Wisconsin
Provider Communications

Articles Month: October 2022

Title Publication Category Date

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

CAA: Review your online provider directory information

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

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Anthem Provider News - Wisconsin Medicare 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

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

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Anthem Provider News - Wisconsin Pharmacy 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

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

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

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 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

Members’ Rights and Responsibilities section

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

Monkeypox and smallpox vaccines: Product code on claims

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

Monkeypox resources and recommendations for our care providers

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

National Accounts 2023 Precertification list

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

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Wisconsin Administrative Oct 7, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

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

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

October 2022 Anthem Provider News - Wisconsin Medicaid 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

Specialty pharmacy updates - October 2022

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

The Provider Learning Hub is here

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