Wisconsin
Provider Communications

Articles Month: October 2022

Title Publication Category Date

Information from Anthem for Care Providers about COVID-19 - RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.
Future updates regarding COVID-19 will appear in the monthly Provider News publication.
COVID-19 Information - Wisconsin – Publication RETIRED as of November 8, 2022 Administrative Oct 13, 2022

MCG care guidelines 26th edition update

Effective September 23, 2022, we will upgrade to the 26th edition of MCG care guidelines for the following modules: Inpatient/surgical care (ISC). 
MCG care guidelines 26th edition update - Wisconsin State & Federal Oct 12, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Wisconsin Administrative Oct 7, 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
October 2022 Anthem Provider News - Wisconsin Medicare Oct 1, 2022

National Accounts 2023 Precertification list

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

The Provider Learning Hub is here

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 9/1/22

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

CAA: Review your online provider directory information

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

New Strategic Provider System implementation in August 2022

October 2022 Anthem Provider News - Wisconsin Digital Tools Oct 1, 2022

Pharmacy information available on provider website

October 2022 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2022

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

October 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Anthem Provider News - Wisconsin Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

October 2022 Anthem Provider News - Wisconsin Medicare Oct 1, 2022

Learn how Interactive Care Reviewer makes it easy to submit authorizations electronically

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2022

Specialty pharmacy updates - October 2022

Material Adverse Change (MAC)
October 2022 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Material Adverse Change (MAC)
October 2022 Anthem Provider News - Wisconsin Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

October 2022 Anthem Provider News - Wisconsin Reimbursement Policies Oct 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
October 2022 Anthem Provider News - Wisconsin Medicaid Oct 1, 2022

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

October 2022 Anthem Provider News - Wisconsin Medicaid Oct 1, 2022

Members’ Rights and Responsibilities section

October 2022 Anthem Provider News - Wisconsin Medicaid Oct 1, 2022

Monkeypox resources and recommendations for our care providers

October 2022 Anthem Provider News - Wisconsin Medicaid Oct 1, 2022
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