CommercialJune 1, 2022
June 2022 Anthem Provider News - Wisconsin
Administrative
CommercialJune 1, 2022
Evaluation and management services for COVID testing - Professional*CommercialJune 1, 2022
CAA: Provider directories accuracy is importantCommercialJune 1, 2022
Once-a-year testing is critically important to providing quality diabetes careCommercialJune 1, 2022
Updates to edits associated with implantsCommercialJune 1, 2022
Update use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management servicesCommercialJune 1, 2022
Direct behavioral health fee schedule updates effective July 1, 2022CommercialJune 1, 2022
Forum: Exploring the Intersection of Race and DisabilityCommercialJune 1, 2022
Provider outreach to validate your provider dataBehavioral Health
CommercialJune 1, 2022
Opioid overdose deaths: What can we do?Policy Updates
CommercialJune 1, 2022
Updates to AIM advanced imaging clinical appropriateness guidelines*CommercialJune 1, 2022
Updates to AIM sleep disorder management clinical appropriateness guidelines**Material Adverse Change (MAC)
CommercialJune 1, 2022
Updates to AIM musculoskeletal clinical appropriateness guidelines*CommercialJune 1, 2022
Updated guidance on prior authorization requirements for admissions to in-network long-term acute care hospitals (LTACHs)*CommercialJune 1, 2022
Medical policy and clinical guideline updates - June 2022*CommercialJune 1, 2022
Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*Products & Programs
CommercialJune 1, 2022
Updates to AIM musculoskeletal program: Monitored anesthesia care reviews*CommercialJune 1, 2022
Process change for Federal Employee Program third-party correspondence requestsState & Federal
Medicare AdvantageJune 1, 2022
Medical policies and clinical utilization management guidelines updateMedicare AdvantageJune 1, 2022
Medical drug benefit clinical criteria updatesMedicare AdvantageJune 1, 2022
Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan membersMedicare AdvantageJune 1, 2022
Evaluation and management services for COVID testing - professionalMedicare AdvantageJune 1, 2022
Keep up with Medicare News - June 2022BadgerCare Plus and Medicaid SSI ProgramsJune 1, 2022
Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelinesBadgerCare Plus and Medicaid SSI ProgramsJune 1, 2022
Medical drug benefit clinical criteria updatesBadgerCare Plus and Medicaid SSI ProgramsJune 1, 2022
New Strategic Provider System will launch in August 2022BadgerCare Plus and Medicaid SSI ProgramsJune 1, 2022
Evaluation and management services for COVID testing - professionalBadgerCare Plus and Medicaid SSI ProgramsJune 1, 2022
Keep up with Medicaid News - June 2022- Prior authorization update for select durable medical equipment (DME) items
- Prior authorization updates for medications billed under the medical benefit
- Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
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