October 1, 2019

October 2019 Anthem Provider News - Wisconsin

Filter By: AllCommercial

Administrative

AdministrativeCommercialOctober 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- October 2019
Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.

AdministrativeCommercialOctober 1, 2019

Updated Provider Manual

AdministrativeCommercialOctober 1, 2019

Anthem launches additional changes to anthem.com

AdministrativeCommercialOctober 1, 2019

National Accounts 2020 Pre-certification list*

Policy Updates

Reimbursement PoliciesCommercialOctober 1, 2019

Reimbursement Policy update: Place of Service-Professional*

Products & Programs

Products & ProgramsCommercialOctober 1, 2019

UPDATE: new AIM Rehabilitative Program will begin November 1, 2019

Federal Employee Program (FEP)CommercialOctober 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

Federal Employee Program (FEP)CommercialOctober 1, 2019

Pre-certification information for the Federal Employee Program*

PharmacyCommercialOctober 1, 2019

Pharmacy information available at anthem.com

PharmacyCommercialOctober 1, 2019

Important update to Anthem’s commercial drug lists

State & Federal

State & FederalMedicare AdvantageOctober 1, 2019

Aspire Telehealth Palliative Care program

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2019

MCG Care Guidelines update and customizations

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2019

Prior authorization requirements changes effective November 1, 2019

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2019

Medical drug Clinical Criteria updates

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2019

Reimbursement Policy Update: Early and Periodic Screening, Diagnostic and Treatment (EPSDT)

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2019

New clinical guideline: pneumatic compression devices, effective December 1, 2019

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2019

Authorization process update for identified HCBS procedure codes

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2019

March 2019 Medical Policies and Clinical Utilization Management Guidelines update

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2019

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

State & FederalMedicare AdvantageOctober 1, 2019

Prior authorization requirements changes effective November 1, 2019

State & FederalMedicare AdvantageOctober 1, 2019

Medical drug Clinical Criteria updates

State & FederalMedicare AdvantageOctober 1, 2019

Medicare preferred continuous glucose monitors

State & FederalMedicare AdvantageOctober 1, 2019

Update: 2019 risk adjustment provider trainings

State & FederalMedicare AdvantageOctober 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

State & FederalMedicare AdvantageOctober 1, 2019

Medicare News -- October 2019