Virginia
Provider Communications

Articles

Title Publication Category Date

Members’ Rights and Responsibilities Statement

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Keep up with Medicaid news

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Reimbursement policy: Reminder about inpatient readmissions

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Keep up with Medicare news

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!



Clinical Quality CME Webinar Series - Virginia Administrative May 27, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Anthem and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and implicit bias.
Deconstructing Bias Forum Invitation for Virginia providers Administrative May 21, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) enhanced reimbursement begins July 1, 2021

May 2021 Anthem Provider News - Virginia Products & Programs May 1, 2021

Updates for specialty pharmacy are available

May 2021 Anthem Provider News - Virginia Pharmacy May 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

May 2021 Anthem Provider News - Virginia Pharmacy May 1, 2021

Specialty pharmacy prior authorization update: Certain drugs for treatment of ocular conditions continue to require prior authorization

May 2021 Anthem Provider News - Virginia Pharmacy May 1, 2021

Send larger digital attachments through Availity

We've expanded the file size to 100 megabytes.
May 2021 Anthem Provider News - Virginia Administrative May 1, 2021

A helpful and complete guide to covered well-child visits

May 2021 Anthem Provider News - Virginia Administrative May 1, 2021

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

May 2021 Anthem Provider News - Virginia Administrative May 1, 2021

Availity's Appointment Scheduler application

Digital online scheduling feature now available in the Availity Portal.
May 2021 Anthem Provider News - Virginia Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Anthem Provider News - Virginia Administrative May 1, 2021

May is National High Blood Pressure Education Month

A WISEWOMANTM knows that improving blood pressure is good for the heart.
May 2021 Anthem Provider News - Virginia Administrative May 1, 2021

2021 Affirmative statement regarding utilization management decisions

May 2021 Anthem Provider News - Virginia Administrative May 1, 2021

Provider bulletins for medical and itemized bill attachments

Electronic solutions at your fingertips.
May 2021 Anthem Provider News - Virginia Administrative May 1, 2021

Clinical guideline update

May 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines May 1, 2021

Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines

May 2021 Anthem Provider News - Virginia Guideline Updates May 1, 2021

Sign up to receive email from HealthKeepers, Inc.

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021

Enhanced Ambulatory Patient Group platform update

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021

Continuing medical education/continuing education unit opportunities

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021

Keep up with Medicaid news

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News - Virginia Medicare May 1, 2021

Keep up with Medicare news

May 2021 Anthem Provider News - Virginia Medicare May 1, 2021

Interactive bilingual website taking action for patients’ health

Exclusively developed for the Latino community.
April 2021 Anthem Provider News - Virginia Products & Programs Apr 1, 2021

The health of millennials: Trends in behavioral health conditions

April 2021 Anthem Provider News - Virginia Behavioral Health Apr 1, 2021

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

April 2021 Anthem Provider News - Virginia Pharmacy Apr 1, 2021

Updates for specialty pharmacy are available

April 2021 Anthem Provider News - Virginia Pharmacy Apr 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

April 2021 Anthem Provider News - Virginia Pharmacy Apr 1, 2021

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

April 2021 Anthem Provider News - Virginia Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Provider News - Virginia Pharmacy Apr 1, 2021

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

April 2021 Anthem Provider News - Virginia Administrative Apr 1, 2021

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

April 2021 Anthem Provider News - Virginia Administrative Apr 1, 2021

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

April 2021 Anthem Provider News - Virginia Administrative Apr 1, 2021

Information Center replaces Education and Reference Center in Payer Spaces

April 2021 Anthem Provider News - Virginia Administrative Apr 1, 2021

Understanding Availity roles for electronic data interchange

April 2021 Anthem Provider News - Virginia Administrative Apr 1, 2021

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

April 2021 Anthem Provider News - Virginia Administrative Apr 1, 2021

Does your practice offer telehealth services? Let us know

April 2021 Anthem Provider News - Virginia Administrative Apr 1, 2021

Join Anthem in talking about racism and its impact on health

April 2021 Anthem Provider News - Virginia Administrative Apr 1, 2021

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

April 2021 Anthem Provider News - Virginia Administrative Apr 1, 2021

Coverage guidelines effective July 1, 2021

April 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Apr 1, 2021

MCG care guidelines 25th edition

April 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Apr 1, 2021

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

April 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Apr 1, 2021

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

April 2021 Anthem Provider News - Virginia Reimbursement Policies Apr 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Apr 1, 2021

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

April 2021 Anthem Provider News - Virginia Medicaid Apr 1, 2021

Keep up with Medicaid news

April 2021 Anthem Provider News - Virginia Medicaid Apr 1, 2021

Medical drug benefit Clinical Criteria updates effective March 26, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Medical drug benefit Clinical Criteria updates effective April 8, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Notify us of telehealth services

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information Administrative Apr 1, 2021

Attention Anthem providers in Virginia: Supply of COVID-19 rapid antigen tests available at no cost; Drug maker extends expiration date

The Virginia Department of Health offers a significant supply of COVID-19 rapid antigen tests at no cost.  Drug maker Abbott extends expiration dates of product.  Providers in Virginia should take immediate action.
COVID-19 Information Administrative Mar 26, 2021

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

March 2021 Anthem Provider News - Virginia Pharmacy Mar 1, 2021

Updates for specialty pharmacy are available

March 2021 Anthem Provider News - Virginia Pharmacy Mar 1, 2021

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News - Virginia Pharmacy Mar 1, 2021

Medical attachment capability, itemized bill and more

March 2021 Anthem Provider News - Virginia Administrative Mar 1, 2021

Register today for Anthem’s spring webinar scheduled for May 6, 2021

March 2021 Anthem Provider News - Virginia Administrative Mar 1, 2021

UPDATE: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Anthem Provider News - Virginia Guideline Updates Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

MCG Care Guidelines 24th edition customization

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

New: Provider manual now available

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

Cystic fibrosis procedure codes 81220 to 81224 update

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

Keep up with Medicaid news

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

MCG Care Guidelines 24th edition customization

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

DME checklist of information needed from providers

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

Coverage Guidelines and Clinical Utilization Management Guidelines update

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

February 2021 Anthem Provider News - Virginia Pharmacy Feb 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2021 Anthem Provider News - Virginia Pharmacy Feb 1, 2021

Prior authorization updates for specialty pharmacy are available

February 2021 Anthem Provider News - Virginia Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Provider News - Virginia Pharmacy Feb 1, 2021

Anthem’s direct contracting effort for Certified Nurse Specialists gets underway in 2021

February 2021 Anthem Provider News - Virginia Administrative Feb 1, 2021

New provider directory indicator for telehealth services

February 2021 Anthem Provider News - Virginia Administrative Feb 1, 2021

DMAS 80 notifications: Update to fax number

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

CAHPS® survey

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

HEDIS® measurement year 2020: Medicaid summary of changes from NCQA

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

Interpretation services

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

Keep up with Medicaid news

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Provider News - Virginia Medicare Feb 1, 2021

Keep up with Medicare news

February 2021 Anthem Provider News - Virginia Medicare Feb 1, 2021

Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and the importance of allies.
The Road to Allyship Forum Invitation Administrative Jan 21, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 13, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information Administrative Jan 13, 2021

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information Administrative Jan 8, 2021

IngenioRx introduces new pharmacy network in 2021

January 2021 Anthem Provider News - Virginia Pharmacy Jan 1, 2021

Prior authorization updates for specialty pharmacy are available

January 2021 Anthem Provider News - Virginia Pharmacy Jan 1, 2021

Procedure searches in Find Care: New sort option

January 2021 Anthem Provider News - Virginia Administrative Jan 1, 2021

New Blue HPN® plans in effect

January 2021 Anthem Provider News - Virginia Administrative Jan 1, 2021

New features added to Interactive Care Reviewer

January 2021 Anthem Provider News - Virginia Administrative Jan 1, 2021
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