Anthem BCBS Medical Policy and Clinical Guideline Updates

April 2018 ~

Anthem BlueCross and BlueShield (BCBS) has released the most recent updates to its medical policies and clinical guidelines.

The following updates were reviewed by Anthem BCBS during the first quarter for Indiana, Kentucky, Missouri, Ohio and Wisconsin and will become effective on the dates indicated below.

Medical Policies Converted to Clinical Guidelines Effective May 1, 2018

Medical Policies Converted to Clinical Guidelines Effective July 1, 2018

Revisions to Current Medical Policies -or- Clinical Guidelines

Updated Behavioral Health LOC Guideline Effective July 1, 2018

MPTAC approved the use of MCG 22nd edition of ORG: B-905-CI (BHG) – Crisis Intervention Behavioral Health Level of Care (LOC).

For more information and a complete listing of medical policies and clinical guidelines go to Anthem’s provider page to access state specific resources.



Source(s): Anthem BlueCross BlueShield Network Update April 2018;