Wisconsin
Provider Communications

Articles Month: June 2022

Title Publication Category Date

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 16, 2022

Exploring the Intersection of Race and Disability

Register today for the Exploring the Intersection of Race and Disability forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on June 22, 2022.
Exploring the Intersection of Race and Disability forum - Wisconsin Administrative Jun 8, 2022

Keep up with Medicaid News - June 2022

- Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
- Prior authorization update for select durable medical equipment (DME) items
- Prior authorization updates for medications billed under the medical benefit
- Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

New Strategic Provider System will launch in August 2022

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Evaluation and management services for COVID testing - Professional*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Forum: Exploring the Intersection of Race and Disability

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Direct behavioral health fee schedule updates effective July 1, 2022

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Updates to AIM musculoskeletal program: Monitored anesthesia care reviews*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Products & Programs Jun 1, 2022

Specialty pharmacy updates - June 2022*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Pharmacy Jun 1, 2022

Medical policy and clinical guideline updates - June 2022*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2022

Updated guidance on prior authorization requirements for admissions to in-network long-term acute care hospitals (LTACHs)*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM musculoskeletal clinical appropriateness guidelines*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM advanced imaging clinical appropriateness guidelines*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM sleep disorder management clinical appropriateness guidelines*

*Material Adverse Change (MAC)

June 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jun 1, 2022

Process change for Federal Employee Program third-party correspondence requests

June 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Jun 1, 2022

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Keep up with Medicare News - June 2022

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Medical policies and clinical utilization management guidelines update

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Provider outreach to validate your provider data

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Update use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Updates to edits associated with implants

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Wisconsin Behavioral Health Jun 1, 2022
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