CommercialNovember 1, 2022
November 2022 Anthem Provider News - Wisconsin
Administrative
CommercialNovember 1, 2022
CAA: Keep your provider directory information up to dateCommercialNovember 1, 2022
Support documentation for AIM prior authorization requestsCommercialNovember 1, 2022
Claims status message enhancements: providing clear descriptions and actionable next stepsCommercialNovember 1, 2022
Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicatorCommercialNovember 1, 2022
You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, tooCommercialNovember 1, 2022
Visit the Provider Learning Hub to view our latest learning opportunitiesCommercialNovember 1, 2022
Remote EMR access service for HEDISPolicy Updates
CommercialNovember 1, 2022
Medical policy and clinical guideline updates - November 2022Material Adverse Change (MAC)
CommercialNovember 1, 2022
Correction to reimbursement policy: Place of Service - FacilityMaterial Adverse Change (MAC)
Products & Programs
State & Federal
BadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2022
Keep up with Medicaid News - November 2022- Prior authorization requirement changes effective November 1, 2022
- Medical drug benefit Clinical Criteria updates
- Appointment access and geographic availability
- Medical drug benefit Clinical Criteria updates
- Appointment access and geographic availability
BadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2022
Guidance for coding evaluation and management services for new and established patientsBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2022
Important information about utilization managementBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2022
Policy update: Inpatient ReadmissionsBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2022
Alcohol use disorders often coexist with psychiatric disordersMedicare AdvantageNovember 1, 2022
Keep up with Medicare News - November 2022- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
Medicare AdvantageNovember 1, 2022
Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification listMedicare AdvantageNovember 1, 2022
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