CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2023
November 2023 Provider Newsletter
Featured Articles
CommercialNovember 1, 2023
Digital RFAI process improvements
CommercialBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2023
Practitioners’ rights during credentialing process
Administrative
CommercialNovember 1, 2023
Access to quality care with Anthem in Wisconsin is expandingMedicare AdvantageNovember 1, 2023
Updates to correct coding editingMedicare AdvantageNovember 1, 2023
2024 Medicare Advantage service area and benefit updatesMedicare AdvantageNovember 1, 2023
Usage of liability modifiersCommercialNovember 1, 2023
CAA: Maintain your online provider directory informationCommercialMedicare AdvantageNovember 1, 2023
Improvements to secure messaging through Availity EssentialsCommercialNovember 1, 2023
Filing digital claims disputes: Transparent and trackablePolicy Updates
CommercialNovember 1, 2023
Medical Policies and Clinical Guidelines updates — November 2023Medicare AdvantageNovember 1, 2023
Carelon Medical Benefits Management, Inc. updates — November 2023Medicare AdvantageOctober 19, 2023
Expansion of Carelon Medical Benefits Management, Inc. programsBadgerCare Plus and Medicaid SSI ProgramsOctober 24, 2023
Prior authorization update - Lamzede, Lunsumio, Rebyota, etc.Medicare AdvantageOctober 16, 2023
RETRACTION: Prior authorization requirement changes effective February 1, 2024Codes 32274 and 32275
CommercialSeptember 28, 2023
Expansion of Carelon Medical Benefits Management, Inc. programs, effective April 1, 2024Medicare AdvantageOctober 3, 2023
Prior authorization requirement changes effective February 1, 2024 - code J1411CommercialNovember 1, 2023
Reimbursement policy update: Pharmaceutical Waste – Professional and FacilityProducts & Programs
CommercialNovember 1, 2023
Federal Employee Program specialty pharmacy prior authorization reviewCommercialNovember 1, 2023
FEP® Specialty Pharmacy prior authorization listCommercialNovember 1, 2023
Specialty pharmacy updatesCommercialNovember 1, 2023
Pharmacy information available on our provider websiteQuality Management
BadgerCare Plus and Medicaid SSI ProgramsOctober 25, 2023
HEDIS measurement year 2023 documentation for Childhood Immunization Status (CIS)Medicare AdvantageNovember 1, 2023
Controlling high blood pressure and HEDISBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2023
Controlling high blood pressure and HEDISCommercialMedicare AdvantageSeptember 27, 2023
Be Antibiotics Aware: Protect your patientsCommercialMedicare AdvantageOctober 25, 2023
HEDIS measurement year 2023 documentation for Childhood Immunization Status (CIS)CommercialMedicare AdvantageOctober 15, 2023
HEDIS medical record submission made easier with our Remote EMR Access ServiceBadgerCare Plus and Medicaid SSI ProgramsOctober 15, 2023
HEDIS medical record submission made easier with our Remote EMR Access ServiceBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2023
HEDIS measurement year 2023 documentation for Transitions of Care (TRC)CommercialMedicare AdvantageNovember 1, 2023
HEDIS measurement year 2023 documentation for Transitions of Care (TRC)BadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2023
Healthy blood pressure recheck initiativeMedicare AdvantageNovember 1, 2023
Statin therapy end of year best practicesWIBCBS-CDCRCM-041579-23
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