Virginia
Provider Communications

April 2021 Anthem Provider News - Virginia

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Title Category

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

Anthem’s spring webinar scheduled for May 6, 2021; register now

Administrative

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

Administrative

Chat directly with a prior authorization specialist: The fast, easy way to have your questions answered

Administrative

Claims editing update for ICD-10-CM Excludes 1 notes

Reimbursement Policies

CORRECTION: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

Pharmacy

Coverage guidelines effective July 1, 2021

Coverage and Clinical Guidelines

Does your practice offer telehealth services? Let us know

Administrative

HEDIS 2021 Federal Employee Program® medical record request requirements

Federal Employee Plan (FEP)

In-Office Assessment program

Medicare

Information Center replaces Education and Reference Center in Payer Spaces

Administrative

Interactive bilingual website taking action for patients’ health

Exclusively developed for the Latino community.
Products & Programs

Join Anthem in talking about racism and its impact on health

Administrative

Keep up with Medicaid news

Medicaid

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

Administrative

Make the change to digital authorization/referral and hospital admission notifications using electronic data interchange

Administrative

Maximizing efficient, high quality COVID-19 screenings

Administrative

MCG care guidelines 25th edition

Coverage and Clinical Guidelines

Medical drug benefit Clinical Criteria updates effective April 8, 2021

Medicare

Medical drug benefit Clinical Criteria updates effective March 26, 2021

Medicare

Notify us of telehealth services

Medicare

Oncology dose reduction program beginning July 1, 2021

Medicare

Pharmacy information available on anthem.com

Pharmacy

Please provide this information to your patients: Enrollment period for Anthem HealthKeepers Plus in Tidewater area is open through April 30, 2021

Medicaid

The health of millennials: Trends in behavioral health conditions

Behavioral Health

Understanding Availity roles for electronic data interchange

Administrative

UPDATE for commercial providers regarding AIM sleep program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

Coverage and Clinical Guidelines

UPDATE: Site of care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021

Pharmacy

Updates for specialty pharmacy are available

Pharmacy
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