Wisconsin
Provider Communications
February 2023 Anthem Provider News - Wisconsin
Title | Category |
---|---|
Do you offer telehealth services? Let us know! |
Administrative |
Have you reviewed your online provider directory information lately? |
Administrative |
Enhancing Provider News website and email communications |
Digital Tools |
Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements |
Digital Tools |
Medical Policies and Clinical Guidelines updates - February 2023**Material adverse change (MAC) |
Medical Policy & Clinical Guidelines |
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update**Material adverse change (MAC) |
Medical Policy & Clinical Guidelines |
Specialty pharmacy updates - February 2023**Material adverse change (MAC) |
Pharmacy |
2023 FEP benefit information available online |
Federal Employee Plan (FEP) |
AIM Specialty Health will transition to Carelon Medical Benefits Management Inc. |
Medicaid |
Keep up with Medicaid News - February 2023- Prior authorization updates for medications billed under the medical benefit (Enjaymo, Kimmtrak, Tezspire, Voxzogo)- Prior authorization updates for medications billed under the medical benefit (Pluvicto, Opdualag, Alymsys, Yusimry) - Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines - Introducing the Provider Learning Hub |
Medicaid |
AIM Specialty Health will transition to Carelon Medical Benefits Management Inc. |
Medicare |
Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023 |
Medicare |
Keep up with Medicare News - February 2023- Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines- Introducing the Provider Learning Hub - Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Fylnetra) - Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme) - Specialty pharmacy precertification list expansion (Rolvedon, Stimufend) - New specialty pharmacy medical step therapy requirements - Prior authorization requirement changes effective April 1, 2023 - Medical Policies and Clinical Utilization Management Guidelines update |
Medicare |