CommercialJuly 1, 2022

July 2022 Anthem Provider News - Wisconsin

Policy Updates

Reimbursement PoliciesCommercialJuly 1, 2022

New reimbursement policy: Transitional Care Management - professional

Reimbursement PoliciesCommercialJuly 1, 2022

New reimbursement policy: Modifier FB - Professional and Facility*
*Material Adverse Change (MAC)

Reimbursement PoliciesCommercialJuly 1, 2022

Reimbursement policy update: Modifier Rules - Professional*
*Material Adverse Change (MAC)

Reimbursement PoliciesCommercialJuly 1, 2022

Reimbursement policy update: Laboratory and venipuncture services - professional and facility*
*Material Adverse Change (MAC)

Reimbursement PoliciesCommercialJuly 1, 2022

New reimbursement policy: Place of Service - Facility*
*Material Adverse Change (MAC)

Reimbursement PoliciesCommercialJuly 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59, XE, XP, XS, XU - professional*
*Material Adverse Change (MAC)

State & Federal

State & FederalBadgerCare Plus and Medicaid SSI ProgramsJuly 1, 2022

Keep up with Medicaid News - July 2022

State & FederalBadgerCare Plus and Medicaid SSI ProgramsJuly 1, 2022

Prior authorization requirement changes effective August 1, 2022

State & FederalBadgerCare Plus and Medicaid SSI ProgramsJuly 1, 2022

MCG care guidelines 26th edition

State & FederalBadgerCare Plus and Medicaid SSI ProgramsJuly 1, 2022

New Strategic Provider System will launch in August 2022

State & FederalMedicare AdvantageJuly 1, 2022

Keep up with Medicare News - July 2022
- New specialty pharmacy medical step therapy requirements

State & FederalMedicare AdvantageJuly 1, 2022

Cancer Care Navigator

State & FederalMedicare AdvantageJuly 1, 2022

New Strategic Provider System will launch in August 2022

State & FederalMedicare AdvantageJuly 1, 2022

MCG care guidelines 26th edition