Wisconsin
Provider Communications

December 2020 Anthem Provider News - Wisconsin

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Title Category

2-minute videos to engage patients about preventive care

Administrative

2021 Medicare Advantage individual benefits and formularies

Medicare

Access requirements for behavioral health care services

Behavioral Health

Access to claim denial information is now self-service

Administrative

AIM IVR changes for non-oncology medical specialty drug reviews effective Jan. 1, 2021

Pharmacy

Anthem contracted air ambulance providers for Wisconsin

Administrative

Anthem expands hospice policy

Medical Policy & Clinical Guidelines

Anthem makes going digital easy with the Provider Digital Engagement Supplement

Administrative

CAHPS education for providers

Medicaid

Case management program

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Medical Policy & Clinical Guidelines

Coordination of care

Administrative

Digital transactions cut administrative tasks in half

Medicaid

Digital transactions cut administrative tasks in half

Medicare

Important information about utilization management

Administrative

Medicaid News - December 2020

View these Medicaid article:
- Anti-VEGF Medical Step Therapy Notice
- Important reminder: Coding requirements for reimbursement for early elective deliveries
- Transition to AIM small joint guidelines

Medicaid

Medical policies and clinical utilization management guidelines update

Medicare

Medical policy and clinical guideline updates - December 2020*

Medical Policy & Clinical Guidelines

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

Medicare

Members’ rights and responsibilities

Administrative

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - December 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
Administrative

Notifications on the Availity Portal

Medicaid

PCP after-hours access requirements

Administrative

Pharmacy information available at anthem.com

Pharmacy

Plans accessing new Blue HPN® network go live Jan. 1, 2021

Administrative

Policy Update: Emergency Department: Leveling of Evaluation and Management Services

Medicare

Prior authorization updates for specialty pharmacy are available - December 2020*

Pharmacy

Reimbursement policy update: Bundled services and supplies (Professional)*

Reimbursement Policies

Reimbursement policy update: DRG newborn inpatient stays (Facility)*

Reimbursement Policies

Resources to support your pregnant and postpartum patients and their families

Medicaid

Sign up to receive email from Anthem Blue Cross and Blue Shield

Medicaid

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

Medical Policy & Clinical Guidelines

Transition to AIM small joint guidelines

Medicare

Updated BlueCard® Program Provider Manual available Jan. 1, 2021

Administrative

Updates to AIM Advanced Imaging clinical appropriateness guideline*

Medical Policy & Clinical Guidelines

Updates to AIM Cardiology clinical appropriateness guidelines*

Medical Policy & Clinical Guidelines

Updates to AIM Radiation Oncology clinical appropriateness guideline*

Medical Policy & Clinical Guidelines
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