Wisconsin
Provider Communications

February 2019 Anthem Wisconsin Provider Newsletter

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Title Category

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: February 2019

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.
Administrative

Member Satisfaction with Behavioral Health Outpatient Services (WI)

Behavioral Health

Clinical criteria updates for specialty pharmacy*

Pharmacy

Anthem expands specialty pharmacy prior authorization list*

Pharmacy

Anthem expands specialty pharmacy medical step therapy drug list*

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

HEDIS® 2019: Controlling High Blood Pressure (CBP)

Administrative

Update regarding E/M with modifier 25 - Professional*

Reimbursement Policies

Medical Policy and Clinical Guidelines: February 2019*

Medical Policy & Clinical Guidelines

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

Medical Policy & Clinical Guidelines

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

Reimbursement Policy Updates: February 2019*

Reimbursement Policies

Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*

Reimbursement Policies

HEDIS 2019 Federal Employee Program® medical record request requirements

Federal Employee Plan (FEP)

Reminder: Anthem follows Original Medicare policies

Medicare

Use grouped CPT codes for AIM Specialty Health authorizations

Medicare

Anthem eye refraction and routine eye exam billing information

Medicare

New specialty Medicare Part B device preferred product program

Medicare

Keep up with Medicare news

Medicare

Coding spotlight: Diabetes - provider guide to coding the diagnosis and treatment of diabetes

Medicaid

Introducing a new clinical criteria webpage for injectable, infused or implanted drugs covered under the medical benefit

Medicaid
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