Wisconsin
Provider Communications

Articles

Title Publication Category Date

Anthem SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

February 2020 Anthem Provider News - Wisconsin Administrative Feb 1, 2020

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - March 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.
March 2020 Anthem Provider News - Wisconsin Administrative Mar 1, 2020

Patient360 enhancement for medical providers

March 2020 Anthem Provider News - Wisconsin Administrative Mar 1, 2020

Anthem Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2020

March 2020 Anthem Provider News - Wisconsin Administrative Mar 1, 2020

Modifier use reminders

March 2020 Anthem Provider News - Wisconsin Administrative Mar 1, 2020

Important coding reminder for walk-in retail health clinics

March 2020 Anthem Provider News - Wisconsin Administrative Mar 1, 2020

Provider News site enhancements

March 2020 Anthem Provider News - Wisconsin Administrative Mar 1, 2020

Anthem acquires Beacon Health Options

April 2020 Anthem Provider News - Wisconsin Administrative Mar 2, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated May 29, 2020)

We are extending coverage for telehealth and telephonic-only care. Through September 13, 2020, Anthem will waive member cost shares for telehealth visits from in-network providers, including visits for mental health or substance use disorders.
COVID-19 Information - Wisconsin Administrative May 29, 2020

Information from Anthem for Care Providers about COVID-19 (Updated May 29, 2020)

We recently updated FAQs to reflect the extension of coverage for telehealth and telephonic care.
COVID-19 Information - Wisconsin Administrative May 29, 2020

Important COVID-19 update: Prior authorization and other policy adjustments (Updated May 29, 2020)

We’ve updated guidance about prior authorization requirements and other policy adjustments in response to unprecedented demands on health care providers.
COVID-19 Information - Wisconsin Administrative May 29, 2020

Notice of Material Changes/Amendments to Contract and/or Prior Authorization Changes - April 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.

April 2020 Anthem Provider News - Wisconsin Administrative Apr 1, 2020

Information from Anthem for Care Providers about COVID-19

*Please bookmark/add to favorites Provider News Home for the latest information about COVID-19.
April 2020 Anthem Provider News - Wisconsin Administrative Apr 1, 2020

Anthem continues focus on updates to our public provider website

April 2020 Anthem Provider News - Wisconsin Administrative Apr 1, 2020

Provider Transparency Update

April 2020 Anthem Provider News - Wisconsin Administrative Apr 1, 2020

Anthem waives cost share for COVID-19 treatment (Updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information - Wisconsin Administrative May 29, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them, Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information - Wisconsin Administrative Apr 10, 2020

COVID-19 information repository for Anthem Care Providers

May 2020 Anthem Provider News - Wisconsin Administrative May 1, 2020

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - May 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.
May 2020 Anthem Provider News - Wisconsin Administrative May 1, 2020

Updated Provider Manual now available

May 2020 Anthem Provider News - Wisconsin Administrative May 1, 2020

Anthem Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

May 2020 Anthem Provider News - Wisconsin Administrative May 1, 2020

Quality Corner: Diabetes HbA1c<8 HEDIS Guidance

May 2020 Anthem Provider News - Wisconsin Administrative May 1, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information - Wisconsin Administrative May 1, 2020

Important update and clarity regarding National Medical Funding Services

COVID-19 Information - Wisconsin Administrative May 8, 2020

Introducing lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Beginning June 1, 2020, Anthem is introducing our Anthem Health Access Plans for certain large group employers currently enrolled in our commercial lines of business only.
COVID-19 Information - Wisconsin Administrative May 26, 2020

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
COVID-19 Information - Wisconsin Administrative Jun 1, 2020

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - June 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.
June 2020 Anthem Provider News - Wisconsin Administrative Jun 1, 2020

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

June 2020 Anthem Provider News - Wisconsin Administrative Jun 1, 2020

Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program Continues

June 2020 Anthem Provider News - Wisconsin Administrative Jun 1, 2020

Availity Portal Notification Center

June 2020 Anthem Provider News - Wisconsin Administrative Jun 1, 2020

Quality Corner: CPT® Category II Codes - Collaborating for enhanced patient care

June 2020 Anthem Provider News - Wisconsin Administrative Jun 1, 2020

Member Satisfaction with Behavioral Health Outpatient Services (WI)

February 2019 Anthem Wisconsin Provider Newsletter Behavioral Health Feb 1, 2019

Access requirements for behavioral health care services

September 2019 Anthem Provider News - Wisconsin Behavioral Health Sep 1, 2019

Coding tip for psychological and neuropsychological testing

December 2019 Anthem Provider News - Wisconsin Behavioral Health Dec 1, 2019

Shine Light on Depression

February 2020 Anthem Provider News - Wisconsin Behavioral Health Feb 1, 2020

Webinar: How to Leverage Telehealth to Care for Behavioral Health Patients During COVID-19 and Beyond

Attend this free webinar to assist Behavioral Health providers in maximizing the telehealth experience.
COVID-19 Information - Wisconsin Behavioral Health Jun 2, 2020

Anthem enhances process for submitting behavioral health authorizations - now available

June 2020 Anthem Provider News - Wisconsin Behavioral Health Jun 1, 2020

Quality Corner: Follow-Up after Hospitalization for Mental Illness

June 2020 Anthem Provider News - Wisconsin Behavioral Health Jun 1, 2020

Clinical practice and preventive health guidelines

October 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Sep 28, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Interactive Care Reviewer (ICR) New Features

December 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

2019 FEP Benefit information available online

December 2018 Anthem Wisconsin Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2018 Anthem Wisconsin Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Benefit change for Infliximab for Federal Employee Program (FEP)

December 2018 Anthem Wisconsin Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Wisconsin Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Jul 1, 2019

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review*

October 2019 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification information for the Federal Employee Program*

October 2019 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Oct 1, 2019

Coordination of benefits for an FEP® member

December 2019 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Dec 1, 2019

2020 FEP® Benefit information available online

January 2020 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Jan 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Apr 1, 2020

Prior authorization requirements for Somatrem

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for Interferon beta-1a

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for high-level, definitive drug testing

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Medical Policies and Clinical Utilization Management Guidelines update - May 2018

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Medical Policies and Clinical Utilization Management Guidelines update - March 2018

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Vaginal birth after cesarean shared decision-making aid available

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

EDI Gateway migration

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Medical Policies and Clinical Utilization Management Guidelines update - January 2018

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Anthem fights opioid addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Electronic data interchange (EDI) gateway update

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Transition of Outpatient Rehabilitation Utilization Management Program effective January 1, 2019

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

NCQA: Pharmacy Management Information

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

NCQA: Practitioners’ Rights during Credentialing Process

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Coding Spotlight: Substance Use Disorders and Smoking

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

UPDATE: Prior Authorization Requirements for High-Level, Definitive Drug Testing Delayed

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Prior Authorization Requirements for Sublocade

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Reimbursement Policy Update: Claims Requiring Additional Documentation

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Transition of Outpatient Rehabilitation Utilization Management program

January 2019 Anthem Wisconsin Provider Newsletter Medicaid Jan 1, 2019

My Diverse Patients - a website to support your diverse patients

January 2019 Anthem Wisconsin Provider Newsletter Medicaid Jan 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update: January 2019

January 2019 Anthem Wisconsin Provider Newsletter Medicaid Jan 1, 2019

Coding spotlight: Diabetes - provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Wisconsin Provider Newsletter Medicaid Feb 1, 2019

Introducing a new clinical criteria webpage for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Wisconsin Provider Newsletter Medicaid Feb 1, 2019

Coding Spotlight: Cancer - a provider’s guide to properly code cancers

March 2019 Anthem Provider Newsletter - Wisconsin Medicaid Mar 1, 2019

Neonatal intensive care unit post-traumatic stress disorder program

March 2019 Anthem Provider Newsletter - Wisconsin Medicaid Mar 1, 2019

Provider surveys

April 2019 Anthem Provider Newsletter - Wisconsin Medicaid Apr 1, 2019

November 2018 Medical Policies and Clinical Utilization Management Guidelines update

April 2019 Anthem Provider Newsletter - Wisconsin Medicaid Apr 1, 2019

Clinical Criteria updates

April 2019 Anthem Provider Newsletter - Wisconsin Medicaid Apr 1, 2019

Help prevent preeclampsia with prenatal aspirin

April 2019 Anthem Provider Newsletter - Wisconsin Medicaid Apr 1, 2019

Practitioners’ rights during credentialing process

April 2019 Anthem Provider Newsletter - Wisconsin Medicaid Apr 1, 2019

Medicaid News - May 2019

May 2019 Anthem Provider Newsletter - Wisconsin Medicaid May 1, 2019

Clinical Criteria updates - May 2019

May 2019 Anthem Provider Newsletter - Wisconsin Medicaid May 1, 2019

Medicaid News -- June 2019

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

Complex Case Management program

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

Important information about utilization management

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

Members' Rights and Responsibilities Statement

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

New service types added to Availity

July 2019 Anthem Provider News - Wisconsin Medicaid Jul 1, 2019

Coding Spotlight: Hypertension

July 2019 Anthem Provider News - Wisconsin Medicaid Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Provider News - Wisconsin Medicaid Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Provider News - Wisconsin Medicaid Jul 1, 2019

Medicaid News -- August 2019

August 2019 Anthem Provider News - Wisconsin Medicaid Aug 1, 2019

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News - Wisconsin Medicaid Aug 1, 2019

Pharmacy management information

August 2019 Anthem Provider News - Wisconsin Medicaid Aug 1, 2019

Use the Provider Maintenance Form for professional providers to update your information

August 2019 Anthem Provider News - Wisconsin Medicaid Aug 1, 2019
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