pdf | Services requiring prior authorization | | 2018 | Virginia | Approved |
| WIWI_CAID_PU_ServicesRequiringPriorAuth.pdf | Services requiring prior authorization | | 2018 | Wisconsin | Approved |
| NVNV_CAID_ICSFormularyChangeNoticeUpdate.pdf | ICS pharmacy formulary change notice update: effective April 15, 2018 | | 2018 | Nevada | Approved |
| KYKY_CAID_PU_ICSFormularyChangeNoticeUpdate.pdf | ICS pharmacy formulary change notice update: effective April 15, 2018 | | 2018 | Kentucky | Approved |
| ININ_CAID_ICSFormularyChangeNoticeUpdate.pdf | ICS pharmacy formulary change notice update: effective April 15, 2018 | 5/8/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_CAID_PU_ICSFormularyChangeNoticeUpdate.pdf | ICS pharmacy formulary change notice update: effective April 15, 2018 | 5/2/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_PAReqUpdateMylotarg.pdf | Prior authorization requirement update for Mylotarg | | 2018 | Kentucky | Approved |
| CACA_CAID_PU_EXPRESSIHCBilling.pdf | Indian Health Centers, Enhanced Payment, Billing Instructions | 5/10/2018 12:00 AM | 2018 | California | Approved |
| CACA_CAID_PU_ExpressIHCBulletin.pdf | Indian Health Centers, Enhanced Payment | 5/10/2018 12:00 AM | 2018 | California | Approved |
| CACA_CAID_PU_Prop56Cover.pdf | Proposition 56 | 5/10/2018 12:00 AM | 2018 | California | Approved |
| CACA_CAID_PU_ZepatierCoughCold.pdf | Zepatier, cough and cold pharmacy formulary change notice effective June 1, 2018 | 5/10/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_PU_ADTReportOnAvaility2018.pdf | New Admission, Discharge and Transfer on the Availity Portal | 5/10/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_CAID_PU_ElectriStimulaDevicePriorAuthReqAnthem.pdf | Electrical stimulation device to require prior authorization | 5/18/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_PU_CoughandColdFormularyChange.pdf | Cough and cold pharmacy formulary change notice effective June 1, 2018 | 5/18/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PU_ZepatierCCFormularyChange.pdf | Zepatier, cough and cold pharmacy formulary change notice effective June 1, 2018 | 5/18/2018 12:00 AM | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_ValueBasedPaymentNotification.pdf | Value Based Payment Notification | | 2018 | Kentucky | Approved |
| NVNV_CAID_PU_ZepatierCoughColdFormularyChange_May2018.pdf | Zepatier, cough and cold pharmacy formulary change notice effective June 1, 2018 | | 2018 | Nevada | Approved |
| VAVA_CAID_PU_ZepatierCoughColdFormularyChange_May2018.pdf | Zepatier, cough and cold pharmacy formulary change notice effective June 1, 2018 | | 2018 | Virginia | Approved |
| ININ_CAID_PU_ClaimDenialCodesG18and256.pdf | Claims denials for codes G18 and 256 | 5/22/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PrecertificationChanges.pdf | Changes to Precertification - Place of Service (POS) 32 Skilled Nursing Facilities (SNF) | | 2018 | Kentucky | Approved |
| CACA_CAID_PU_2017DeletedCodesOnly.pdf | 2017 HCPCS-CPT Code Deletions | 5/23/2018 12:00 AM | 2017 | California | Approved |
| CACA_CAID_PU_AttendingNPIReqComm.pdf | New Attending NPI Information Requirement for Non-capitated Claims | 5/23/2018 12:00 AM | 2017 | California | Approved |
| CACA_CAID_PU_PM160FormClarification.pdf | PM 160 Form Clarification | 5/23/2018 12:00 AM | 2017 | California | Approved |
| CACA_CAID_PU_Prop56Payments.pdf | Proposition 56 - Update | 5/23/2018 12:00 AM | 2018 | California | Approved |
| CACA_CAID_PU_MepolizumabReslizumabPriorAuth.pdf | Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair) | 5/24/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CAID_PU_MepolizumabReslizumabPriorAuth.pdf | Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair) | | 2018 | Virginia | Approved |
| WIWI_CAID_PU_MepolizumabReslizumabPriorAuth.pdf | Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair) | | 2018 | Wisconsin | Approved |
| CACA_CAID_PriorAuthCabazitaxel.pdf | Prior authorization requirements for Cabazitaxel | 5/24/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CAID_PriorAuthCabazitaxel.pdf | Prior authorization requirements for Cabazitaxel | | 2018 | Virginia | Approved |
| CACA_MMP_ProviderDirectory2018_ENG_JuneAddendum.pdf | Provider and Pharmacy Directory - June Addendum- English | 5/30/2018 12:00 AM | 2018 | CAMMP | Approved |
| CACA_MMP_ProviderDirectory2018_CHI_JuneAddendum.pdf | Provider and Pharmacy Directory - June Addendum - Chinese | 5/30/2018 12:00 AM | 2018 | CAMMP | Approved |
| CACA_MMP_ProviderDirectory2018_SPN_JuneAddendum.pdf | Provider and Pharmacy Directory - June Addendum - Spanish | 5/30/2018 12:00 AM | 2018 | CAMMP | Approved |
| CACA_MMP_ProviderDirectory2018_VIET_JuneAddendum.pdf | Provider and Pharmacy Directory - June Addendum - Vietnamese | 5/30/2018 12:00 AM | 2018 | CAMMP | Approved |
| CACA_MMP_ProviderDirectory2018_TAG_JuneAddendum.pdf | Provider and Pharmacy Directory - June Addendum - Tagalog | 5/30/2018 12:00 AM | 2018 | CAMMP | Approved |
| ININ_CAID_2017Q4CUMG.pdf | Q4 2017 Clinical Utilization Management Guidelines | 5/31/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_PU_HospiceProviderBulletin.pdf | Hospice prior authorizations | 8/30/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PU_InjectableDrugsMCD.pdf | Eight injectable drugs will require prior authorization | 6/6/2018 12:00 AM | 2018 | Kentucky | Approved |
| ININ_CAID_PU_ElectriStimulaDevicePAReq.pdf | Electrical stimulation device to require prior authorization | 5/31/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_PU_2018PhysicianAdminDrugNDC.pdf | Physician-administered drugs: reporting National Drug Codes | 6/7/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_CAID_PU_Prop56PaymentInfo.pdf | Proposition 56 Payment Information | 6/13/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_PhysicalBHCollaborative.pdf | Physical and behavioral health collaborative care | | 2018 | Kentucky | Approved |
| CACA_CAID_PU_MCG22ndEd.pdf | Anthem Blue Cross adopts 22nd edition of the MCG care guidelines | 6/13/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CAID_PU_MCG22ndEd.pdf | HealthKeepers, Inc. adopts 22nd edition of the MCG care guidelines | | 2018 | Virginia | Approved |
| WIWI_CAID_PU_MCG22ndEd.pdf | Anthem Blue Cross and Blue Shield adopts 22nd edition of the MCG care guidelines | | 2018 | Wisconsin | Approved |
| NVNV_CID_PU_CAR-TTherapyNotice.pdf | Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service | | 2018 | Nevada | Approved |
| NVNV_CID_PU_ElectriStimulaDevicePriorAuthReq.pdf | Electrical stimulation device to require prior authorization | | 2018 | Nevada | Approved |
| NVNV_CID_PU_InjectableDrugsMCD.pdf | Eight injectable drugs will require prior authorization | | 2018 | Nevada | Approved |
| NVNV_CID_PU_WAVELowerExtrVascularIntervCodes.pdf | Lower extremity vascular intervention codes require prior authorization | | 2018 | Nevada | Approved |
| NVNV_CAID_PU_MylotargDrugPrecertUpdate.pdf | Prior authorization requirement update for Mylotarg | | 2018 | Nevada | Approved |
| ININ_CAID_PU_VaccineAdminDenials.pdf | Vaccine administration denials | 6/20/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_PU_CabazitaxelDrugPA.pdf | Prior authorization requirements for Cabazitaxel (Jevtana) | 6/25/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_PU_CAR-TTherapyNotice.pdf | Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service | 6/25/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_PU_WAVELowerExtrVascularIntervcodes.pdf | Lower extremity vascular intervention codes require prior authorization | 7/9/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PemetrexedDrugAuthRequired.pdf | Prior authorization requirements for drug pemetrexed | 6/26/2018 12:00 AM | 2018 | Kentucky | Approved |
| NVNV_CAID_PU_ReminderUpdateProvider.pdf | Provider directory update | 6/26/2018 12:00 AM | 2018 | Nevada | Approved |
| KYKY_CAID_LARCUpdate.pdf | Long-Acting Reversible Contraception Update: Effective February 1, 2018 | | 2018 | Kentucky | Approved |
| NVNV_CAID_LARCUpdate.pdf | Long-Acting Reversible Contraception Update: Effective February 1, 2018 | | 2018 | Nevada | Approved |
| KYKY_CAID_PrecertificationChangesPPEC.pdf | Changes to prior authorization | | 2018 | Kentucky | Approved |
| CACA_CAID_PU_QuarterlyFormularyChange_8-1-2018.pdf | Quarterly pharmacy formulary change notice effective August 1, 2018 | 6/29/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_QuarterlyFormularyChange_8-1-2018.pdf | Quarterly pharmacy formulary change notice effective August 1, 2018 | | 2018 | Kentucky | Approved |
| NVNV_CAID_PU_QuarterlyFormularyChange_8-1-2018.pdf | Quarterly pharmacy formulary change notice effective August 1, 2018 | | 2018 | Nevada | Approved |
| VAVA_CAID_PU_QuarterlyFormularyChange_8-1-2018.pdf | Quarterly pharmacy formulary change notice effective August 1, 2018 | | 2018 | Virginia | Approved |
| CACA_MMP_PU_AzedraPoteligeoPartB.pdf | MMP Prior authorization requirements for Azedra and Poteligeo | 7/2/2018 12:00 AM | 2018 | California | Approved |
| NVNV_CAID_PhysicianRadiologyRedirection.pdf | Physician radiology redirection | 7/9/2018 12:00 AM | 2018 | Nevada | Approved |
| CACA_CAID_PU_Jan2018CUMGNotifi.pdf | January Medical Policies and Clinical Utilization Management Guidelines update | 7/9/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_18Jan2018CUMGNotifi.pdf | January - 2018 Medical Policies and Clinical Utilization Management Guidelines update | 7/9/2018 12:00 AM | 2018 | Kentucky | Approved |
| NVNV_CAID_PU_Jan2018CUMGNotifi.pdf | January - 2018 Medical Policies and Clinical Utilization Management Guidelines update | 7/9/2018 12:00 AM | 2018 | Nevada | Approved |
| VAVA_CAID_PU_Jan2018CUMGNotifi.pdf | January - 2018 Medical Policies and Clinical Utilization Management Guidelines update | 7/9/2018 12:00 AM | 2018 | Virginia | Approved |
| WIWI_CAID_PU_Jan2018CUMGNotifi.pdf | Medical Policies and Clinical Utilization Management Guidelines update - January 2018 | 7/9/2018 12:00 AM | 2018 | Wisconsin | Approved |
| ININ_CAID_PU_ReconsiderationProvBulletin.pdf | Reconsideration process | 7/10/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PU_PemetrexedDrugAuthRequired.pdf | PA requirements for pemetrexed (ALIMTA) | | 2018 | Kentucky | Approved |
| ININ_CAID_PU_ProBehalfMbr.pdf | Member appeal or grievance | 7/9/2018 12:00 AM | 2018 | Indiana | Approved |
| WIWI_CAID_PU_ICRFlierUpdate.pdf | Access Interactive Care Reviewer via Availity Portal | 7/16/2018 12:00 AM | 2018 | Wisconsin | Approved |
| NVNV_CAID_PU_UMAffirmationStatement.pdf | 2018 Utilization Management Affirmative Statement | 7/17/2018 12:00 AM | 2018 | Nevada | Approved |
| ININ_CAID_PU_RetroactiveEligibility.pdf | Retroactive eligibility — prior authorization/utilization management and claims processing | 6/12/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_CAID_PU_PriorAuthRetacritDamocIlumya.pdf | MMP Prior authorization requirements for Part B drugs: Retacrit, Damoctocog and Ilumya | 7/20/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_PU_22ndEditionMCGCareGuidelines.pdf | Anthem Blue Cross and Blue Shield adopts 22nd edition of the MCG care guidelines | 7/20/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_CAID_PU_CUMG_March_2018.pdf | March Medical Policies and Clinical Utilization Management Guidelines update | 7/16/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_CUMG_March_2018.pdf | March - 2018 Medical Policies and Clinical Utilization Management Guidelines update | 7/16/2018 12:00 AM | 2018 | Kentucky | Approved |
| NVNV_CAID_PU_CUMG_March_2018.pdf | March - 2018 Medical Policies and Clinical Utilization Management Guidelines update | 7/16/2018 12:00 AM | 2018 | Nevada | Approved |
| VAVA_CAID_PU_CUMG_March_2018.pdf | March - 2018 Medical Policies and Clinical Utilization Management Guidelines update | 7/16/2018 12:00 AM | 2018 | Virginia | Approved |
| WIWI_CAID_PU_CUMG_March_2018.pdf | March Medical Policies and Clinical Utilization Management Guidelines update | 7/16/2018 12:00 AM | 2018 | Wisconsin | Approved |
| CACA_CAID_MP_CUMG_Jan2018.pdf | January 2018 Clinical Utilization Management Guidelines | 7/6/2018 12:00 AM | 2018 | California | Approved |
| WIWI_CAID_MP_CUMG_Jan2018.pdf | January 2018 Clinical Utilization Management Guidelines | 7/6/2018 12:00 AM | 2018 | Wisconsin | Approved |
| KYKY_CAID_PU_WAVEUsemiscellaneouscodes.pdf | Miscellaneous durable medical equipment billing guidelines | | 2018 | Kentucky | Approved |
| ININ_CAID_PU_ReminderaboutMedicaidrecordspolicy.pdf | Reminder about Medicaid records policy | 7/20/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PU_NotificationReminderRegardingLockInSpecialist.pdf | Notification reminder regarding lock-in specialist referrals | | 2018 | Kentucky | Approved |
| VAVA_CAID_PU_ProviderOrientationInvite2018.pdf | Provider Orientation Invite | | 2018 | Virginia | Approved |
| NVNV_CAID_PU_WAVEUsemiscellaneouscodes.pdf | Miscellaneous durable medical equipment billing guidelines | | 2018 | Nevada | Approved |
| ININ_CAID_PU_PreviouslyDeniedPostpartumCareClaims.pdf | Previously denied postpartum care claims | 7/24/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PU_RPUpdateMultipleRadiologyReduction.pdf | Multiple Radiology Payment Reduction Reimbursement Policy Update | | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_HepatitisAVaccineUpdate.pdf | Hepatitis A vaccine update | | 2018 | Kentucky | Approved |
| NVNV_CAID_PU_DarzalexPriorAuthReq_July_2018.pdf | Prior authorization requirements for Darzalex drug | | 2018 | Nevada | Approved |
| NVNV_CAID_PU_ServicesRequiringPriorAuth_July_2018.pdf | Services requiring prior authorization | | 2018 | Nevada | Approved |
| KYKY_CAID_PU_CabazitaxelDrugPrior.pdf | Prior authorization requirements for Cabazitaxel | 8/1/2018 12:00 AM | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_DarzalexDrugPrio.pdf | Prior authorization requirements for Darzalex drug | 8/1/2018 12:00 AM | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_MepolizumabReslizumab.pdf | Mepolizumab and reslizumab | 8/1/2018 12:00 AM | 2018 | Kentucky | Approved |
| ININ_CAID_PU_OutpatientTherapyBenefitLimitReminders.pdf | Outpatient therapy benefit limit reminders | 7/31/2018 12:00 AM | 2018 | Indiana | Approved |
| WIWI_CAID_PU_Changepaymentmethodinpatientclaims.pdf | Change to payment method for inpatient claims | | 2018 | Wisconsin | Approved |
| CACA_CAID_PU_SameDayPCPChange.pdf | Same Day PCP Change | | 2018 | California | Approved |
| CACA_CAID_PU_CUMGUpdate_August2018.pdf | May Medical Policies and Clinical Utilization Management Guidelines update | 8/7/2018 12:00 AM | 2018 | California | Approved |
| NVNV_CAID_PU_PostPaymentReviews.pdf | Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) to conduct post-payment reviews of distinct procedural services modifiers | | 2018 | Nevada | Approved |
| ININ_CAID_LevelOfCareSpecialtyRxFax.pdf | Level of care for administration of specialty drugs | 8/15/2018 12:00 AM | 2018 | Indiana | Approved |
| WIWI_CAID_MP_CUMG_May2018.pdf | May 2018 Medical Policies and Clinical Utilization Management Guidelines update | | 2018 | Wisconsin | Approved |
| CACA_CAID_PU_HospiceBillingInstructions_8-21-18.pdf | Hospice Billing Instructions | 8/21/2018 12:00 AM | 2018 | California | Approved |
| NVNV_CAID_PU_CabazitaxelPA.pdf | Prior authorization requirements for Cabazitaxel | | 2018 | Nevada | Approved |
| KYKY_CAID_PU_May2018MPTACNotification.pdf | Medical Policies and Clinical Utilization Management Guidelines update - May 2018 | | 2018 | Kentucky | Approved |
| VAVA_CAID_PU_May2018MPTACNotification.pdf | Medical Policies and Clinical Utilization Management Guidelines update - May 2018 | | 2018 | Virginia | Approved |
| WIWI_CAID_PU_SomatremPAR_8-2018.pdf | Prior authorization requirements for Somatrem | 8/24/2018 12:00 AM | 2018 | Wisconsin | Approved |
| VAVA_CAID_PU_SomatremPAR_8-2018.pdf | Prior authorization requirements for Somatrem | 8/24/2018 12:00 AM | 2018 | Virginia | Approved |
| CACA_CAID_PU_SomatremPAR_8-24-2018.pdf | Prior authorization requirements for Somatrem | 8/24/2018 12:00 AM | 2018 | California | Approved |
| CACA_CAID_PU_InterferonBetaDrugPAR_8-22-2018.pdf | Prior authorization requirements for Interferon beta-1a | 8/22/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CAID_PU_InterferonBetaDrugPAR_8-22-2018.pdf | Prior authorization requirements for Interferon beta-1a | 8/22/2018 12:00 AM | 2018 | Virginia | Approved |
| WIWI_CAID_PU_InterferonBetaDrugPAR_8-22-2018.pdf | Prior authorization requirements for Interferon beta-1a | 8/22/2018 12:00 AM | 2018 | Wisconsin | Approved |
| ININ_CAID_PU_1Q18FormularyChange.pdf | Quarterly pharmacy formulary change notice effective August 1, 2018 | 8/24/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_EEDReimbPolicyUpdate.pdf | Early elective delivery reimbursement policy update | 8/27/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_MMP_PU_PartBDrugsMoxetumomabCemiplimabFulphilaPAR_8-28-18.pdf | CA MMP Prior authorization requirements for Part B drugs: Moxetumomab Pasudotox, Cemiplimab and Fulphila | 8/28/2018 12:00 AM | 2018 | California, CAMMP | Approved |
| NVNV_CAID_PU_MepolizumabReslizumab.pdf | Prior authorization requirements for injectable/infusible drugs: mepolizumab and reslizumab | | 2018 | Nevada | Approved |
| CACA_CAID_PU_ProjectRetinaRxWave7ePACMM.pdf | New pharmacy electronic prior authorization request tool effective November 4th, 2018 | 8/31/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_WAVE_UseofmisccodesE1399.pdf | Use of miscellaneous codes E1399 | 8/30/2018 12:00 AM | 2018 | Indiana | Approved |
| WIWI_CAID_PU_HighLevelTesting.pdf | Prior authorization requirements for high-level, definitive drug testing | | 2018 | Wisconsin | Approved |
| NVNV_CAID_PU_ERAutoPayList_Sept_2018.pdf | ER auto-pay list | | 2018 | Nevada | Approved |
| NVNV_CAID_PU_QuarterlyFormularyChange_10-1-2018.pdf | Quarterly pharmacy formulary change notice effective October 1, 2018 | | 2018 | Nevada | Approved |
| NVNV_CAID_PU_PriorAuthSomatrem.pdf | Prior authorization requirements for Somatrem | | 2018 | Nevada | Approved |
| NVNV_CAID_PU_OTCFormularyChangeBlastFax.pdf | OTC formulary change notice effective October 1, 2018 | | 2018 | Nevada | Approved |
| ININ_CAID_PU_InpatientStayReqforMedSvcsPolicyChanges_9-6-2018.pdf | Inpatient stay and request for medical services policy changes | 9/6/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_PU_OTCFormularyChangeBlastFax.pdf | OTC formulary change notice effective October 1, 2018 | 9/12/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_CAID_PU_QuarterlyFormularyChange_10-1-2018.pdf | Quarterly pharmacy formulary change notice effective October 1, 2018 | 9/10/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_EXPRESSProviderData.pdf | Provider data validation survey | 9/14/2018 12:00 AM | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_KY2Q18FormularyChangeBlastFax.pdf | Quarterly pharmacy formulary change notice effective October 1, 2018 | | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_ReminderPrecertificationPainManagementServices_Sep_2018.pdf | Reminder: precertification for pain management services | | 2018 | Kentucky | Approved |
| ININ_CAID_AppliedBehavioralAnalysisUMGuideline_Sep_2018.pdf | Indiana Medicaid Applied Behavioral Analysis UM Guideline | 9/17/2018 12:00 AM | 2018 | Indiana | Approved |
| VAVA_2Q18FormularyChangeBlastFax.pdf | Quarterly pharmacy formulary change notice effective October 1, 2018 | | 2018 | Virginia | Approved |
| VAVA_CAID_PU_PrecertificationRequirements_10-5-2018.pdf | Precertification requirements effective October 5, 2018 | | 2018 | Virginia | Approved |
| KYKY_CAID_PU_AnthemmedicaidOE.pdf | Medicaid member open enrollment | 9/25/2018 12:00 AM | 2018 | Kentucky | Approved |
| KYKY_CAID_PA_InjectionSomatrem.pdf | Prior authorization requirements for Somatrem | 9/26/2018 12:00 AM | 2018 | Kentucky | Approved |
| NVNV_CAID_PU_CUMGUpdate_May2018.pdf | May 2018 Medical Policies and Clinical Utilization Management Guidelines Update | | 2018 | Nevada | Approved |
| KYKY_CAID_PU_CUMGUpdate_2017_Q4.pdf | Medical Policies and Clinical Utilization Management Guidelines update - Q4 2017 | | 2017 | Kentucky | Approved |
| KYKY_CAID_PU_RightsandRespofBlueCrossBlueShield.pdf | Rights and responsibilities of Anthem Blue Cross and Blue Shield Medicaid Members | | 2018 | Kentucky | Approved |
| ININ_CAID_PU_WAVEClarifPolicies.pdf | Clarification of Policies and Procedures | 9/28/2018 12:00 AM | 2018 | Indiana | Approved |
| WIWI_CAID_STATE_DHS_OpioidUseDisorder.pdf | Opioid Use Disorder – Doing More for Patients | | 2018 | Wisconsin | Approved |
| KYKY_CAID_PU_CervLengthMeasbyTU.pdf | Cervical length measurement by transvaginal ultrasound | 9/27/2018 12:00 AM | 2018 | Kentucky | Approved |
| NVNV_CAID_PU_CervLengthMeasbyTU.pdf | Cervical length measurement by transvaginal ultrasound | 9/27/2018 12:00 AM | 2018 | Nevada | Approved |
| VAVA_CAID_PU_CervLengthMeasbyTU.pdf | Cervical length measurement by transvaginal ultrasound | 9/27/2018 12:00 AM | 2018 | Virginia | Approved |
| NVNV_CAID_MCGforPH_AcuteCareServices_Oct_2018.pdf | Anthem Blue Cross and Blue Shield Healthcare Solutions adopts MCG Care Guidelines for Physical Health | | 2018 | Nevada | Approved |
| KYKY_CAID_ReimburseChangeMidLevelPractitioners_Oct_2018.pdf | Reimbursement Change for Midlevel Practitioners | | 2018 | Kentucky | Approved |
| WIWI_CAID_PU_MSKAIMProviderAnnouncement.pdf | Transition of musculoskeletal programs | 10/8/2018 12:00 AM | 2018 | Wisconsin | Approved |
| CAMMP_CAID_PU_PartBDrugNivestym.pdf | CA MMP Prior authorization requirements for Part B drug Nivestym | 9/28/2018 12:00 AM | 2018 | California | Approved |
| CAMMP_CAID_PU_SantaClaraMMPNetworkUpdate_Oct_2018.pdf | Santa Clara MMP Network Update: CareMore Health | 10/9/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_TaxonomyCodeBilling.pdf | Taxonomy code billing requirement change for FQHC and RHC Providers | | 2018 | Kentucky | Approved |
| ININ_CAID_PU_CervLengthMeasby.pdf | Cervical length measurement by transvaginal ultrasound | 12/6/2018 12:00 AM | 2018 | Indiana | Approved |
| NVNV_CAID_AvailityClaimPaymentDisputesWebinar_Oct_2018.pdf | Availity Claim Payment Disputes Webinar | 10/22/2018 12:00 AM | 2018 | Nevada | Approved |
| CACA_CAID_PU_PrenatalFormularyChangeNotice.pdf | Prenatal formulary change notice effective August 1, 2018 | 10/24/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_PU_PrenatalFormularyChangeNotice.pdf | Prenatal formulary change notice effective August 1, 2018 | 10/24/2018 12:00 AM | 2018 | Indiana | Approved |
| VAVA_CAID_PU_PrenatalFormularyChangeNotice.pdf | Prenatal formulary change notice effective August 1, 2018 | 10/24/2018 12:00 AM | 2018 | Virginia | Approved |
| ININ_CAID_PU_HEDISDevelopAssessment_Oct_2018.pdf | Clarification on medical record requirements for physical and mental development history | 10/24/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PU_ClinicalGuidanceMothersOpioidUse_Oct_2018.pdf | Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants | | 2018 | Kentucky | Approved |
| VAVA_CAID_PU_ClinicalGuidanceMothersOpioidUse_Oct_2018.pdf | Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants | | 2018 | Virginia | Approved |
| WIWI_CAID_PrenatalUltrasoundReimb_Oct_2018.pdf | Prenatal ultrasound reimbursement update | 10/26/2018 12:00 AM | 2018 | Wisconsin | Approved |
| NVNV_CAID_PU_PrenatalFormularyChangeNotice.pdf | Prenatal formulary change notice effective August 1, 2018 | | 2018 | Nevada | Approved |
| ININ_CAID_PU_AddressChangeReminder_Oct_2018.pdf | Address change reminder | 10/25/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_PU_QuarterlyPharmFormularyChange_Oct_2018.pdf | Quarterly pharmacy formulary change notice effective October 1, 2018 | 10/26/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_CAID_PU_SubcutaneousImplantableDefibrillator.pdf | Prior authorization requirements for Subcutaneous Implantable Defibrillator system | 10/31/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CAID_PU_SubcutaneousImplantableDefibrillator.pdf | Prior authorization requirements for Subcutaneous Implantable Defibrillator system | | 2018 | Virginia | Approved |
| WIWI_CAID_PU_SubcutaneousImplantableDefibrillator.pdf | Prior authorization requirements for Subcutaneous Implantable Defibrillator system | | 2018 | Wisconsin | Approved |
| WIWI_CAID_PU_OrthonetRehabDecommission.pdf | Transition of Outpatient Rehabilitation Utilization Management Program effective January 1, 2019 | | 2018 | Wisconsin | Approved |
| CACA_CAID_PriorAuthFormForProviders_Oct_2018.pdf | Updated Prior Authorization Form for Providers | 10/31/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_PU_Sublocade.pdf | Prior authorization requirements for Sublocade | 11/1/2018 12:00 AM | 2018 | Kentucky | Approved |
| VAVA_CAID_PU_Sublocade.pdf | Prior authorization requirements for Sublocade | 11/1/2018 12:00 AM | 2018 | Virginia | Approved |
| WIWI_CAID_PU_Sublocade.pdf | Prior authorization requirements for Sublocade | 11/1/2018 12:00 AM | 2018 | Wisconsin | Approved |
| ININ_CAID_PU_EXPRESSQ3Providerbulletin.pdf | Third quarter updates | 11/6/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_PU_Hospitaladmissionspolicy.pdf | Hospital admissions policy update | 11/6/2018 12:00 AM | 2018 | Indiana | Approved |
| WIWI_CAID_NewbornInpatientStays.pdf | Normal newborn diagnosis-related group claims processing update | | 2018 | Wisconsin | Approved |
| ININ_CAID_PU_SubcutaneousImplantableDefib.pdf | Prior authorization requirements for Subcutaneous Implantable Defibrillator system | 10/31/2018 12:00 AM | 2018 | Indiana | Approved |
| NVNV_CAID_CUMGUpdate2018.pdf | July 2018 Medical Policies and Clinical Utilization Management Guidelines update | | 2018 | Nevada | Approved |
| VAVA_CAID_MPTACJuly2018.pdf | July 2018 Medical Policies and Clinical Utilization Management Guidelines update | | 2018 | Virginia | Approved |
| ININ_CAID_PU_May2018CUMG.pdf | May 2018 Medical Policies and Clinical Utilization Management Guidelines Update | 9/26/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_CAID_PU_NotifJuly2018.pdf | July 2018 Medical Policies and Clinical Utilization Management Guidelines Update | 11/26/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CAID_PU_3Q18FormularyChng.pdf | Quarterly pharmacy formulary change notice effective January 1, 2019 | 11/28/2018 12:00 AM | 2019 | Virginia | Approved |
| KYKY_CAID_PU_EXPRESSCopayUpdate.pdf | Copay updates for specific services | 11/29/2018 12:00 AM | 2018 | Kentucky | Approved |
| CACA_CAID_PU_LHOProviderBulletin.pdf | Anthem Blue Cross Medi-Cal Health Plan Launches LiveHealth Online | 11/30/2018 12:00 AM | 2018 | California | Approved |
| ININ_CAID_NotifJuly2018.pdf | July 2018 Medical Policies and Clinical Utilization Management Guidelines Update | 11/30/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_PU_UrgentTransportationRequests.pdf | Confirming urgent care requests for transportation | 12/3/2018 12:00 AM | 2018 | Indiana | Approved |
| KYKY_CAID_PU_InterferonBetaDrug.pdf | Prior authorization requirements for Interferon beta-1a | 12/10/2018 12:00 AM | 2018 | Kentucky | Approved |
| KYKY_CAID_PU_ProviderNotificationNUKY.pdf | Services requiring prior authorization | 12/10/2018 12:00 AM | 2018 | Kentucky | Approved |
| ININ_CAID_PU_LARCReminder.pdf | LARC Reminder | 11/28/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_PU_InterferonBetaDrug.pdf | Prior authorization requirements for Interferon beta-1a | 12/10/2018 12:00 AM | 2018 | Indiana | Approved |
| NVNV_CAID_PU_InterferonBetaDrug.pdf | Prior authorization requirements for Interferon beta-1a | 12/10/2018 12:00 AM | 2018 | Nevada | Approved |
| ININ_CAID_PU_DecemberNUEDI.pdf | Electronic data interchange gateway update | 11/28/2018 12:00 AM | 2018 | Indiana | Approved |
| NVNV_CAID_PU_MPTACNotif.pdf | September 2018 Medical Policies and Clinical Utilization Management Guidelines Update | 12/11/2018 12:00 AM | 2018 | Nevada | Approved |
| ININ_CAID_PU_DMERentalList.pdf | DME Rental List update | 12/11/2018 12:00 AM | 2018 | Indiana | Approved |
| CACA_CAID_PU_Sep 2018MPTACNotif.pdf | September 2018 Medical Policies and Clinical Utilization Management Guidelines update | 12/11/2018 12:00 AM | 2018 | California | Approved |
| VAVA_CAID_PU_Sep 2018MPTACNotif.pdf | September 2018 Medical Policies and Clinical Utilization Management Guidelines update | 12/11/2018 12:00 AM | 2018 | Virginia | Approved |
| WIWI_CAID_PU_Sep 2018MPTACNotif.pdf | September 2018 Medical Policies and Clinical Utilization Management Guidelines update | 12/11/2018 12:00 AM | 2018 | Wisconsin | Approved |
| KYKY_CAID_PU_InjectionEmicizumab.pdf | Prior authorization requirements for Emicizumab-kxwh injection | 12/10/2018 12:00 AM | 2018 | Kentucky | Approved |
| CACA_CAID_CUMGWebPosting.pdf | September 2018 Clinical Utilization Management (UM) Guidelines | 12/12/2018 12:00 AM | 2018 | California | Approved |
| KYKY_CAID_DMEIncontinenceSupplies.pdf | Durable medical equipment incontinence supplies benefit limit update | | 2018 | Kentucky | Approved |
| WIWI_CAID_EXPRESS_PersonalCareWorkerPowerPoint.pdf | Personal Care Worker Training | | 2018 | Wisconsin | Approved |
| NVNV_CAID_SAMHSAClinicalGuidance.pdf | Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants | 12/17/2018 12:00 AM | 2018 | Nevada | Approved |
| WIWI_CAID_AIMRehabAnnouncement.pdf | Transition of Outpatient Rehabilitation Utilization Management program | | 2018 | Wisconsin | Approved |
| ININ_CAID_SAMHSAClinicalGuidanceforSUD.pdf | Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants | 12/20/2018 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_SUDClaimsInstructionsBulletin.pdf | Substance use disorder instructions: residential services | 12/20/2018 12:00 AM | 2018 | Indiana | Approved |
| NVNV_CAID_SubcutaneousImplantableDefibrillator.pdf | Prior authorization requirements for Subcutaneous Implantable Defibrillator system | | 2018 | Nevada | Approved |
| NVNV_CAID_Sublocade.pdf | Prior authorization requirements for Sublocade | | 2018 | Nevada | Approved |
| KYKY_CAID_PU_MedicareCrossoverClaims.pdf | Medicare crossover claims for federally qualified health centers and rural health clinics | | 2019 | Kentucky | Approved |
| ININ_CAID_PU_AIMMSKNotificationUpdate.pdf | Expansion of Services with AIM Specialty Health for Musculoskeletal services | 1/3/2019 12:00 AM | 2018 | Indiana | Approved |
| ININ_CAID_Sept2018CUMG.pdf | September 2018 Clinical Utilization Management Guidelines | 1/15/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_Sept2018MPTACNotification.pdf | September 2018 Medical Policies and Clinical Utilization Management Guidelines Update | 1/11/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_AIMRehabProgram.pdf | Anthem Blue Cross and Blue Shield is expanding their partnership with AIM Specialty Health | 2/6/2019 12:00 AM | 2019 | Indiana | Approved |
| KYKY_CAID_PU_MPTACNotif3Q18.pdf | July 2018 Medical Policies and Clinical Utilization Management Guidelines Update | | 2019 | Kentucky | Approved |
| CACA_CAID_PU_DiabetesCodingSpotlight.pdf | Diabetes Coding Spotlight | 1/15/2019 12:00 AM | 2019 | California | Approved |
| NVNV_CAID_PU_DiabetesCodingSpotlight.pdf | Diabetes Coding Spotlight | | 2018 | | Approved |
| NYNY_CAID_PU_DiabetesCodingSpotlight.pdf | Diabetes Coding Spotlight | | 2018 | | Approved |
| ININ_CAID_4thQuarterUpdates.pdf | Fourth quarter updates | 1/15/2019 12:00 AM | 2019 | Indiana | Approved |
| CACA_CAID_PU_3Q18FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective February 1, 2019 | 1/16/2019 12:00 AM | 2019 | California | Approved |
| ININ_CAID_PU_3Q18FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective February 1, 2019 | 1/16/2019 12:00 AM | 2019 | Indiana | Approved |
| KYKY_CAID_PU_3Q18FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective February 1, 2019 | 1/16/2019 12:00 AM | 2019 | Kentucky | Approved |
| NVNV_CAID_PU_3Q18FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective February 1, 2019 | 1/16/2019 12:00 AM | 2019 | Nevada | Approved |
| VAVA_CAID_PU_3Q18FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective February 1, 2019 | 1/16/2019 12:00 AM | 2019 | Virginia | Approved |
| ININ_CAID_Modifier25ArticleUpdate.pdf | Reimbursement Policy Update: Modifier 25 | 1/9/2019 12:00 AM | 2019 | Indiana | Approved |
| CACA_CAID_EXPRESSVoluntarydrugsteerage.pdf | MMP - New specialty Medicare Part B device Voluntary Steerage Program | 1/28/2019 12:00 AM | 2019 | California | Approved |
| KYKY_CAID_PU_EXPRESSPharmacyMedicaidURL.pdf | Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit | 1/30/2019 12:00 AM | 2019 | Kentucky | Approved |
| WIWI_CAID_PU_NICUPTSD.pdf | NICU post-traumatic stress disorder program | | 2019 | Wisconsin | Approved |
| ININ_CAID_PU_Aspirepalliativecareprogram.pdf | Aspire Health provides palliative care for Medicaid members | 1/31/2019 12:00 AM | 2019 | Indiana | Approved |
| KYKY_CAID_PU_Aspirepalliativecareprogram.pdf | Aspire Health provides palliative care for Medicaid members | | 2019 | Kentucky | Approved |
| KYKY_CAID_PU_DecemberNUEDI.pdf | Electronic data interchange gateway update | | 2019 | Kentucky | Approved |
| KYKY_CAID_PU_DiabetesCodingSpotlight.pdf | Diabetes Coding Spotlight | | 2019 | Kentucky | Approved |
| CACA_CAID_PU_HealthInformationFormDataAvaility.pdf | New Member Health Assessment Data Now Available on Availity in Provider Online Reporting Application | 2/1/2019 12:00 AM | 2019 | California | Approved |
| CACA_CAID_PU_WorkersCompBulletin.pdf | Worker’s Compensation Reporting Update | 2/5/2019 12:00 AM | 2019 | California | Approved |
| KYKY_CAID_PU_NotiftransplantCriteria.pdf | Transplant criteria notification | 1/6/2019 12:00 AM | 2019 | Kentucky | Approved |
| CACA_CAID_PU_NICUPTSD.pdf | NICU post-traumatic stress disorder program | 3/6/2019 12:00 AM | 2019 | California | Approved |
| ININ_CAID_PU_FacilityTakeHomeDrugsRP.pdf | Facility Take-Home Drugs Reimbursement Policy Update | 2/13/2019 12:00 AM | 2019 | Indiana | Approved |
| KYKY_CAID_PU_PRIORITYKYHEALTHWebinarInvite.pdf | KY HEALTH Webinar Invite | | 2019 | Kentucky | Approved |
| CACA_CAID_PU_PandTCommitteeWebPosting.pdf | Clinical Criteria updates | 2/15/2019 12:00 AM | 2019 | California | Approved |
| NVNV_CAID_PU_PandTCommitteeWebPosting.pdf | Clinical Criteria updates | 2/15/2019 12:00 AM | 2019 | Nevada | Approved |
| VAVA_CAID_PU_PandTCommitteeWebPosting.pdf | Clinical Criteria updates | 2/19/2019 12:00 AM | 2019 | Virginia | Approved |
| WIWI_CAID_PU_PandTCommitteeWebPosting.pdf | Clinical Criteria updates | 2/15/2019 12:00 AM | 2019 | Wisconsin | Approved |
| NVNV_CAID_PU_Wave600Invite.pdf | February and March Availity Claim Payment Disputes Webinar Trainings | | 2019 | Nevada | Approved |
| ININ_CAID_PU_Homehospicebillingclarification.pdf | Home hospice billing clarification | 2/20/2019 12:00 AM | 2019 | Indiana | Approved |
| NVNV_CAID_PU_WAVE600UpdatedNetworkArticle.pdf | Electronic claim payment reconsideration | | 2019 | Nevada | Approved |
| ININ_CAID_PU_InpatientRehabbillingclarification.pdf | Inpatient rehabilitation billing clarification | 2/20/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_AmbulanceUpdateBulletin.pdf | Changes in prior authorization for ambulance transportation | 2/20/2019 12:00 AM | 2019 | Indiana | Approved |
| CACA_CAID_PU_EXPRESSApptAccessSurvey.pdf | Appointment Access Standards | 2/28/2019 12:00 AM | 2019 | California | Approved |
| ININ_CAID_PU_Correction-CervicalLengthMeasurementTransvaginalUltrasound.pdf | Correction: Cervical length measurement by transvaginal ultrasound | 2/28/2019 12:00 AM | 2019 | Indiana | Approved |
| KYKY_CAID_PU_Correction-CervicalLengthTransvaginalUltrasound.pdf | Correction: Cervical length measurement by transvaginal ultrasound | | 2019 | Kentucky | Approved |
| VAVA_CAID_PU_Correction-CervicalLengthTransvaginalUltrasound.pdf | Correction: Cervical length measurement by transvaginal ultrasound | | 2019 | Virginia | Approved |
| KYKY_CAID_ClinicalCriteriaUpdates.pdf | Clinical Criteria Updates - Posted 3/6/2019 | | 2019 | Kentucky | Approved |
| NVNV_CAID_ClinicalCriteriaUpdates.pdf | Clinical Criteria Updates - Posted 3/6/2019 | | 2019 | Nevada | Approved |
| NVNV_CAID_PU_CervicalLengthMeasurement.pdf | Correction: Cervical length measurement by transvaginal ultrasound | | 2019 | Nevada | Approved |
| CACA_CAID_PU_PTACNotif.pdf | November 2018 Medical Policies and Clinical Utilization Management Guidelines update | 3/6/2019 12:00 AM | 2019 | California | Approved |
| VAVA_CAID_PU_NovMPTACNotif.pdf | November 2018 Medical Policies and Clinical Utilization Management Guidelines update | 3/6/2019 12:00 AM | 2019 | Virginia | Approved |
| WIWI_CAID_PU_NovMPTACNotif.pdf | November 2018 Medical Policies and Clinical Utilization Management Guidelines update | 3/6/2019 12:00 AM | 2019 | Wisconsin | Approved |
| VAVA_CAID_PU_PrenatalUltrasoundICD10Update_March2019.pdf | Prenatal Ultrasound Policy/ICD-10 Update | | 2019 | Virginia | Approved |
| WIWI_CAID_PU_PrenatalUltrasoundICD10Update_March2019.pdf | Prenatal Ultrasound Policy/ICD-10 Update | | 2019 | Wisconsin | Approved |
| KYKY_CAID_PU_PrenatalUltrasoundICD10Update_March2019.pdf | Prenatal Ultrasound Policy/ICD-10 Update | | 2019 | Kentucky | Approved |
| ININ_CAID_PU_EXPRESSCommitteeWeb.pdf | Clinical Criteria updates | 3/8/2019 12:00 AM | 2019 | Indiana | Approved |
| VAVA_CAID_PU_EXPRESSPTClinicalCriteriaWP030819.pdf | Clinical Criteria updates - Posted 3/8/2019 | | 2019 | Virginia | Approved |
| WIWI_CAID_PU_EXPRESSPTClinicalCriteriaWP030819.pdf | Clinical Criteria updates - Posted 3/8/2019 | | 2019 | Wisconsin | Approved |
| KYKY_CAID_PU_MedicalNecessityReviewforAppropriateLevelofCare.pdf | Medical necessity review for appropriate level of care | | 2019 | Kentucky | Approved |
| NVNV_CAID_PU_Physicalandoccupationaltherapyredirection.pdf | Physical and occupational therapy redirection | | 2019 | Nevada | Approved |
| KYKY_CAID_PU_PandTCommitteeMeetingDates_2019.pdf | Pharmacy and Therapeutics Advisory Committee 2019 Meeting Dates | | 2019 | Kentucky | Approved |
| CACA_CAID_PU_EXPRESSProvRemitUpdate.pdf | Provider Remit and Provider Payment Updates | 7/2/2019 12:00 AM | 2019 | California | Approved |
| CACA_CAID_PU_PandTClinicalCriteria.pdf | Clinical Criteria Updates | 3/13/2019 12:00 AM | 2019 | California | Approved |
| KYKY_CAID_PU_NoncoveredCodeAudit.pdf | Denial of claims billed with noncovered codes | | 2019 | Kentucky | Approved |
| NVNV_CAID_PU_PRIORITYVoyagerProviderUpdate.pdf | Pharmacy benefit manager change to IngenioRx | 5/1/2019 12:00 AM | 2019 | Nevada | Approved |
| CACA_CAID_PU_FormularyUpdate_3-19-19.pdf | Quarterly pharmacy formulary change notice effective May 1, 2019 | 3/18/2019 12:00 AM | 2019 | California | Approved |
| KYKY_CAID_PU_FormularyChangeNotice_3-18-19.pdf | Quarterly pharmacy formulary change notice effective May 1, 2019 | | 2019 | Kentucky | Approved |
| ININ_CAID_PU_ChangeHospreqFacandbill.pdf | Change in hospice requirements and billing updates | 4/2/2019 12:00 AM | 2019 | Indiana | Approved |
| NVNV_CAID_PU_4Q18FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective May 1,2019 | | 2019 | Nevada | Approved |
| ININ_CAID_PU_GatewaytoWork.pdf | Gateway to Work program has launched | 3/21/2019 12:00 AM | 2019 | Indiana | Approved |
| CACA_MMP_PU_PAforDMERepairPortableOxygenConcentrator.pdf | MMP Prior authorization requirements for DME repair and portable oxygen concentrator | 3/25/2019 12:00 AM | 2019 | California, CAMMP | Approved |
| NVNV_CAID_PU_Nov2018MedPoliciesCUMGUpdate.pdf | November 2018 Medical Policies and Clinical Utilization Management Guidelines Update | | 2019 | Nevada | Approved |
| ININ_CologuardCoveredBulletin.pdf | Cologuard is now covered | 3/26/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PreventPreeclampsiaPrenatalAspirin.pdf | Help prevent preeclampsia with prenatal aspirin | 3/26/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_NovMPTACNotification.pdf | November 2018 Medical Policies and Clinical Utilization Management Guidelines Update | 3/26/2019 12:00 AM | 2019 | Indiana | Approved |
| WIWI_CAID_PU_CPTCategoryII.pdf | CPT Category II code reimbursements | | 2019 | Wisconsin | Approved |
| KYKY_CAID_EXPRESSKentuckyHEALTH.PDF | KY HEALTH Update | 3/29/2019 12:00 AM | 2019 | Kentucky | Approved |
| KYKY_CAID_HEALTHProgramUpdateFAQ.PDF | KY HEALTH FAQ | 3/29/2019 12:00 AM | 2019 | Kentucky | Approved |
| VAVA_CAID_PU_AuthChangesICTCIandCS.pdf | Authorization changes for procedure codes | | 2019 | Virginia | Approved |
| KYKY_CAID_PU_PARequirementsForDrugCodes.pdf | Prior authorization requirements for drug codes | | 2019 | Kentucky | Approved |
| KYKY_CAID_PU_SubcutaneousImplantableDefibrillator.pdf | Prior authorization requirements for Subcutaneous Implantable Defibrillator system | | 2019 | Kentucky | Approved |
| CACA_CAID_WAVEEDIGateway.pdf | Latest updates to Electronic Data Interchange Gateway migration | 4/1/2019 12:00 AM | 2019 | California | Approved |
| NVNV_CAID_WAVEEDIGateway.pdf | Latest updates to Electronic Data Interchange Gateway migration | 4/1/2019 12:00 AM | 2019 | Nevada | Approved |
| WIWI_CAID_WAVEEDIGateway.pdf | Latest updates to Electronic Data Interchange Gateway migration | 4/1/2019 12:00 AM | 2019 | Wisconsin | Approved |
| CACA_CAID_PU_WAVE600ArticleUpdate.pdf | Electronic claim payment reconsideration | 5/2/2019 12:00 AM | 2019 | California | Approved |
| CACA_CAID_PU_WAVEInvite.pdf | Webinar Invite: Availity Claim Payment Disputes | 4/1/2019 12:00 AM | 2019 | California | Approved |
| ININ_CAID_PU_QuarterlyPharmacyNotice_April2019.pdf | Quarterly pharmacy formulary change notice effective May 1, 2019 | 5/1/2019 12:00 AM | 2019 | Indiana | Approved |
| VAVA_CAID_PU_QuarterlyFormularyChangeNotice_May2019.pdf | Quarterly pharmacy formulary change notice effective May 1, 2019 | | 2019 | Virginia | Approved |
| KYKY_CAID_BuprenorphinePAPolicy.pdf | Buprenorphine prior authorization | | 2019 | Kentucky | Approved |
| CACA_CAID_PU_EXPRESSMedicalStepTherapyProviderRetractionNotice.pdf | New Specialty Pharmacy Medical Step Therapy Requirements | 4/9/2019 12:00 AM | 2019 | California | Approved |
| KYKY_CAID_PU_EXPRESSMedicalStepTherapyProviderRetractionNotice.pdf | New Specialty Pharmacy Medical Step Therapy Requirements | 4/9/2019 12:00 AM | 2019 | Kentucky | Approved |
| NVNV_CAID_PU_EXPRESSMedicalStepTherapyProviderRetractionNotice.pdf | New Specialty Pharmacy Medical Step Therapy Requirements | 4/9/2019 12:00 AM | 2019 | Nevada | Approved |
| KYKY_CAID_PU_NewDrugCodes.pdf | Changes to prior authorization requirements for drug codes effective June 1, 2019 | | 2019 | Kentucky | Approved |
| NVNV_CAID_PU_EvalandMgmntModifier25.pdf | Update: evaluation and management with Modifier 25 | | 2019 | Nevada | Approved |
| ININ_CAID_PU_MedicalSTProviderRetractionNotice.pdf | New Specialty Pharmacy Medical Step Therapy Requirements | 4/17/2019 12:00 AM | 2019 | Indiana | Approved |
| WIWI_CAID_PU_2019UMAffirmativeStatement.pdf | 2019 Utilization Management Affirmative Statement concerning utilization management decisions | | 2019 | Wisconsin | Approved |
| CACA_CAID_PU_2019UMAffirmativeStatement.pdf | 2019 Utilization Management Affirmative Statement concerning utilization management decisions | 4/19/2019 12:00 AM | 2019 | California | Approved |
| CACA_MMP_PU_2019UMAffirmationStatement.pdf | 2019 Utilization Management Affirmative Statement concerning utilization management decisions | 4/19/2019 12:00 AM | 2019 | CAMMP | Approved |
| ININ_CAID_PU_2019UMAffirmativeStatement.pdf | 2019 Utilization Management Affirmative Statement concerning utilization management decisions | 4/19/2019 12:00 AM | 2019 | Indiana | Approved |
| KYKY_CAID_PU_2019UMAffirmativeStatement.pdf | 2019 Utilization Management Affirmative Statement concerning utilization management decisions | 4/19/2019 12:00 AM | 2019 | Kentucky | Approved |
| NVNV_CAID_PU2019UMAffirmativeStatement.pdf | 2019 Utilization Management Affirmative Statement concerning utilization management decisions | 4/19/2019 12:00 AM | 2019 | Nevada | Approved |
| VAVA_CAID_PU_2019UMAffirmativeStatement.pdf | 2019 Utilization Management Affirmative Statement concerning utilization management decisions | | 2019 | Virginia | Approved |
| KYKY_CAID_PU_4Q18FormularyChangeNoticePart2.pdf | Quarterly pharmacy formulary change notice part II effective May 1, 2019 | | 2019 | Kentucky | Approved |
| CACA_CAID_SubmittingMAcorrectedclaims.pdf | MMP Submitting corrected claims | 4/29/2019 12:00 AM | 2019 | California | Approved |
| CACA_MMP_PartialHospitalizationProgram.pdf | MMP Partial hospitalization services | 4/29/2019 12:00 AM | 2019 | California, CAMMP | Approved |
| ININ_CAID_MSKCodePriorAuthorizationUpdate.pdf | Prior authorization requirement update | 5/1/2019 12:00 AM | 2019 | Indiana | Approved |
| WIWI_CAID_PU_MSKCodePriorAuthorizationUpdate.pdf | Prior authorization requirement update | 4/29/2019 12:00 AM | 2019 | Wisconsin | Approved |
| CACA_CAID_PU_4Q18FormularyChangeNoticePart2.PDF | Quarterly pharmacy formulary change notice part II effective May 1, 2019 | 5/1/2019 12:00 AM | 2019 | California | Approved |
| ININ_CAID_PU_4Q18FormularyChangeNoticePart2.PDF | Quarterly pharmacy formulary change notice part II effective May 1, 2019 | 5/1/2019 12:00 AM | 2019 | Indiana | Approved |
| NVNV_CAID_PU_4Q18FormularyChangeNoticePart2.pdf | Quarterly pharmacy formulary change notice part II effective May 1, 2019 | | 2019 | Nevada | Approved |
| CACA_CAID_PU_OptumMRAProvNewsletter.pdf | MMP Medical records request for risk adjustment | 5/1/2019 12:00 AM | 2019 | California | Approved |
| ININ_CAID_PU_ABAUpdateBulletin.PDF | Applied behavior analysis services | 5/1/2019 12:00 AM | 2019 | Indiana | Approved |
| CACA_CAID_PU_HistoricDrugCriteria.pdf | Medical Drug Criteria Updates | 5/1/2019 12:00 AM | 2019 | California | Approved |
| KYKY_CAID_PU_NovMPTACNotif.pdf | November 2018 Medical Policies and Clinical Utilization Management Guidelines Update | | 2019 | Kentucky | Approved |
| ININ_CAID_PU_ChangeInHospiceReqandBillingUpdate.PDF | Change in hospice requirements and billing updates | 5/1/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_BillingUpdate.pdf | First quarter 2019 billing updates | 5/3/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_FastTrackPA.pdf | Prior authorization process for Fast Track prepayment | 5/7/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_BHReviewOnAvailityBulletin.pdf | Behavioral Health Review on the Availity Portal | 5/7/2019 12:00 AM | 2019 | Indiana | Approved |
| CACA_CAID_PU_Encounterupdate.pdf | Encounter Data Submission Requirements Update | 6/20/2019 12:00 AM | 2019 | California | Approved |
| NVNV_CAID_PU_BHFacilityInpatientDetoxDualDiagnosisReimbursement.pdf | Behavioral health facility inpatient detox dual diagnosis reimbursement | | 2019 | Nevada | Approved |
| KYKY_CAID_PU_MedicaidEnrollmentDenial.PDF | Medicaid Enrollment Denial | | 2019 | Kentucky | Approved |
| KYKY_CAID_PU_NoticeOfChangeRegardingVentilatorUse.pdf | Notification of change regarding noninvasive ventilator use | | 2019 | Kentucky | Approved |
| KYKY_CAID_PU_PRIORITYNoticeChangeHoursObservationStatus.pdf | Notification of change in hours of observation status | | 2019 | Kentucky | Approved |
| KYKY_CAID_PU_ProviderFileLoadError.pdf | Provider File Load Error | 5/13/2019 12:00 AM | 2019 | Kentucky | Approved |
| NVNV_CAID_PU_NVFrontEndEditChanges.pdf | Nevada Front End Changes | | 2019 | Nevada | Approved |
| NVNV_CAID_PU_HowToContactIngenioRX0519.pdf | How to contact IngenioRx Specialty Pharmacy beginning May 1, 2019 | | 2019 | Nevada | Approved |
| KYKY_CAID_PU_HealthCrowdProviderEducationFlyer.pdf | Health Crowd Provider Education | | 2019 | Kentucky | Approved |
| VAVA_CAID_PU_EXPRESSCCCEDCDWaiverChgs.pdf | Elderly or Disabled with Consumer Direction Waiver updates | 5/16/2019 12:00 AM | 2019 | Virginia | Approved |
| CACA_CAID_ProviderRemitPaymentDisbursementUpdate.pdf | Date Delay - Provider Remit and Payment Disbursement Process Update | 6/3/2019 12:00 AM | 2019 | California | Approved |
| CACA_CAID_PU_UMAffirmationStatement.pdf | MMP 2019 Utilization Management Affirmative Statement concerning utilization management decisions | 4/19/2019 12:00 AM | 2019 | California | Approved |
| KYKY_CAID_PU_EXPRESWAVE600PrvdrComm.pdf | Electronic claim payment appeal | | 2019 | Kentucky | Approved |
| KYKY_CAID_PU_SUD1115WaiverUpdate.pdf | Substance Use Disorder (SUD) 1115 Waiver Update | 6/5/2019 12:00 AM | 2019 | Kentucky | Approved |
| WIWI_CAID_PU_AvailityClaimPaymentDisputesWebinarTraining.pdf | Availity claim payment disputes webinar training | 6/6/2019 12:00 AM | 2019 | Wisconsin | Approved |
| WIWI_CAID_PU_ElectronicClaimPaymentReconsideration.pdf | Electronic claim payment reconsideration | 6/6/2019 12:00 AM | 2019 | Wisconsin | Approved |
| CACA_CAID_ClinicalValidationReview.pdf | Prepayment clinical validation review process | 6/7/2019 12:00 AM | 2019 | California, CAMMP | Approved |
| KYKY_CAID_ClinicalValidationReview.pdf | Prepayment clinical validation review process | 6/7/2019 12:00 AM | 2019 | Kentucky | Approved |
| VAVA_CAID_ClinicalValidationReview.pdf | Prepayment clinical validation review process | 6/7/2019 12:00 AM | 2019 | Virginia | Approved |
| WIWI_CAID_ClinicalValidationReview.pdf | Prepayment clinical validation review process | 6/7/2019 12:00 AM | 2019 | Wisconsin | Approved |
| CACA_CAID_UnspecifiedDXCodeUpdate.pdf | Unspecified diagnosis code update | 6/5/2019 12:00 AM | 2019 | California | Approved |
| CACA_MMP_UnspecifiedDXCodeUpdate.pdf | MMP Unspecified diagnosis code update | 6/5/2019 12:00 AM | 2019 | California, CAMMP | Approved |
| WIWI_CAID_UnspecifiedDXCodeUpdate.pdf | Unspecified diagnosis code update | 6/5/2019 12:00 AM | 2019 | Wisconsin | Approved |
| VAVA_CAID_PU_UnspecifiedDXCodeUpdate.pdf | Unspecified DX Code Update | | 2019 | Virginia | Approved |
| VAVA_CAID_PU_WAVE600ProviderNotice.pdf | Electronic claim payment reconsideration | 6/10/2019 12:00 AM | 2019 | Virginia | Approved |
| VAVA_CAID_PU_WAVE600WebinarInvite.pdf | Availity claim payment disputes webinar training | 6/10/2019 12:00 AM | 2019 | Virginia | Approved |
| VAVA_CAID_PU_1Q19FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective August 1, 2019 | 6/28/2019 12:00 AM | 2019 | Virginia | Approved |
| NVNV_CAID_PU_UnspecifiedDXCodeUpdate.pdf | Unspecified diagnosis code update | 6/14/2019 12:00 AM | 2019 | Nevada | Approved |
| CACA_CAID_PU_MPTAC_Jan2019.pdf | January 2019 Medical Policies and Clinical Utilization Management Guidelines Update | 6/14/2019 12:00 AM | 2019 | California | Approved |
| VAVA_CAID_PU_MPTAC_Jan2019.pdf | January 2019 Medical Policies and Clinical Utilization Management Guidelines Update | 6/14/2019 12:00 AM | 2019 | Virginia | Approved |
| WIWI_CAID_PU_MPTAC_Jan2019.pdf | January 2019 Medical Policies and Clinical Utilization Management Guidelines Update | 6/14/2019 12:00 AM | 2019 | Wisconsin | Approved |
| ININ_CAID_PU_AccessToPhysicalHealth.pdf | Access to physical health | 6/14/2019 12:00 AM | 2019 | Indiana | Approved |
| NVNV_CAID_PU_ClinicalValidationReview.pdf | Prepayment clinical validation review process | 6/20/2019 12:00 AM | 2019 | Nevada | Approved |
| ININ_CAID_PU_InpatientReadmissionPolicyBillingAlert.pdf | Inpatient readmission policy and billing guidance | 6/18/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_AccessToBehavioralHealth.pdf | Access to Care - Behavioral Health Bulletin | 6/20/2019 12:00 AM | 2019 | Indiana | Approved |
| NVNV_CAID_PU_FacilityReimbursementEED.pdf | Facility reimbursement for early elective deliveries | | 2019 | Nevada | Approved |
| WIWI_CAID_PU_FacilityReimbursementEED.pdf | Facility reimbursement for early elective deliveries | | 2019 | Wisconsin | Approved |
| ININ_CAID_PU_ElectronicClaimPaymentReconsideration.pdf | Electronic claim payment reconsideration | 6/20/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_InpatientLessThan24hrs.pdf | Inpatient Stays Less Than 24 Hours bulletin | 6/24/2019 12:00 AM | 2019 | Indiana | Approved |
| KYKY_CAID_PU_MPTACBulletinNotificationKY.pdf | January 2019 Medical Policies and Clinical Utilization Management Guidelines Update | 6/24/2019 12:00 AM | 2019 | Kentucky | Approved |
| CACA_CAID_PU_ClinicalCriteriaWebQ2.pdf | Clinical Criteria Web Posting Q2 2019 | 6/25/2019 12:00 AM | 2019 | California | Approved |
| ININ_CAID_PU_FacilityEED.pdf | Facility reimbursement for early elective deliveries | 6/19/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_MPTAC_Jan2019update.pdf | January 2019 Medical Policies and Clinical Utilization Management Guidelines Update | 6/27/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_DMERentalClarificationUpdate.pdf | DME Rental Clarification Bulletin | 6/28/2019 12:00 AM | 2019 | Indiana | Approved |
| CACA_CAID_PU_EXPRESSCAPerinatalDepressionScreening.pdf | Screening for perinatal and postpartum depression | 6/28/2019 12:00 AM | 2019 | California | Approved |
| CACA_CAID_PU_PAreqHyperbaric.pdf | Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy | 6/28/2019 12:00 AM | 2019 | California | Approved |
| VAVA_CAID_PU_PAreqHyperbaric.pdf | Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy | 6/28/2019 12:00 AM | 2019 | Virginia | Approved |
| WIWI_CAID_PU_PAreqHyperbaric.pdf | Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy | 6/28/2019 12:00 AM | 2019 | Wisconsin | Approved |
| CACA_CAID_PU_1Q19FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective August 1, 2019 | 6/28/2019 12:00 AM | 2019 | California | Approved |
| KYKY_CAID_PU_1Q19FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective August 1, 2019 | 6/28/2019 12:00 AM | 2019 | Kentucky | Approved |
| NVNV_CAID_PU_1Q19FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective August 1, 2019 | 6/28/2019 12:00 AM | 2019 | Nevada | Approved |
| ININ_CAID_PU_PAreqHyperbaric.pdf | Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy | 7/2/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_MedlineBreastPumpNotification.pdf | Medline Breast Pump Notification Bulletin | 6/27/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_1Q19FormularyChangeNotice.pdf | Quarterly pharmacy formulary change notice effective August 1, 2019 | 7/9/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PUConcurrentBillingBulletin.pdf | Billing of applied behavioral analysis and speech, occupational and physical therapies | 7/8/2019 12:00 AM | 2019 | Indiana | Approved |
| ININ_CAID_PU_DenialUpdateBulletin.pdf | G18 denial code update | 7/10/2019 12:00 AM | 2019 | Indiana | Approved |
| NVNV_CAID_PU_ClinicalCriteria2Q19.pdf | Clinical Criteria Web Posting Q2 2019 | 7/10/2019 12:00 AM | 2019 | Nevada | Approved |
| VAVA_CAID_PU_ClinicalCriteria2Q19.pdf | Clinical Criteria Web Posting Q2 2019 | 7/10/2019 12:00 AM | 2019 | Virginia | Approved |
| WIWI_CAID_PU_ClinicalCriteria2Q19.pdf | Clinical Criteria Web Posting Q2 2019 | 7/10/2019 12:00 AM | 2019 | Wisconsin | Approved |
| NVNV_CAID_PU_EXPRESSProviderPaymentSchedule.pdf | Provider payment schedule updates | 7/15/2019 12:00 AM | 2019 | Nevada | Approved |
| VAVA_CAID_PU_Aug2019NewsLetter.pdf | Provider Satisfaction Survey information | | 2019 | Virginia | Approved |
| CACA_CAID_Admission.pdf | Payment of Emergency Services | 7/17/2019 12:00 AM | 2019 | California | Approved |
| KYKY_CAID_PU_UpdateKYMedicaidDMEFeeSchedulereim.pdf | Update to Kentucky Medicaid durable medical equipment fee schedule reimbursement | 7/15/2019 12:00 AM | 2019 | Kentucky | Approved |
| ININ_CAID_PU_UnspecifiedDXCode.pdf | Unspecified DX Code Update | 7/16/2019 12:00 AM | 2019 | Indiana | Approved |
| KYKY_CAID_PU_ProviderSatisfactionSurvey.pdf | 2019 Provider Satisfaction Survey: We need your help! | 7/15/2019 12:00 AM | 2019 | Kentucky | Approved |
| ININ_CAID_PU_ClinicalCriteria2Q19.pdf | Clinical Criteria Web Posting Q2 2019 | 7/17/2019 12:00 AM | 2019 | Indiana | Approved |
| KYKY_CAID_RP_UnspecifiedDXCodeUpdate.pdf | Unspecified diagnosis code update | 7/23/2019 12:00 AM | 2019 | Kentucky | Approved |
| CACA_CAID_PU_ClinicalCriteria1Q19.pdf | Clinical Criteria Web Posting Q1 2019 | 7/25/2019 12:00 AM | 2019 | California | Approved |
| VAVA_CAID_PU_ClinicalCriteria1Q19.pdf | Clinical Criteria Web Posting Q1 2019 | 7/25/2019 12:00 AM | 2019 | Virginia | Approved |
| KYKY_CAID_PU_EXPRESSClinicalCriteriaWebPostQ22019.pdf | Clinical Criteria Web Posting Q2 2019 | | 2019 | Kentucky | Approved |
| VAVA_CAID_PU_EvaluationManagementServicesOvercodedServices.pdf | Evaluation and management services -over-coded services | 7/30/2019 12:00 AM | 2019 | Virginia | Approved |
| NVNV_CAID_PU_ClinicalCriteriaWeb.pdf | Clinical Criteria Web Posting Q1 2019 | 8/5/2019 12:00 AM | 2019 | Nevada | Approved |
| CACA_CAID_PU_CustomizationforIPCancerTherapy.pdf | Customization for IP Cancer Therapy | 8/6/2019 12:00 AM | 2019 | California | Approved |
| VAVA_CAID_PU_CustomizationforIPCancerTherapy.pdf | Customization for IP Cancer Therapy | 8/6/2019 12:00 AM | 2019 | Virginia | Approved |
| WIWI_CAID_PU_CustomizationforIPCancerTherapy.pdf | Customization for IP Cancer Therapy | 8/6/2019 12:00 AM | 2019 | Wisconsin | Approved |
| ININ_CAID_PU_CLIAProviderNotification.pdf | Clinical Laboratory Improvement Amendments | 8/7/2019 12:00 AM | 2019 | Indiana | Approved |
| KYKY_CAID_PU_CLIAProviderNotification.pdf | Clinical Laboratory Improvement Amendments | 8/7/2019 12:00 AM | 2019 | Kentucky | Approved |
| NVNV_CAID_PU_CLIAProviderNotification.pdf | Clinical Laboratory Improvement Amendments | 8/7/2019 12:00 AM | 2019 | Nevada | Approved |
| VAVA_CAID_PU_CLIAProviderNotification.pdf | Clinical Laboratory Improvement Amendments | 8/7/2019 12:00 AM | 2019 | Virginia | Approved |
| WIWI_CAID_PU_CLIAProviderNotification.pdf | Clinical Laboratory Improvement Amendments | 8/7/2019 12:00 AM | 2019 | Wisconsin | Approved |
| CACA_CAID_PU_SemiAnnualCostOfCareReview.pdf | Prior authorization changes | 8/7/2019 12:00 AM | 2019 | California | Approved |
| VAVA_CAID_PU_SemiAnnualCostOfCareReview.pdf | Prior authorization changes | 8/7/2019 12:00 AM | 2019 | Virginia | Approved |
| WIWI_CAID_PU_SemiAnnualCostOfCareReview.pdf | Prior authorization changes | 8/7/2019 12:00 AM | 2019 | Wisconsin | Approved |
| ININ_CAID_PU_SemiAnnualCostofCareReview.pdf | Prior authorization changes | 8/7/2019 12:00 AM | 2019 | Indiana | Approved |
| WIWI_CAID_PU_ClinicalCriteria1Q19.pdf | Clinical Criteria Web Posting Q1 2019 | 8/8/2019 12:00 AM | 2019 | Wisconsin | Approved |
| VAVA_CAID_PU_TaxonomyCodes.pdf | Taxonomy codes | 8/9/2019 12:00 AM | 2019 | Virginia | Approved |
| CACA_CAID_PU_CCRTConfigurationPAChanges.pdf | Prior authorization requirements for Global March MPTAC CCRT Configuration | 8/9/2019 12:00 AM | 2019 | California | Approved |
| KYKY_CAID_PU_InterQual2019update.pdf | InterQual 2019 update | 8/14/2019 12:00 AM | 2019 | Kentucky | Approved |
| KYKY_CAID_PU_ProviderPaymentSchedule.pdf | Provider payment schedule updates | 8/14/2019 12:00 AM | 2019 | Kentucky | Approved |
| VAVA_CAID_PU_MedicalNecessityReviewAppropriateLevelCare.pdf | Medical necessity review for appropriate level of care | 8/15/2019 12:00 AM | 2019 | Virginia | Approved |
| CACA_CAID_PU_RegulatoryUpdates.pdf | Regulatory updates | 8/15/2019 12:00 AM | 2019 | California | Approved |
| CACA_CAID_PU_EXPRESSWavePartDIngenioRx.pdf | MMP Pharmacy benefit manager change to IngenioRx | 8/19/2019 12:00 AM | 2019 | California, CAMMP | Approved |
| CACA_CAID_PU_MedicareCoCRules.pdf | MMP Q2 2019 Changes to PA Requirements | 8/19/2019 12:00 AM | 2019 | California, CAMMP | Approved |
| ININ_CAID_PharmacyBenefitManagerIngenioRX.pdf | Pharmacy benefit manager change to IngenioRx | 8/19/2019 12:00 AM | 2019 | Indiana | Approved |
| VAVA_CAID_PharmacyBenefitManagerIngenioRX.pdf | Pharmacy benefit manager change to IngenioRx | 8/19/2019 12:00 AM | 2019 | Virginia | Approved |
| KYKY_CAID_PharmacyBenefitManagerIngenioRX.pdf | Pharmacy benefit manager change to IngenioRx | 8/19/2019 12:00 AM | 2019 | Kentucky | Approved |
| CACA_CAID_PharmacyBenefitManagerIngenioRX.pdf | Pharmacy benefit manager change to IngenioRx | 8/19/2019 12:00 AM | 2019 | California | Approved |
| WIWI_CAID_PU_PediatricTherapyUpdates.pdf | Pediatric therapy update | 8/20/2019 12:00 AM | 2019 | Wisconsin | Approved |
| KYKY_CAID_PU_ClinicalCriteriaWebQ12019.pdf | Clinical Criteria web posting Q1 2019 | 8/20/2019 12:00 AM | 2019 | Kentucky | Approved |
| VAVA_CAID_PU_MedroxyprogesteroneInjectFormularyChange.pdf | Medroxyprogesterone Injectives Formulary Change Notice | 8/23/2019 12:00 AM | 2019 | Virginia | Approved |
| NVNV_CAID_PU_MPTACBulletinNotifJan2019.pdf | January 2019 Medical Policies and Clinical Utilization Management Guidelines Update RELEVANT URL | | 2019 | Nevada | Approved |