CommercialOctober 1, 2021

October 2021 Anthem Provider News - Wisconsin

Policy Updates

Medical Policy & Clinical GuidelinesCommercialOctober 1, 2021

Medical policy and clinical guideline updates - October 2021*

*Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialOctober 1, 2021

Continuation of skilled nursing facility (SNF) program in Wisconsin

Products & Programs

Products & ProgramsCommercialOctober 1, 2021

New BlueHPN network plans available for employee open enrollment Fall 2021

PharmacyCommercialOctober 1, 2021

Pharmacy information available at anthem.com

PharmacyCommercialOctober 1, 2021

Designated specialty pharmacy network updates effective January 1, 2022*
*Material Adverse Change (MAC)

PharmacyCommercialOctober 1, 2021

Specialty pharmacy updates are available - October 2021*
*Material Adverse Change (MAC)

State & Federal

State & FederalMedicare AdvantageOctober 1, 2021

Get your payments faster when you sign up for electronic funds transfer

State & FederalMedicare AdvantageOctober 1, 2021

New medical step therapy requirements

State & FederalMedicare AdvantageOctober 1, 2021

HEDIS medical record submission made easier with our Remote EMR Access Service

State & FederalMedicare AdvantageOctober 1, 2021

Information about 2021 Special Needs Plans

State & FederalMedicare AdvantageOctober 1, 2021

New reimbursement policy: Sexually transmitted infections testing (Professional)

State & FederalMedicare AdvantageOctober 1, 2021

Keep up with Medicare news - October 2021
View these Medicare articles:
- 2021 affirmative statement concerning utilization management decisions
- May 2021 Medical Policies and Utilization Management Guidelines update

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2021

Prior authorization updates for specialty pharmacy

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2021

New reimbursement policy: Sexually transmitted infections testing (Professional)

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2021

Get your payments faster when you sign up for electronic funds transfer

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2021

Diabetes testing and screening HEDIS measures

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2021

Keep up with Medicaid News - October 2021
View these Medicaid articles:
- 2021 affirmative statement concerning utilization management decisions
- May 2021 medical policies and utilization management guidelines update