CommercialFebruary 1, 2020

February 2020 Anthem Provider News - Wisconsin

Administrative

AdministrativeCommercialFebruary 1, 2020

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - February 2020
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.

AdministrativeCommercialFebruary 1, 2020

Clinical Laboratory Improvements Amendments for Anthem*

AdministrativeCommercialFebruary 1, 2020

Anthem SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

Behavioral Health

Behavioral HealthCommercialFebruary 1, 2020

Shine Light on Depression

Policy Updates

Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2020

Medical Policy and Clinical Guideline Updates - February 2020*

Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

Products & Programs

PharmacyCommercialFebruary 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

State & Federal

State & FederalMedicare AdvantageFebruary 1, 2020

Medicare News - February 2020

State & FederalMedicare AdvantageFebruary 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

State & FederalMedicare AdvantageFebruary 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons

State & FederalBadgerCare Plus and Medicaid SSI ProgramsFebruary 1, 2020

Medicaid News - February 2020

State & FederalBadgerCare Plus and Medicaid SSI ProgramsFebruary 1, 2020

Postponed - Review of professional claims with emergency room level 5 E/M codes

State & FederalBadgerCare Plus and Medicaid SSI ProgramsFebruary 1, 2020

Resources to support your diverse patient panel