Key Updates
CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2024
Roster Automation updates: roster download functionality
CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 25, 2024
Time to prepare for HEDIS medical record review
BadgerCare Plus and Medicaid SSI ProgramsOctober 23, 2024
Reminder: take action to protect infants from respiratory syncytial virus this season
CommercialOctober 23, 2024
Do you offer telehealth services? Let us know!
Medicare AdvantageOctober 15, 2024
Model of Care training reminder
Recent Updates
CommercialNovember 21, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsMedicare AdvantageNovember 18, 2024
Wisconsin 2025 Medicare Advantage plan changesMedicare AdvantageNovember 18, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsMedicare AdvantageNovember 18, 2024
Notice of change: Part D Rx HCCsMedicare AdvantageNovember 15, 2024
Skilled nursing facility — vaccine serum compensationBadgerCare Plus and Medicaid SSI ProgramsNovember 15, 2024
Clinical Criteria updatesEffective December 18, 2024
Medicare AdvantageNovember 14, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?BadgerCare Plus and Medicaid SSI ProgramsNovember 7, 2024
Clinical Criteria updatesEffective December 11, 2024
CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2024
Roster Automation updates: roster download functionalityCommercialNovember 1, 2024
Submit corrected claims electronically for the Federal Employee Program®CommercialNovember 1, 2024
Personalized Match updateMedicare AdvantageNovember 1, 2024
Improving patient outcomes: back to the basicsCommercialNovember 1, 2024
More error types for corrected claims submitted through EDI now availableCommercialNovember 1, 2024
Access to quality careCommercialNovember 1, 2024
New claims requirement: add-on codes must include primary procedure starting December 2024CommercialNovember 1, 2024
Adopting digital member ID cardsCommercialNovember 1, 2024
High Performing and Blue National Designated Providers may also be known as Anthem Diamond ProvidersBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2024
Enhanced personalized match: making the care provider search more informed and personalizedCommercialNovember 1, 2024
Material adverse change
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 29, 2024
HEDIS Measure Tips — Appropriate Treatment for Upper Respiratory Infection (URI) 2025CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 25, 2024
Time to prepare for HEDIS medical record reviewBadgerCare Plus and Medicaid SSI ProgramsOctober 24, 2024
Provider: CAHPS awarenessBadgerCare Plus and Medicaid SSI ProgramsOctober 23, 2024
Reminder: take action to protect infants from respiratory syncytial virus this seasonCommercialMedicare AdvantageOctober 23, 2024
HEDIS Measure Tips — Appropriate Testing for Pharyngitis (CWP) 2025CommercialOctober 23, 2024
Do you offer telehealth services? Let us know!CommercialMedicare AdvantageOctober 22, 2024
HEDIS Measure Tips — Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB) 2025Medicare AdvantageOctober 16, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024Medicare AdvantageOctober 15, 2024
Model of Care training reminderBadgerCare Plus and Medicaid SSI ProgramsOctober 10, 2024
Prior authorization requirement changesEffective December 1, 2024
CommercialMedicare AdvantageOctober 7, 2024
HEDIS Measure Tips — Cardiac Rehabilitation (CRE) 2025Medicare AdvantageOctober 4, 2024
HEDIS Measure Tips — Adults’ Access to Preventive/Ambulatory Health Services (AAP) 2025CommercialMedicare AdvantageOctober 3, 2024
Blood Pressure Control for Patients With Diabetes (BPD) 2025BadgerCare Plus and Medicaid SSI ProgramsOctober 2, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024Medicare AdvantageOctober 2, 2024
Pharmacotherapy Management of COPD Exacerbation (PCE) 2025CommercialOctober 1, 2024
Material adverse change
Reimbursement policy update: Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service — ProfessionalMedicare AdvantageOctober 1, 2024
Introducing the Care Provider Recognition Program from AnthemCommercialOctober 1, 2024
Introduction of the HPP designation program for individual member (Exchange) commercial networksMedicare AdvantageOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesMedicare AdvantageOctober 1, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2024
Prevent flu and COVID-19: drive the change through vaccinationBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesCommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2024
HEDIS medical record submission made easier with our Remote EMR Access serviceCommercialOctober 1, 2024
Pharmacy information available on our provider websiteCommercialOctober 1, 2024
Introduction of the Specialty High Performing Provider designation program for commercial networksCommercialOctober 1, 2024
National Accounts 2025 precertification listCommercialOctober 1, 2024
Updated provider manual — November 1, 2024