CommercialFebruary 1, 2023
February 2023 Anthem Provider News - Wisconsin
Administrative
CommercialJanuary 31, 2023
Do you offer telehealth services? Let us know!CommercialJanuary 31, 2023
Have you reviewed your online provider directory information lately?CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsJanuary 31, 2023
Enhancing Provider News website and email communicationsPolicy Updates
CommercialJanuary 31, 2023
Medical Policies and Clinical Guidelines updates - February 2023Medicare AdvantageJanuary 31, 2023
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update**Material adverse change (MAC)
State & Federal
Medicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsJanuary 31, 2023
AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.BadgerCare Plus and Medicaid SSI ProgramsJanuary 31, 2023
Keep up with Medicaid News - February 2023- Prior authorization updates for medications billed under the medical benefit (Enjaymo, Kimmtrak, Tezspire, Voxzogo)
- Prior authorization updates for medications billed under the medical benefit (Pluvicto, Opdualag, Alymsys, Yusimry)
- Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
- Introducing the Provider Learning Hub
- Prior authorization updates for medications billed under the medical benefit (Pluvicto, Opdualag, Alymsys, Yusimry)
- Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
- Introducing the Provider Learning Hub
Medicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsJanuary 31, 2023
AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.Medicare AdvantageJanuary 31, 2023
Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023Medicare AdvantageJanuary 31, 2023
Keep up with Medicare News - February 2023- Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
- Introducing the Provider Learning Hub
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Fylnetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
- Introducing the Provider Learning Hub
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Fylnetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
To view this publication online:
Or scan this QR code with your phone