CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2024
October 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsSeptember 12, 2024
Roster Automation updates effective November 15, 2024: enhanced reporting to increase data accuracy
Medicare AdvantageOctober 1, 2024
Introducing the Care Provider Recognition Program from Anthem
Medicare AdvantageSeptember 6, 2024
Changes to special supplemental benefits for the chronically ill eligibility requirements
Administrative
CommercialOctober 1, 2024
National Accounts 2025 precertification listCommercialOctober 1, 2024
Updated provider manual — November 1, 2024Medicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsSeptember 18, 2024
Expansion of digital-only authorization case status notificationsCommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsSeptember 4, 2024
Digital Provider Enrollment now available for additional provider types in Availity EssentialsEducation & Training
Medicare AdvantageSeptember 16, 2024
Seamless advance care: MyDirectives digital tool for D-SNP membersPolicy Updates
BadgerCare Plus and Medicaid SSI ProgramsSeptember 3, 2024
Clinical Criteria updatesEffective October 6, 2024
Medicare AdvantageSeptember 10, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective October 10, 2024
Medicare AdvantageSeptember 23, 2024
Prior authorization requirement changesEffective January 1, 2025
CommercialOctober 1, 2024
Material adverse change
Reimbursement policy update: Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service — ProfessionalMedicare AdvantageOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesProducts & Programs
CommercialOctober 1, 2024
Introduction of the Specialty High Performing Provider designation program for commercial networksCommercialOctober 1, 2024
Introduction of the HPP designation program for individual member (Exchange) commercial networksMedicare AdvantageOctober 1, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?BadgerCare Plus and Medicaid SSI ProgramsSeptember 10, 2024
Prior authorization updates for medications billed under the medical benefitEffective November 1, 2024
Amtagvi, iDoseTR, and Nexobrid
BadgerCare Plus and Medicaid SSI ProgramsSeptember 9, 2024
Prior authorization updates for medications billed under the medical benefitEffective November 1, 2024
Alyglo, Simlandi, and Winrevair
CommercialOctober 1, 2024
Pharmacy information available on our provider websiteQuality Management
CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2024
Prevent flu and COVID-19: drive the change through vaccinationCommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsOctober 1, 2024
HEDIS medical record submission made easier with our Remote EMR Access serviceWIBCBS-CDCRCM-067888-24
To view this publication online:
Visit https://providernews.anthem.com/wisconsin/publications/october-2024-provider-newsletter-3444
Or scan this QR code with your phone