Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - September 2020
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.
- Site of care medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020*
- Updates for specialty pharmacy are available - September 2020*
- Reimbursement policy update: Distinct Procedural Services - Modifiers 59, XE, XP, XS, XU (Professional)*
- Reimbursement policy update: Frequency Editing (Professional)*
September 2020 Anthem Provider News - Wisconsin