Wisconsin
Provider Communications

Articles Recent

Title Publication Category Date

Keep up with Medicaid News - May 2022

- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Prior authorization requirement change for HCPCS code K1022
- New specialty pharmacy medical step therapy requirements-March 2022
May 2022 Anthem Provider News - Wisconsin Medicaid May 1, 2022

Screening for alcohol use disorder in high-prevalence demographics

May 2022 Anthem Provider News - Wisconsin Medicaid May 1, 2022

Keep up with Medicare News - May 2022

- Anthem expands specialty pharmacy precertification list-March 2022 update
- Anthem expands specialty pharmacy precertification list-April 2022 update
- New specialty pharmacy medical step therapy requirements-May 2022 update
May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements-March 2022 update

May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

Updated 2022 Provider Manual now available

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

Anthem announces changes to post-payment audits conducted on our behalf

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

Primary care appointment access and open panels

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

May is National High Blood Pressure Education Month: We’ve got this!

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

Specialty pharmacy updates - May 2022*

*Material Adverse Change (MAC)
May 2022 Anthem Provider News - Wisconsin Pharmacy May 1, 2022

MCG Care Guidelines 26th Edition*

*Material Adverse Change (MAC)
May 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines May 1, 2022

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

May 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program live webinar

May 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) May 1, 2022

Information from Anthem for Care Providers about COVID-19 (updated April 15, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Wisconsin Administrative Apr 15, 2022

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe & Effective Antibiotic Prescribing - Wisconsin Administrative Apr 5, 2022

Specialty pharmacy updates - April 2022*

*Material Adverse Change (MAC)
April 2022 Anthem Provider News - Wisconsin Pharmacy Apr 1, 2022

Designated specialty pharmacy network updates*

*Material Adverse Change (MAC)
April 2022 Anthem Provider News - Wisconsin Pharmacy Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

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
April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Disease Management/Population Health program

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Clinical Criteria updates

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Evaluation and management documentation guidelines

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

Reminder on Botox for Anthem members

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

CAA: Update your provider directory information

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

HEDIS 2022: Summary of changes from NCQA

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

Importance of behavioral healthcare after-hours messaging

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

Catching up on routine vaccines

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

Evaluation and management documentation guidelines

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

Procedure searches in Find Care

April 2022 Anthem Provider News - Wisconsin Digital Tools Apr 1, 2022

Member benefit lookup by procedure code

April 2022 Anthem Provider News - Wisconsin Digital Tools Apr 1, 2022

Pharmacy information available at anthem.com

April 2022 Anthem Provider News - Wisconsin Pharmacy Apr 1, 2022

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

April 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

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
April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

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

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Clinical Criteria updates

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Evaluation and management documentation guidelines

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Model of Care required training

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

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

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date. Read important information about this change here.
Transition to NYC Medicare Advantage Plus Delayed - Wisconsin Medicare Mar 15, 2022

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities has been approved by NBCC for 1.5 hours of NBCC credit. Motivo is solely responsible for all aspects of the program. NBCC Approval No. SP-3833.
Register today for a forum on Exploring Implicit Bias in Healthcare on March 16, 2022 - Wisconsin Administrative Mar 2, 2022

Evaluation and management services correct coding reminder - professional

March 2022 Anthem Provider News - Wisconsin Administrative Mar 1, 2022

Specialty pharmacy updates - March 2022*

*Material Adverse Change (MAC)
March 2022 Anthem Provider News - Wisconsin Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates*

*Material Adverse Change (MAC)
March 2022 Anthem Provider News - Wisconsin Pharmacy Mar 1, 2022

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates*

*Material Adverse Change (MAC)
March 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Mar 1, 2022

Change to the Federal Employee Program clinical grievance and appeal address

March 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Mar 1, 2022

It is CAHPS survey time!

March 2022 Anthem Provider News - Wisconsin Medicaid Mar 1, 2022

Evaluation and management services correct coding reminder (professional)

March 2022 Anthem Provider News - Wisconsin Medicaid Mar 1, 2022

Urinary tract infection toolkits are on the way

March 2022 Anthem Provider News - Wisconsin Medicaid Mar 1, 2022

Keep up with Medicare News - March 2022

- Medical step therapy updates
- Phone number change for AIM in Wisconsin
March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

New! Vaccination resource page for providers

March 2022 Anthem Provider News - Wisconsin Administrative Mar 1, 2022

CAA: Have you reviewed your online provider directory information lately?

March 2022 Anthem Provider News - Wisconsin Administrative Mar 1, 2022

Updated preventive care guidance regarding screening colonoscopies

March 2022 Anthem Provider News - Wisconsin Administrative Mar 1, 2022

Understanding your patients’ differences is lifesaving

March 2022 Anthem Provider News - Wisconsin Administrative Mar 1, 2022

Your influence matters: Recommending cancer screenings to your patients

March 2022 Anthem Provider News - Wisconsin Administrative Mar 1, 2022

Simplifying requests for additional information

March 2022 Anthem Provider News - Wisconsin Digital Tools Mar 1, 2022

HEDIS 2022 Federal Employee Program medical record request requirements

March 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Mar 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

Pharmacy: Medication adherence

March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

Evaluation and management services correct coding reminder (professional)

March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

Clinical criteria updates

March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Anthem Provider News - Wisconsin Medicare Mar 1, 2022

Prepare for the CAA: Keep your provider directory information current

February 2022 Anthem Provider News - Wisconsin Administrative Feb 1, 2022

AIM Specialty Health new phone number effective April 1, 2022

February 2022 Anthem Provider News - Wisconsin Administrative Feb 1, 2022

It is CAHPS survey time!

February 2022 Anthem Provider News - Wisconsin Administrative Feb 1, 2022

Submit a claim payment dispute electronically for Anthem commercial members

February 2022 Anthem Provider News - Wisconsin Administrative Feb 1, 2022

Heart disease is the number one killer of women

February 2022 Anthem Provider News - Wisconsin Administrative Feb 1, 2022

Specialty pharmacy updates - February 2022*

*Material Adverse Change (MAC)
February 2022 Anthem Provider News - Wisconsin Pharmacy Feb 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Provider News - Wisconsin Pharmacy Feb 1, 2022

Medical policy and clinical guideline updates - February 2022*

*Material Adverse Change (MAC)
February 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Feb 1, 2022

Update: Continuation of skilled nursing facility (SNF) program in Wisconsin

February 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Feb 1, 2022

Keep up with Medicaid News - February 2022

- Prior authorization updates for medications billed under the medical benefit
February 2022 Anthem Provider News - Wisconsin Medicaid Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Provider News - Wisconsin Medicaid Feb 1, 2022

2021 CAHPS survey results

February 2022 Anthem Provider News - Wisconsin Medicaid Feb 1, 2022

Cancer Care Navigator

February 2022 Anthem Provider News - Wisconsin Medicaid Feb 1, 2022

Keep up with Medicare News - February 2022

- NYC Medicare Advantage Plus update
February 2022 Anthem Provider News - Wisconsin Medicare Feb 1, 2022

School District of West Allis West Milwaukee offers Medicare Advantage option to retirees

February 2022 Anthem Provider News - Wisconsin Medicare Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Provider News - Wisconsin Medicare Feb 1, 2022

Important COVID-19 update: Prior authorization and other policy adjustments (updated January 21, 2022)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing, acute rehabilitation, and long term acute care hospital facilities.
COVID-19 Information - Wisconsin Administrative Jan 21, 2022

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing providers nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

Important Update for New 200k Group Retiree PPO Plan - Wisconsin Administrative Jan 5, 2022

Submitting prior authorizations is getting easier

January 2022 Anthem Provider News - Wisconsin Medicare Jan 1, 2022

Updated BlueCard® Program Provider Manual available January 1, 2022

January 2022 Anthem Provider News - Wisconsin Administrative Jan 1, 2022

Well-child visits: Know the numbers

January 2022 Anthem Provider News - Wisconsin Administrative Jan 1, 2022

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
January 2022 Anthem Provider News - Wisconsin Digital Tools Jan 1, 2022

Is prior authorization required?

Answering your questions about the new Availity Authorization App
January 2022 Anthem Provider News - Wisconsin Digital Tools Jan 1, 2022

Reimbursement policy update: Multiple diagnostic imaging facility*

*Material Adverse Change (MAC)
January 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jan 1, 2022

2022 FEP benefit information available online

January 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Jan 1, 2022

Keep up with Medicaid News - January 2022

- AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines updates
- Specialty pharmacy site of care
- Prior authorization updates for medications billed under the medical benefit
January 2022 Anthem Provider News - Wisconsin Medicaid Jan 1, 2022

The Behavioral Health Areas of Expertise Profile improves the referral process

January 2022 Anthem Provider News - Wisconsin Medicaid Jan 1, 2022

Botox update for Anthem members

January 2022 Anthem Provider News - Wisconsin Medicaid Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Provider News - Wisconsin Medicaid Jan 1, 2022

Submitting prior authorizations is getting easier

January 2022 Anthem Provider News - Wisconsin Medicaid Jan 1, 2022
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