Wisconsin
Provider Communications
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- June 2019
Medical Policies and Clinical Guidelines
- Medical Policy and Clinical Guideline Updates - June 2019*
- New Clinical Guideline: Inpatient Inter-Facility Transfers effective September 1, 2019*
Reimbursement Policies
- New Reimbursement Policy: Ambulance Transportation – Professional*
- Reimbursement Policy Update: Frequency Editing – Professional*
- Reimbursement Policy Update: Clinical Validation – Professional [KY only]*
Pharmacy Updates
- Anthem expands specialty pharmacy prior authorization list*
- Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019
Other Important Updates
- AIM programs may require additional prior authorization documentation
- Medicare and Medicaid News
Featured In:
June 2019 Anthem Provider Newsletter - Wisconsin