Wisconsin
Provider Communications

Articles Month: August 2021

Title Publication Category Date

Anthem to update formulary lists for commercial health plan pharmacy benefit effective October 1, 2021*

*Material Adverse Change (MAC)
August 2021 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2021

Change in email submission of service requests for Federal Employee Program® members*

*Material Adverse Change (MAC)
August 2021 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Aug 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

August 2021 Anthem Provider News - Wisconsin Administrative Aug 1, 2021

Immune globulin adjusted body weight dosing program beginning August 1, 2021

August 2021 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2021

Medicaid News - August 2021

View these Medicaid articles:
-Iron Infusion Step Therapy
-Prior authorization requirement changes effective September 1, 2021 – UM AROW 1837
-Iron Infusion Prior Authorization Update
August 2021 Anthem Provider News - Wisconsin Medicaid Aug 1, 2021

Medicare News - August 2021

View these Medicare articles:
- Infliximab Step Therapy - Effective 7/15/2021
- Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907
August 2021 Anthem Provider News - Wisconsin Medicare Aug 1, 2021

New! Schedule appointments online through Availity

August 2021 Anthem Provider News - Wisconsin Digital Tools Aug 1, 2021

Pharmacy information available at anthem.com

August 2021 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2021

Preventing claims denials: Shingles vaccine

August 2021 Anthem Provider News - Wisconsin Medicare Aug 1, 2021

Register now for our August CME webinars

August 2021 Anthem Provider News - Wisconsin Administrative Aug 1, 2021

Reimbursement policy update: Claims requiring additional documentation (Facility)*

*Material Adverse Change (MAC)
August 2021 Anthem Provider News - Wisconsin Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU*

*Material Adverse Change (MAC)
August 2021 Anthem Provider News - Wisconsin Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Virtual Visits (Professional and Facility)*

*Material Adverse Change (MAC)
August 2021 Anthem Provider News - Wisconsin Reimbursement Policies Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2021

Telehealth visits can impact after hospitalization follow-up care for mental illness

August 2021 Anthem Provider News - Wisconsin Administrative Aug 1, 2021

Transition to AIM Specialty Health imaging of the heart clinical appropriateness guideline for computed tomography to detect coronary artery calcification

August 2021 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Aug 1, 2021

Updates for specialty pharmacy are available - August 2021*

*Material Adverse Change (MAC)
August 2021 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2021
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