BadgerCare Plus and Medicaid SSI ProgramsNovember 22, 2023
Carelon Medical Benefits Management, Inc. updates — November 2023
Effective for dates of service on and after November 5, 2023, the following updates will apply to the Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines for medical necessity review for Anthem Blue Cross and Blue Shield:
- Musculoskeletal Guidelines:
- Small Joint Surgery
Existing precertification requirements have not changed. Please share this notice with other members of your practice and office staff. If you have questions about this communication or need assistance with any other item, contact your assigned provider relationship management associate or call Provider Services at 855-558-1443.
With your help, we can continually build towards a future of shared success.
Anthem Blue Cross and Blue Shield is the trade name of Compcare Health Services Insurance Corporation. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
WIBCBS-CD-037853-23-CPN37060
PUBLICATIONS: December 2023 Provider Newsletter
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