CommercialOctober 1, 2022

October 2022 Anthem Provider News - Wisconsin

Administrative

AdministrativeCommercialOctober 1, 2022

National Accounts 2023 Precertification list

AdministrativeCommercialOctober 1, 2022

The Provider Learning Hub is here

AdministrativeCommercialOctober 1, 2022

CAA: Review your online provider directory information

AdministrativeCommercialOctober 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

Digital SolutionsCommercialOctober 1, 2022

New Strategic Provider System implementation in August 2022

Policy Updates

Reimbursement PoliciesCommercialOctober 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional
Material Adverse Change (MAC)

Products & Programs

PharmacyCommercialOctober 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

PharmacyCommercialOctober 1, 2022

Specialty pharmacy updates - October 2022
Material Adverse Change (MAC)

PharmacyCommercialOctober 1, 2022

Pharmacy information available on provider website

State & Federal

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2022

Keep up with Medicaid News - October 2022
- New specialty pharmacy medical step therapy requirements
- Prior authorization updates for medications billed under the medical benefit-1
- Prior authorization updates for medications billed under the medical benefit-2
- Change to claims acceptance based on Clinical Laboratory Improvement Amendments
- MCG 26th Edition update

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional (WI only)

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2022

Members’ Rights and Responsibilities section

State & FederalBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2022

Monkeypox resources and recommendations for our care providers

State & FederalMedicare AdvantageOctober 1, 2022

Keep up with Medicare News - October 2022
- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
- Anthem expands specialty pharmacy precertification list-1
- Anthem expands specialty pharmacy precertification list-2
- Consultation codes
- MCG 26th Edition update

State & FederalMedicare AdvantageOctober 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates