Wisconsin
Provider Communications

October 2022 Anthem Provider News - Wisconsin

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Title Category

National Accounts 2023 Precertification list

Administrative

The Provider Learning Hub is here

Administrative

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 9/1/22

Administrative

CAA: Review your online provider directory information

Administrative

Learn how Interactive Care Reviewer makes it easy to submit authorizations electronically

Administrative

Monkeypox and smallpox vaccines: Product code on claims

Administrative

New Strategic Provider System implementation in August 2022

Digital Tools

IngenioRx will become CarelonRx on January 1, 2023

Pharmacy

Specialty pharmacy updates - October 2022

Material Adverse Change (MAC)
Pharmacy

Pharmacy information available on provider website

Pharmacy

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Material Adverse Change (MAC)
Reimbursement Policies

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

Reimbursement Policies

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

Federal Employee Plan (FEP)

Keep up with Medicaid News - October 2022

- New specialty pharmacy medical step therapy requirements
- Prior authorization updates for medications billed under the medical benefit-1
- Prior authorization updates for medications billed under the medical benefit-2
- Change to claims acceptance based on Clinical Laboratory Improvement Amendments
- MCG 26th Edition update
Medicaid

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional (WI only)

Medicaid

Members’ Rights and Responsibilities section

Medicaid

Monkeypox resources and recommendations for our care providers

Medicaid

Keep up with Medicare News - October 2022

- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
- Anthem expands specialty pharmacy precertification list-1
- Anthem expands specialty pharmacy precertification list-2
- Consultation codes
- MCG 26th Edition update
Medicare

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

Medicare
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