Virginia
Provider Communications

June 2022 Anthem Provider News - Virginia

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Title Category

Provider outreach to validate your provider data

Administrative

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield and Motivo for Anthem providers on June 22, 2022.
Administrative

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

Administrative

Consolidated Appropriations Act: Provider directories accuracy is important

Administrative

Opioid overdose deaths: What can we do?

Behavioral Health

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines

Coverage and Clinical Guidelines

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

Coverage and Clinical Guidelines

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

Coverage and Clinical Guidelines

Process change for Federal Employee Program® third-party correspondence requests

Federal Employee Plan (FEP)

Provider notice for COVID-19 testing

Medicaid

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicaid

Medical drug benefit Clinical Criteria updates

Medicaid

Medical Policies and Clinical Utilization Management Guidelines update

Medicaid

Keep up with Medicaid news: June 2022

  • Transcranial magnetic stimulation provider communication
  • Prior authorization update for select durable medical equipment (DME) items
  • MES and DMAS enrollment requirement
  • Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
  • Prior authorization updates for medications billed under the medical benefit
  • Precertification requirement notice
Medicaid

Provider notice for COVID-19 testing

Medicare

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare

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

Medicare

Medical drug benefit Clinical Criteria updates

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Keep up with Medicare news: June 2022

  • Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
  • New specialty pharmacy medical step therapy requirements
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
Medicare

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

Specialty pharmacy updates effective September 1, 2022

Pharmacy

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care reviews

Products & Programs

Updated AIM Musculoskeletal Program effective September 1, 2022: Site of care reviews

Products & Programs

REMINDER: New Rehabilitation program effective August 1, 2022

Products & Programs
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