Wisconsin
Provider Communications

Provider Spotlight

Apr 1, 2020

Anthem Waives Cost Share for COVID-19 Treatment

Apr 1, 2020

Information from Anthem for Care Providers about COVID-19 (Updated April 1, 2020)

We recently updated FAQs about COVID-19 testing and telehealth for physical, occupational and speech therapies.

Mar 31, 2020

Important COVID-19 update: Prior authorization and other policy adjustments (Updated March 31, 2020)


Articles Recent

Title Publication Category Date

Anthem Waives Cost Share for COVID-19 Treatment

COVID-19 News from Anthem - April 1, 2020 (Wisconsin) Administrative Apr 1, 2020

Information from Anthem for Care Providers about COVID-19 (Updated April 1, 2020)

We recently updated FAQs about COVID-19 testing and telehealth for physical, occupational and speech therapies.
COVID-19 Information - 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

MCG Care Guidelines 24th Edition*

April 2020 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Apr 1, 2020

Medical drug benefit Clinical Criteria updates - December 2019

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

COVID-19 information from Anthem Blue Cross and Blue Shield

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

Medicaid News - April 2020

View these Medicaid notices:
- November 2019 Medical Policies and Clinical Utilization Management Guidelines update
- Personal care prior authorization
- Prior authorization requirements for A6550 and A9278
April 2020 Anthem Provider News - Wisconsin Medicaid Apr 1, 2020

Prior authorization requirements: new 2020 codes for coverage and precertification

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

Medical drug benefit Clinical Criteria updates - November 2019

April 2020 Anthem Provider News - Wisconsin Medicaid Apr 1, 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

Disease Management can help you care for patients with chronic health care needs

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

Use of Imaging Studies for Low Back Pain (LBP)

April 2020 Anthem Provider News - Wisconsin Medicaid 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 prior authorization updates for specialty pharmacy are available - April 2020*

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

Anthem to delay most April 1, 2020 formulary list updates for commercial health plan pharmacy benefit

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

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements*

April 2020 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Apr 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

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

COVID-19 information from Anthem Blue Cross and Blue Shield

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

Medicare News - April 2020

View these Medicare notices:
- Coding tip for psychological and neuropsychological testing
- Medical Policies and Clinical Utilization Management Guidelines update
- New Medicare Advantage opioid treatment Program benefit
- Prior authorization requirements: new 2020 codes for coverage and precertification
April 2020 Anthem Provider News - Wisconsin Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates - November 2019

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

2020 Medicare risk adjustment provider trainings

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

Medical drug benefit Clinical Criteria updates - December 2019

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

Important COVID-19 update: Prior authorization and other policy adjustments (Updated March 31, 2020)

COVID-19 Information - Wisconsin Administrative Mar 31, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services

COVID-19 Information - Wisconsin Administrative Mar 27, 2020

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News & Announcements and Important Medicare Advantage Updates .
COVID-19 Information - Wisconsin State & Federal Mar 25, 2020

Anthem acquires Beacon Health Options

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

Reminder: Mid-level practitioners are required to file using their NPI

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

Coding tip for psychological and neuropsychological testing

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

Antibiotic dispensing guidelines

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

Coding spotlight: HIV and AIDS

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

Provider News site enhancements

March 2020 Anthem Provider News - Wisconsin Administrative Mar 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

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020*

March 2020 Anthem Provider News - Wisconsin Products & Programs Mar 1, 2020

National Drug Code requirement on outpatient claims*

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

Pharmacy information available at anthem.com

April 2020 Anthem Provider News - Wisconsin Pharmacy Mar 1, 2020

Medicare News - March 2020

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

Outpatient Rehabilitation Program transition: new prior authorization requirements

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

Complex discharge planning

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

Personal Home Helper benefit

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

Reminder: Mid-level practitioners are required to file using their NPI

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

Non-preferred products and corresponding preferred alternatives

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

Important coding reminder for walk-in retail health clinics

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

Medicaid News - February 2020

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

Postponed - Review of professional claims with emergency room level 5 E/M codes

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

Resources to support your diverse patient panel

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

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

Clinical Laboratory Improvements Amendments for Anthem*

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

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

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

Shine Light on Depression

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Medical Policy and Clinical Guideline Updates - February 2020*

February 2020 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

February 2020 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2020 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Feb 1, 2020

Medicare News - February 2020

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

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

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

Reimbursement Policy Update: Modifier 62: Co-Surgeons

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

Medicare News -- January 2020

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Verifying and updating your provider information

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Medicaid News -- January 2020

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

August 2019 medical drug benefit clinical criteria updates

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

September 2019 medical drug benefit clinical criteria updates

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

Verifying and updating your provider information

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

Coding spotlight: provider’s guide to coding respiratory diseases

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

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

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements (MAC) may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
January 2020 Anthem Provider News - Wisconsin Administrative Jan 1, 2020

Postponed: Review of professional claims with emergency room level 5 E/M codes

January 2020 Anthem Provider News - Wisconsin Administrative Jan 1, 2020

Availity: Upcoming retirement planned for legacy Medical Attachment submission tool

January 2020 Anthem Provider News - Wisconsin Administrative Jan 1, 2020

Let Us Help You Accomplish Your 2020 “To-Do List” Early - EDI Migration

January 2020 Anthem Provider News - Wisconsin Administrative Jan 1, 2020

The New Year brings New ID Cards for many Anthem members

January 2020 Anthem Provider News - Wisconsin Administrative Jan 1, 2020

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

January 2020 Anthem Provider News - Wisconsin Administrative Jan 1, 2020

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

January 2020 Anthem Provider News - Wisconsin Products & Programs Jan 1, 2020

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair*

January 2020 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jan 1, 2020

Outpatient Facility Edit Implementation*

January 2020 Anthem Provider News - Wisconsin Reimbursement Policies Jan 1, 2020

2020 FEP® Benefit information available online

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

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Introducing ConcertoHealth

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

August 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage options

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

2020 Medicare risk adjustment provider trainings

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Wisconsin Medicaid Dec 1, 2019

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

December 2019 Anthem Provider News - Wisconsin Medicaid Dec 1, 2019

Reimbursement Policy Update: Multiple and Bilateral Surgery, Professional and Facility Reimbursement

December 2019 Anthem Provider News - Wisconsin Medicaid Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Provider News - Wisconsin Medicaid Dec 1, 2019

Verifying and updating your provider information

December 2019 Anthem Provider News - Wisconsin Administrative Dec 1, 2019

Anthem works to simplify payment recovery process for National Accounts membership

December 2019 Anthem Provider News - Wisconsin Administrative Dec 1, 2019

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity portal

December 2019 Anthem Provider News - Wisconsin Administrative Dec 1, 2019

Case management program

December 2019 Anthem Provider News - Wisconsin Administrative Dec 1, 2019

Coordination of care

December 2019 Anthem Provider News - Wisconsin Administrative Dec 1, 2019

Important information about utilization management

December 2019 Anthem Provider News - Wisconsin Administrative Dec 1, 2019

Members’ rights and responsibilities

December 2019 Anthem Provider News - Wisconsin Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available

December 2019 Anthem Provider News - Wisconsin Administrative Dec 1, 2019

Reminder: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Provider News - Wisconsin Products & Programs Dec 1, 2019
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