Wisconsin
Provider Communications

February 2023 Anthem Provider News - Wisconsin

Download as PDF

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
Page 1 of 1