Wisconsin
Provider Communications

April 2022 Anthem Provider News - Wisconsin

Download as PDF

Title Category

CAA: Update your provider directory information

Administrative

Catching up on routine vaccines

Administrative

Clinical Criteria updates

Medicaid

Clinical Criteria updates

Medicare

Designated specialty pharmacy network updates*

*Material Adverse Change (MAC)
Pharmacy

Disease Management/Population Health program

Medicaid

Evaluation and management documentation guidelines

Administrative

Evaluation and management documentation guidelines

Medicaid

Evaluation and management documentation guidelines

Medicare

HEDIS 2022: Summary of changes from NCQA

Administrative

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

Medicare

Importance of behavioral healthcare after-hours messaging

Administrative

Keep up with Medicaid News - April 2022

- Medical policies and clinical utilization management guidelines update
- Phone number change for AIM in Wisconsin
- Medical drug benefit clinical criteria updates
- Specialty pharmacy site of care program retraction
- Prior authorization updates for medications billed under the medical benefit
Medicaid

Keep up with Medicare News - April 2022

- Medical Policies and Clinical Utilization Management Guidelines update
- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Anthem expands specialty pharmacy precertification list
Medicare

Member benefit lookup by procedure code

Digital Tools

Model of Care required training

Medicare

Pharmacy information available at anthem.com

Pharmacy

Procedure searches in Find Care

Digital Tools

Reimbursement policy update: Inpatient readmissions

Medicaid

Reimbursement policy update: Inpatient readmissions

Medicare

Reminder on Botox for Anthem members

Administrative

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

Federal Employee Plan (FEP)

Specialty pharmacy updates - April 2022*

*Material Adverse Change (MAC)
Pharmacy

The Anthem, Inc. name is changing

Administrative

The Anthem, Inc. name is changing

Medicaid

The Anthem, Inc. name is changing

Medicare

The impact of listening

Medicare
Page 1 of 1