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 starred (*) below.

 

Clinical Guidelines

  • Clinical Guideline Updates*

 

Reimbursement Policies

  • New Reimbursement Policies: Maternity Services and Multiple Delivery - Professional*
  • New Reimbursement Policy: Intensity Modulated Radiation Therapy Planning and Delivery – Professional*

 

Pharmacy Updates

  • Clinical criteria and prior authorization updates for specialty pharmacy are available*

 

Other Important Updates

  • Medicare and Medicaid News

 



Featured In:
September 2019 Anthem Provider News - Wisconsin