CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsSeptember 1, 2024
September 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageAugust 1, 2023
Clinical Laboratory Improvement Amendments
CommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsAugust 28, 2024
Maximizing care with regular provider data attestation
Administrative
BadgerCare Plus and Medicaid SSI ProgramsSeptember 1, 2024
Enhanced claims edits for FDA-approved drug codesMedicare AdvantageSeptember 1, 2024
Drug and biologicCommercialMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsAugust 28, 2024
Advancing digital efficiency by discontinuing paper remittancesMedicare AdvantageBadgerCare Plus and Medicaid SSI ProgramsAugust 13, 2024
Coming soon — digital-only authorization case status notificationsEducation & Training
CommercialSeptember 1, 2024
New provider resource for family caregivers of members with cancerPolicy Updates
BadgerCare Plus and Medicaid SSI ProgramsJuly 23, 2024
Clinical Criteria updatesEffective August 25, 2024
BadgerCare Plus and Medicaid SSI ProgramsAugust 13, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective September 15, 2024
CommercialAugust 14, 2024
Medical Policies and Clinical UM Guidelines updates — September 2024BadgerCare Plus and Medicaid SSI ProgramsAugust 5, 2024
Prior authorization requirement changesEffective October 1, 2024
Codes:
33263, 33264, 64582, C2616, and S2095
Products & Programs
CommercialJuly 31, 2024
FEP Quality Reimbursement Program for providersCommercialSeptember 1, 2024
The Power of the Blues: Introducing the Blue National Physician Performance DatasetCommercialAugust 26, 2024
Specialty pharmacy updates — September 2024Medicare AdvantageSeptember 1, 2024
Real-time prescription benefitMedicare AdvantageAugust 27, 2024
Anthem expands specialty pharmacy precertification listCodes: C9399, J9999 and J3590
CommercialSeptember 1, 2024
Pharmacy information available on our provider websiteQuality Management
CommercialMedicare AdvantageAugust 13, 2024
Announcing the new HEDIS documentation library supporting coding excellenceWIBCBS-CDCRCM-065323-24
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