CommercialApril 1, 2021

April 2021 Anthem Provider News - Wisconsin

Administrative

AdministrativeCommercialApril 1, 2021

Interactive bilingual website taking action for our health
Exclusively developed for the Latino Community

AdministrativeCommercialApril 1, 2021

Join Anthem in talking about racism and its impact on health

AdministrativeCommercialApril 1, 2021

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - April 2021
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.

AdministrativeCommercialApril 1, 2021

Keeping up with routine vaccination during COVID-19

AdministrativeCommercialApril 1, 2021

Chat directly with a prior authorization specialist

AdministrativeCommercialApril 1, 2021

Does your practice offer telehealth services? Let us know!

AdministrativeCommercialApril 1, 2021

Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual*
*Material Adverse Change (MAC)

Behavioral Health

Behavioral HealthCommercialApril 1, 2021

The health of millennials: Trends in behavioral health conditions

Policy Updates

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

Maximizing efficient, high quality COVID-19 screenings*
*Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

MCG Care Guidelines 25th Edition available*
*Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

Update: Clinical guideline adoption postponed*
*Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 1, 2021

Medical policy and clinical guideline updates - April 2021*
*Material Adverse Change (MAC)

Products & Programs

Federal Employee Program (FEP)CommercialApril 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

PharmacyCommercialApril 1, 2021

Pharmacy information available at anthem.com

PharmacyCommercialApril 1, 2021

Updates for specialty pharmacy are available - April 2021*
*Material Adverse Change (MAC)

PharmacyCommercialApril 1, 2021

Designated specialty pharmacy network*
*Material Adverse Change (MAC)

State & Federal

State & FederalMedicare AdvantageApril 1, 2021

Clinical criteria updates notification - December 2020

State & FederalMedicare AdvantageApril 1, 2021

Clinical criteria updates notification - November 2020

State & FederalMedicare AdvantageApril 1, 2021

Oncology dose reduction program beginning July 1, 2021

State & FederalMedicare AdvantageApril 1, 2021

In-Office Assessment program

State & FederalMedicare AdvantageApril 1, 2021

Does your practice offer telehealth services? Let us know!

State & FederalBadgerCare Plus and Medicaid SSI ProgramsApril 1, 2021

Medicaid News - April 2021
View these Medicaid articles:
- There is something new happening at Anthem Blue Cross and Blue Shield
- Iron infusion medical step therapy notice
- November 2020 medical policies and utilization management guidelines update
- Prior authorization updates for specialty pharmacy drugs effective April 2021
- Prior authorization required for specialty pharmacy drugs effective May 2021
- Clinical criteria updates notification - November 2020
- Clinical criteria updates notification - December 2020