CommercialMarch 1, 2023
March 2023 Anthem Provider News - Wisconsin
Administrative
CommercialMarch 1, 2023
Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviewsCommercialMedicare AdvantageMarch 1, 2023
Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measuresCommercialMedicare AdvantageMarch 1, 2023
Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list updateCommercialMarch 1, 2023
New policy for EMR clinical data sharing and ADT notificationsCommercialMarch 1, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsCommercialMarch 1, 2023
March is National Colorectal Cancer Awareness MonthCommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsMarch 1, 2023
Advancing Mental Health Equity for Youth & Young AdultsCommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsMarch 1, 2023
Time to prepare for HEDIS medical record reviewPolicy Updates
CommercialMarch 1, 2023
Reimbursement policy update: Modifiers 25 and 57 - ProfessionalProducts & Programs
CommercialMedicare AdvantageMarch 1, 2023
Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023CommercialMarch 1, 2023
Pharmacy information available on our provider websiteCommercialMarch 1, 2023
Specialty pharmacy updates for March 2023State & Federal
BadgerCare Plus and Medicaid SSI ProgramsMarch 1, 2023
Policy Update Modifiers 25 and 57BadgerCare Plus and Medicaid SSI ProgramsMarch 1, 2023
Keep up with Medicaid News - March 2023- Clinical Criteria updates
- Prior authorization updates for medications billed under the medical benefit (Carvykti)
- Prior authorization updates for medications billed under the medical benefit (Aduhelm)
- Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List
- Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change (MAC)
Medicare AdvantageMarch 1, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsMedicare AdvantageMarch 1, 2023
Informational Update Modifier UsageMedicare AdvantageMarch 1, 2023
Shared savings and transition care management after inpatient dischargesMedicare AdvantageMarch 1, 2023
Annual planned visitsMedicare AdvantageMarch 1, 2023
Keep up with Medicare News - March 2023- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines - Material adverse change (MAC)
- Carelon Medical Benefits Management, Inc. Genetic Testing Clinical Appropriateness Guidelines CPT code list update
- What date to select for inpatient admissions for claims
- Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Neulasta, Neulasta OnPro, Udenyca)
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