CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsAugust 1, 2023
August 2023 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageAugust 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!
CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsAugust 1, 2023
Reminder: Start using the Provider Data Management application now on Availity Essentials — retirement of previous intake channels October 1, 2023
Administrative
Medicare AdvantageJuly 18, 2023
Urinary tract infection tool kits are on the wayBadgerCare Plus and Medicaid SSI ProgramsAugust 1, 2023
Clinical Laboratory Improvement AmendmentsCommercialMedicare AdvantageAugust 1, 2023
Clinical Laboratory Improvement AmendmentsCommercialAugust 1, 2023
Updated provider manual available September 1, 2023CommercialAugust 1, 2023
Federal Consolidated Appropriations Act (CAA) Gag ClauseCommercialAugust 1, 2023
CAA: Review your online provider directory information regularlyBadgerCare Plus and Medicaid SSI ProgramsJune 30, 2023
Updates to the Anthem BadgerCare Plus and Medicaid SSI provider manual for WisconsinPolicy Updates
BadgerCare Plus and Medicaid SSI ProgramsJuly 21, 2023
Clinical Criteria Updates - March 2023Medicare AdvantageJune 29, 2023
Clinical Criteria updates - March 2023CommercialJuly 21, 2023
Updates to Carelon Medical Benefits Management, Inc. Joint Surgery, Small Joint Surgery, and MSK Level of CareCommercialJuly 18, 2023
Expansion of Carelon Medical Benefits Management, Inc. cardiology programs effective October 1, 2023BadgerCare Plus and Medicaid SSI ProgramsJuly 5, 2023
Medical Policies and Clinical Utilization Management Guidelines Update (February 2023)BadgerCare Plus and Medicaid SSI ProgramsJune 22, 2023
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines for joint surgery and MSK level of careMedicare AdvantageJuly 25, 2023
Prior authorization requirement changes effective November 1, 2023BadgerCare Plus and Medicaid SSI ProgramsAugust 1, 2023
Fylnetra, Stimufend, and Rolvedon Medical Step Therapy NoticeBadgerCare Plus and Medicaid SSI ProgramsAugust 1, 2023
Technology Assisted Surgical ProceduresMedicare AdvantageAugust 1, 2023
Technology Assisted Surgical ProceduresProducts & Programs
CommercialAugust 1, 2023
Specialty pharmacy updates - August 2023CommercialAugust 1, 2023
Specialty pharmacy updates - August 2023CommercialAugust 1, 2023
Pharmacy information available on our provider websiteMedicare AdvantageAugust 1, 2023
Medication adherence: Back to the basicsMedicare AdvantageAugust 1, 2023
Why statin therapy is important in your patients with diabetesQuality Management
Medicare AdvantageAugust 1, 2023
Healthy blood pressure recheck initiativeMedicare AdvantageAugust 1, 2023
Healthy blood pressure recheck initiativeBadgerCare Plus and Medicaid SSI ProgramsAugust 1, 2023
Congenital syphilis is a sentinel health eventCommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsJuly 17, 2023
Pharmacotherapy Management of COPD Exacerbation (PCE) HEDIS® MeasureWIBCBS-CDCRCM-030310-23
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.Availity, LLC is an independent company providing administrative support services on behalf of the health plan.
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