CommercialJune 1, 2020
June 2020 Anthem Provider News - Wisconsin
Administrative
CommercialJune 1, 2020
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - June 2020CommercialJune 1, 2020
A special thank you to Care ProvidersCommercialJune 1, 2020
Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisisCommercialJune 1, 2020
Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program ContinuesCommercialJune 1, 2020
Availity Portal Notification CenterCommercialJune 1, 2020
Quality Corner: CPT® Category II Codes - Collaborating for enhanced patient careBehavioral Health
CommercialJune 1, 2020
Anthem enhances process for submitting behavioral health authorizations - now availableCommercialJune 1, 2020
Quality Corner: Follow-Up after Hospitalization for Mental IllnessPolicy Updates
CommercialJune 1, 2020
Medical Policy and Clinical Guideline Updates - June 2020*CommercialJune 1, 2020
Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines*CommercialJune 1, 2020
REMINDER: AIM Rehabilitative Program Pediatric ExclusionsProducts & Programs
CommercialJune 1, 2020
UPDATE: New Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures is delayedCommercialJune 1, 2020
Anthem prior authorization updates for specialty pharmacy are available - June 2020*CommercialJune 1, 2020
Reminder: Anthem requires National Drug Code for professional and facility outpatient claims effective June 15, 2020*CommercialJune 1, 2020
Pharmacy information available at anthem.comState & Federal
BadgerCare Plus and Medicaid SSI ProgramsJune 1, 2020
Medicaid News - June 2020- Resources supporting our providers during COVID-19
- Acquisition of Beacon Health Options
- MCG care guidelines – 24th edition
- November 2019 Medical Policies and Clinical Utilization Management Guidelines update
BadgerCare Plus and Medicaid SSI ProgramsJune 1, 2020
Updates to AIM Sleep Disorder Management Clinical Appropriateness GuidelineBadgerCare Plus and Medicaid SSI ProgramsJune 1, 2020
Coding spotlight - provider’s guide to code social determinants of healthBadgerCare Plus and Medicaid SSI ProgramsJune 1, 2020
Modifier use remindersBadgerCare Plus and Medicaid SSI ProgramsJune 1, 2020
2020 affirmative statement concerning utilization management decisionsBadgerCare Plus and Medicaid SSI ProgramsJune 1, 2020
Follow-Up After Hospitalization for Mental IllnessBadgerCare Plus and Medicaid SSI ProgramsJune 1, 2020
Complex Case Management programBadgerCare Plus and Medicaid SSI ProgramsJune 1, 2020
Important information about utilization managementBadgerCare Plus and Medicaid SSI ProgramsJune 1, 2020
Member Rights’ and Responsibilities StatementMedicare AdvantageJune 1, 2020
Medicare News - June 2020- Acquisition of Beacon Health Options
- MCG care guidelines – 24th edition
Medicare AdvantageJune 1, 2020
2020 Medicare risk adjustment provider trainingsMedicare AdvantageJune 1, 2020
Updates to AIM Sleep Disorder Management Clinical Appropriateness GuidelineMedicare AdvantageJune 1, 2020
Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustmentMedicare AdvantageJune 1, 2020
Modifier use remindersMedicare AdvantageJune 1, 2020
Diabetes HbA1c < 8 HEDIS guidanceTo view this publication online:
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