Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Availity Portal for behavioral health authorizations, or contactProviderServices for assistance. You'll also find news and updates for all lines of business. In Ohio: Community Insurance Company. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. Independent licensees of the Blue Cross Association. Forms and information about behavioral health services for your patients. Here you'll find information on the available plans and their benefits. Prior authorization requirement changes effective June 1, 2022 Mar 1, 2022 State & Federal / Medicare On June 1, 2022, prior authorization (PA) requirements will change for a code covered by Anthem Blue Cross and Blue Shield. Use the Prior Authorization tool within Availity, or Contact Provider Services To submit a precertification request: Log in to Availity. In Maine: Anthem Health Plans of Maine, Inc. Choose My Signature. In 2020, Part B step therapy may apply to some categories . In Connecticut: Anthem Health Plans, Inc. We look forward to working with you to provide quality services to our members. Note: Blue High Performance NetworkSM (BlueHPNSM) members have limited benefits at the University of Maryland Medical System Downtown Campus. Inpatient services and nonparticipating providers always require prior authorization. The notice also refers to a medical policy for more information to help clarify when and how prior authorization requirements may apply. Call our Customer Service number, (TTY: 711). Please use the In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. This approval process is called prior authorization. For costs and complete details of the coverage, please contact your agent or the health plan. To get started, select the state you live in. Anthem Blue Cross is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California Partnership Plan, Inc. Decide on what kind of signature to create. HealthKeepers, Inc. recommends submitting prior authorization requests for Anthem HealthKeepers Plus members via Interactive Care Reviewer (ICR), a secure Utilization Management tool available in Availity. U.S. Department of Health & Human Services, National Association of Insurance Commissioners, Medicare Complaints, Grievances & Appeals. FEP Medications requiring online prior authorization, Intravenous Immune Globulin (IVIG) Therapy, Stereotactic Radiosurgery Using Gamma Rays, Surprise Billing - Out-Of-Network Provider Notice, Ambulance -elective air transport only (10.0.005), Behavioral Health and Substance Use Disorder (Milliman Care Guidelines), Repetitive Transcranial Magnetic Stimulation (TMS), Inpatient Behavioral Health and Substance Use Disorder, Home health care (Criteria defined in the employer group benefit contract), Home Infusion Therapy (Criteria defined in the employer group benefit contract), Hospice (Criteria defined in the employer group benefit contract), Inpatient rehabilitation (Apollo Managed Care Physical Therapy, Occupational Therapy and Rehabilitation Care), Maternity Services- inpatient only, for stay greater than 48/96 hours (Criteria defined in the employer group benefit contract), Out-of-network services (Benefits available according to the member contract), Private Duty Nursing (Criteria defined in the employer group benefit contract), Skilled nursing facility admissions (Apollo Managed Care Physical Therapy, Occupational Therapy and Rehabilitation Care). Community Supports under CalAIM are voluntary wrap-around services or settings available to members as a substitute for utilization of other services that focus on medical and/or needs that arise from social determinants of health. The following summaries and related prior authorization lists were posted on the Support Materials (Government Programs) page as of Jan. 1, 2021: Important Reminder: Check Eligibility and Benefits First ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. To get started, select the state you live in. BCBS FEP Vision covers frames, lenses, and eye exams. For your convenience, we've put these commonly used documents together in one place. Prior Authorization (Nonpharmacy) Provider Correspondence Forms. Medicare Coverage with Anthem Medicare Information Medicare Coverage and Enrollment Turning 65 Medicare Advantage Plans: Part C Medicare Part D Plans Medicare Supplement Plans (Medigap) Dental and Vision Coverage CareCare What to Know Getting Better Care Preventive Health Find Care Medicare Caregiver Resources SupportSupport Login Registration If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Information to help you maximize your performance in our quality programs. This includes our Medicaid Blue Cross Community Health PlansSM (BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM and Blue Cross Medicare Advantage (PPO)SM(MA PPO) members. Federal and state law, as well as state contract language and Centers for Medicare & Medicaid Services (CMS) guidelines, including definitions and specific contract provisions/exclusions take precedence over these precertification rules and must be considered first when determining coverage. Inpatient services and nonparticipating providers always require prior authorization. Our Interactive Care Reviewer (ICR) tool via Availity is the preferred method for submitting prior authorization requests, offering a streamlined and efficient experience for providers requesting inpatient and outpatient medical or behavioral health services for our members. You can also check status of an existing request and auto-authorize more than 40 common procedures. 2020 copyright of Anthem Insurance Companies, Inc. HealthKeepers, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. CareFirst Commercial Pre-Service Review and Prior Authorization. Commercial non-HMO prior authorization requests can be submitted to AIM in two ways. The latest edition and archives of our quarterly quality newsletter. Anthem Blue Cross is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California Partnership Plan, Inc. CoverKids. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. External link You are leaving this website/app (site). Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. There are three variants; a typed, drawn or uploaded signature. ). Contact will be made by an insurance agent or insurance company. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. . Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2022. Type at least three letters and well start finding suggestions for you. Visit our PharmacyInformation page for formulary information and pharmacy prior authorization forms. CareFirst does not guarantee that this list is complete or current. Providers should continue to verify member eligibility and benefits prior to rendering services. This step will help you determine if prior authorization may be required for a specific member and service. Medicare Advantage Providers Anthem offers a variety of Medicare plans to support member needs. Under the "Manuals" heading, click on the blue "Behavioral Health Provider Manual" text. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Not connected with or endorsed by the U.S. Government or the federal Medicare program. With three rich options to choose from, weve got you covered. As your health needs evolve, our diverse plans are designed to evolve with you. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Additionally, providers can use this tool to make inquiries on previously submitted requests, regardless of how they were sent (phone, fax, ICR or another online tool). Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. Prior Authorization for Certain Hospital Outpatient Department (OPD) Services Prior Authorization of Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items Review Choice Demonstration for Home Health Services Return to Top To view this file, you may need to install a PDF reader program. rationale behind certain code pairs in the database. On June 1, 2022, prior authorization (PA) requirements will change for a code covered by Anthem Blue Cross and Blue Shield. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. Anthem offers great healthcare options for federal employees and their families. Benefits will be determined once a claim is received and will be based upon, among other things, the members eligibility and the terms of the members certificate of coverage applicable on the date services were rendered. This approval process is called prior authorization. %%EOF Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. COVID-19 Information - New Hampshire - Publication RETIRED as of November 8, 2022. Please check your schedule of benefits for coverage information. Home Health/Home Infusion Therapy/Hospice: 888-567-5703. Contact 866-773-2884 for authorization regarding treatment. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as eviCore, AIM or Availity. In the event that the emergency room visit results in the members admission to the hospital, providers must contact Anthem within one business day following admission or post-stabilization. If you have any questions, call the number on the members ID card. To view the medical policies associated with each service, click the link or search for the policy number in the Medical Policy Reference Manual. Prior authorization requirements and coverage may vary from standard membership and will be documented in additional information sections. Medicare Advantage. You can use the PriorAuthorizationLookupTool or reference the provider manual to determine if authorization is needed. Prior authorization requirements will be added for the following codes: Not all PA requirements are listed here. Prior authorization list. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. In Maine: Anthem Health Plans of Maine, Inc. Please verify benefit coverage prior to rendering services. (Note: For changes to come later this year, refer to this notice, posted Dec. 31, 2020: New Prior Authorization Requirements for Advocate Aurora Health Members Will Take Effect April 1, 2021.). HealthKeepers, Inc. recommends submitting prior authorization requests for Anthem HealthKeepers Plus members via Interactive Care Reviewer (ICR), a secure Utilization Management tool available in Availity. The BH prior authorization policy is outlined in the BH Provider Manual and can be accessed by following the instructions below. Select Patient Registration from the top navigation. If you have questions regarding the list, please contact the dedicated FEP Customer Service team at 800-532-1537. You may also view the prior approval information in the Service Benefit Plan Brochures. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. cost of services to the member if denied by Anthem for lack of medical necessity: (1) Procedures, equipment, and/or specialty infusio n drugs which have medically necessary criteria determined by Corporate Medical Policy or Adopted Clinical Guidelines. Use of the Anthem websites constitutes your agreement with our Terms of Use. A follow-up article with additional information on transition of member care was posted Dec. 4, 2020. Commercial Prior Authorization Summary and Code Lists Long-Term Care (LTC) Forms. 451 0 obj <> endobj Future updates regarding COVID-19 will appear in the monthly Provider News publication. This list contains notification/prior authorization requirements for inpatient and outpatient services. endstream endobj 452 0 obj <. Effective 01/01/2023 (includes changes effective 04/01/2023) . Get the latest news to help improve your life and keep you healthy. The purpose of this communication is the solicitation of insurance. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. Providers and staff can also contact Anthem for help with prior authorization via the following methods: Pharmacy Prior Authorization Center for Medi-Cal: *For Medicare-Medicaid Plan pharmacy requests, please contact Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan) Customer Care at 855-817-5786. Electronic authorizations. PPO outpatient services do not require Pre-Service Review. Inpatient Clinical: 800-416-9195. PA requirements are available to contracted providers on the provider websiteat Medicare Advantage Providers | Anthem.com > Login or by accessing Availity. BlueCross BlueShield of Tennessee is a Qualified Health Plan issuer in the Health Insurance Marketplace. In Connecticut: Anthem Health Plans, Inc. Start by choosing your patient's network listed below. 494 0 obj <>stream In Kentucky: Anthem Health Plans of Kentucky, Inc. Anthem does not require prior authorization for treatment of emergency medical conditions. Prior Authorization for Some Commercial Members Will Transition from eviCore to AIM, Effective Jan. 1, 2021 This notice was posted Oct. 1, 2020, to alert you of a utilization management vendor change. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Phone - Call the AIM Contact Center at 866-455-8415, Monday through Friday, 6 a.m. to 6 p.m., CT; and 9 a.m. to noon, CT on weekends and holidays. For more information, please refer to the Medical Policy Reference Manual. As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED. Anthem is a registered trademark of Anthem Insurance Companies, Inc. These manuals are your source for important information about our policies and procedures. Online - The AIM ProviderPortal is available 24x7. We've provided the following resources to help you understand Empire's prior authorization process and obtain authorization for your patients when it's . Infusion Site of Care Prior Authorization Drug List: New Codes Will Be Added, Effective Jan. 1, 2021 This notice was posted Dec. 28, 2020, to advise you of 14 new codes being added to our specialty pharmacy prior authorization drug list. We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's required. Create your signature and click Ok. Press Done. One option is Adobe Reader which has a built-in reader. hb``` ce`a`Y5 bR;)/}ksN}J^dcZ9@ @Hw400P`a Pl fKU0 e`c cpIqc1$frf3Hf6S\k{3*0ue`dzAyF ~ H00#9 L 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. Scroll down to the table of contents. Providers should continue to verify member eligibility and benefits prior to rendering services. Bundling Rationale (Claims filed before Aug. 25, 2017). In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. You'll also find news and updates for all lines of business. Its critical to check member eligibility and benefits through the Availity Provider Portal or your preferred vendor portal prior to every scheduled appointment. Referencing the . BlueCross BlueShield of Tennessee uses a clinical editing database. Here are links to some recent communications that were posted to notify you of important changes: Government Programs Prior Authorization Summary and Code Lists Access eligibility and benefits information on the Availity Web Portal or Use the Prior Authorization Lookup Tool within Availity or Contact the Customer Care Center: Outside Los Angeles County: 1-800-407-4627 Inside Los Angeles County: 1-888-285-7801 Customer Care Center hours are Monday to Friday 7 a.m. to 7 p.m. From cleanings to crowns, BCBS FEP Dental coverage options are available for federal employees, retirees, and eligible retired uniformed service members. Drug list/Formulary inclusion does not infer a drug is a covered benefit. Select Auth/Referral Inquiry or Authorizations. Prior authorization requirements are specific to each patients policy type and the procedure(s) being rendered. For 2021, there were no changes to overall care categories, but some of the codes within certain categories may have been updated. The prior authorization information in this notice does not apply to requests for HMO members. Code Bundling Rationale 2017 Q3 CPT Codes, Code Bundling Rationale 2017 Q2CPT Codes, Code Bundling Rationale 2017 Q1CPT Codes, Code Bundling Rationale 2016 Q4CPT Codes, Code Bundling Rationale 2016 Q3CPT Codes, Code Bundling Rationale 2016 Q2CPT Codes, Code Bundling Rationale 2016 Q1CPT Codes, Code Bundling Rationale 2015 Q4CPT Codes, Code Bundling Rationale 2015 Q3CPT Codes, Code Bundling Rationale 2015 Q2CPT Codes, Code Bundling Rationale 2015 Q1CPT Codes, Code Bundling Rationale 2014 Q4CPT Codes, Code Bundling Rationale 2014 Q3CPT Codes, Code Bundling Rationale 2014 Q2CPT Codes, Code Bundling Rationale 2014 Q1CPT Codes, Code Bundling Rationale 2013 Q4CPT Codes, Code Bundling Rationale 2013 Q3CPT Codes, Code Bundling Rationale 2013 Q2CPT Codes, Code Bundling Rationale 2013 Q1CPT Codes, Code Bundling Rationale 2012 Q4CPT Codes, Code Bundling Rationale 2012 Q3CPT Codes, Code Bundling Rationale 2012 Q2CPT Codes, Code Bundling Rationale 2012 Q1CPT Codes, Code Bundling Rationale 2011 Q4CPT Codes, Code Bundling Rationale 2011 Q3CPT Codes, Code Bundling Rationale 2011 Q2CPT Codes, Code Bundling Rationale 2011 Q1CPT Codes, Code Bundling Rationale 2010 Q4CPT Codes, Code Bundling Rationale 2010 Q3CPT Codes, Code Bundling Rationale 2010 Q2CPT Codes, Code Bundling Rationale 2010 Q1CPT Codes, 1998-document.write(new Date().getFullYear()); BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the Blue Cross Blue Shield Association. In addition, some sites may require you to agree to their terms of use and privacy policy. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). Access the BH Provider Manuals, Rates and Resources webpage here. Do not sell or share my personal information. The form contains important information regarding the patient's medical history and requested medication which Anthem will use to determine whether or not the prescription is included in the patient's health care plan. This tool does not reflect benefits coverage* nor does it include an exhaustive listing of all noncovered services (in other words, experimental procedures, cosmetic surgery, etc. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees. Anthem is available via the Interactive Care Reviewer (ICR) in Availity 24/7 to accept emergent admission notification. Prior Authorization Requirements. Details about new programs and changes to our procedures and guidelines. Type at least three letters and well start finding suggestions for you. Independent licensees of the Blue Cross Association. Forms and information about behavioral health services for your patients. Musculoskeletal (eviCore): 800-540-2406. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. Information about benefits for your patients covered by the BlueCard program. endstream endobj startxref A prior approval is required for the procedures listed below for both the FEP Standard and Basic Option plan and the FEP Blue Focus plan. In the District of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified Benefits are the business names of First Care, Inc. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Here youll find information on the available plans and their benefits. Anthem offers great healthcare options for federal employees and their families. Enhanced Care Management (ECM) under CalAIM is a care management benefit that is community-based and provides a whole person approach to care that addresses the clinical and nonclinical needs of members with the most complex medical and social needs. For your convenience, we've put these commonly used documents together in one place. Please reference the Blues & CDHP Products Prior Authorization List on the Prior Authorization webpage. Providers should call the prior authorization number on the back of the member ID card. 844-912-0938 Email: OhioMedicaidProvider@anthem.com Prior authorization resources and contact information Services Requiring Prior Authorization Inpatient prior authorization fax numbers Physical health: 877-643-0671 Behavioral health: 866-577-2184 Medicaid prior authorization: 800-964-3627 Outpatient prior authorization fax numbers To learn more about required Colorado timelines for decisions regarding PA requests, please click, The Colorado Prescription Drug Prior Authorization Request form, The New Hampshire Prescription Drug Uniform Prior Authorization Request Form. Prior authorization requirements and coverage may vary from standard membership and will be documented in additional information sections. * Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. ICR offers a fast, efficient way to securely submit prior authorization requests with clinical documentation. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. 711. Most PDF readers are a free download. These documents contain information about upcoming code edits. 477 0 obj <>/Filter/FlateDecode/ID[<530E5E682DBDAA468541E11BFAD96BAD>]/Index[451 44]/Info 450 0 R/Length 122/Prev 255106/Root 452 0 R/Size 495/Type/XRef/W[1 3 1]>>stream Anthems PriorAuthorizationLookupToolOnlinecan assist with determining a codes prior authorization requirements. In Virginia, CareFirst MedPlus and CareFirst Diversified Benefits are is the business names of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). Learn about the NAIC rules regarding coordination of benefits. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. Start by choosing your patient's network listed below. Third-Party Liability (TPL) Forms. Do not sell or share my personal information. Provider Enrollment Forms. Please refer to the criteria listed below for genetic testing. In Ohio: Community Insurance Company. Launch Provider Learning Hub Now Claims Overview Forms Electronic Data Interchange (EDI) 2022 Standard Pre-certification list . eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides utilization management services for BCBSIL. You can also refer to the provider manual for information about services that require prior authorization. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Availity, LLC is an independent company providing administrative support services on behalf of HealthKeepers, Inc. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). February 2023 Anthem Provider News - Virginia, New ID cards for Anthem Blue Cross and Blue Shield members - Virginia, Telephonic-only care allowance extended through April 11, 2023 - Virginia, January 2023 Anthem Provider News - Virginia, December 2022 Anthem Provider News - Virginia, Medicare Advantage Providers | Anthem.com, March 2022 Anthem Provider News - Virginia, K1022 Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type. Prior authorization to confirm medical necessity is required for certain services and benefit plans as part of our commitment to help ensure all Blue Cross and Blue Shield of Illinois (BCBSIL) members get the right care, at the right time, in the right setting. Prior Authorization. We encourage providers to use An Anthem (Blue Cross Blue Shield) prior authorization form is what physicians will use when requesting payment for a patient's prescription cost. Llc is an independent company providing administrative support services on behalf of Anthem Cross! Underwritten by HMO Colorado, Inc. and the Dental network, Inc. and the Dental network, is. University of Maryland, Inc. is an independent company providing administrative support services on behalf of Anthem Insurance Companies Inc.. Rates and Resources webpage here Cross Blue Shield names and symbols are registered marks of the Agency healthcare. List contains notification/prior authorization requirements are available to you Health & Human services, of... These manuals are your source for important information about behavioral Health authorizations, or for... Quality ( AHRQ ) s ) being rendered our members for HMO members monthly! Future updates regarding COVID-19 will appear in the BH Provider manuals, Rates and Resources webpage here coverage! Plans of Maine, Inc ) 2022 standard Pre-certification list manual to determine if prior authorization requirements are specific each... 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