Virginia
Provider Communications

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Title Publication Category Date

Reminder: Updated Carelon Medical Benefits Management, Inc. Musculoskeletal Program effective April 1, 2023 - Site of care reviews

March 2023 Anthem Provider News - Virginia Administrative Mar 1, 2023

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update

March 2023 Anthem Provider News - Virginia Administrative Mar 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

March 2023 Anthem Provider News - Virginia Administrative Mar 1, 2023

Outpatient Facility Revenue Code Billing Requirements - Facility

March 2023 Anthem Provider News - Virginia Administrative Mar 1, 2023

Advancing Mental Health Equity for Youth & Young Adults

March 2023 Anthem Provider News - Virginia Administrative Mar 1, 2023

Provider directory - annual audit for NCQA Accreditation

March 2023 Anthem Provider News - Virginia Administrative Mar 1, 2023

Time to prepare for HEDIS medical record review

March 2023 Anthem Provider News - Virginia Administrative Mar 1, 2023

Upcoming amendment changes for Commercial reimbursement policies for Virginia

March 2023 Anthem Provider News - Virginia Reimbursement Policies Mar 1, 2023

Clinical Criteria updates for specialty pharmacy are available

March 2023 Anthem Provider News - Virginia Pharmacy Mar 1, 2023

Specialty pharmacy updates for March 2023

March 2023 Anthem Provider News - Virginia Pharmacy Mar 1, 2023

Policy Update: Modifiers 25 and 57 (Policy G-06003, effective 04/01/2023)

March 2023 Anthem Provider News - Virginia Medicaid Mar 1, 2023

Keep up with Medicaid news - March 2023

  • Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
  • Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List
  • Carelon Medical Benefits Management, Inc. Radiology Clinical Appropriateness Guidelines CPT code list update
  • Clinical Criteria updates
  • Prior authorization updates for medications billed under the medical benefit (Carvykti)
  • Prior authorization updates for medications billed under the medical benefit (Aduhelm)
  • Applied behavior analysis
March 2023 Anthem Provider News - Virginia Medicaid Mar 1, 2023

Keep up with Medicare news - March 2023

  • Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List in Virginia
  • Carelon Medical Benefits Management, Inc.Genetic Testing Clinical Appropriateness Guidelines CPT code list update
  • What date to select for inpatient admissions for claims
  • Clinical Criteria updates
  • New specialty pharmacy medical step therapy requirements
  • Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
March 2023 Anthem Provider News - Virginia Medicare Mar 1, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

March 2023 Anthem Provider News - Virginia Administrative Mar 1, 2023

March is National Colorectal Cancer Awareness Month

March 2023 Anthem Provider News - Virginia Administrative Mar 1, 2023

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

March 2023 Anthem Provider News - Virginia Administrative Mar 1, 2023

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

March 2023 Anthem Provider News - Virginia Products & Programs Mar 1, 2023

Pharmacy information available on our provider website

March 2023 Anthem Provider News - Virginia Pharmacy Mar 1, 2023

Annual planned visits

March 2023 Anthem Provider News - Virginia Medicare Mar 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

March 2023 Anthem Provider News - Virginia Medicare Mar 1, 2023

Shared savings and transition care management after inpatient discharges

March 2023 Anthem Provider News - Virginia Medicare Mar 1, 2023

Informational Update Modifier Usage

March 2023 Anthem Provider News - Virginia Medicare Mar 1, 2023

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

February 2023 Anthem Provider News - Virginia Administrative Feb 1, 2023

Do you offer telehealth services? Let us know!

February 2023 Anthem Provider News - Virginia Administrative Feb 1, 2023

Enhancing Provider News website and email communications

February 2023 Anthem Provider News - Virginia Digital Tools Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Anthem Provider News - Virginia Administrative Feb 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Anthem Provider News - Virginia Digital Tools Feb 1, 2023

Clinical Guideline update (effective May 1, 2023)

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Anthem Blue Cross and Blue Shield local precertification change in Virginia for HMO

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Anthem Blue Cross and Blue Shield local precertification change in Virginia for PPO

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Clinical Guidelines update (effective May 1, 2023)

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Specialty pharmacy updates - February 2023

February 2023 Anthem Provider News - Virginia Pharmacy Feb 1, 2023

Clinical Criteria updates for specialty pharmacy are available

February 2023 Anthem Provider News - Virginia Pharmacy Feb 1, 2023

Introducing the Provider Learning Hub

February 2023 Anthem Provider News - Virginia Medicaid Feb 1, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Virginia Medicare Feb 1, 2023

Keep up with Medicaid news: February 2023

  • Prior authorization updates for medications billed under the medical benefit
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit
  • POS restrictions for BRAVO services
  • Direct member medical necessity appeals to HealthKeepers, Inc.
  • Patient liability and claims processing
February 2023 Anthem Provider News - Virginia Medicaid Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Provider News - Virginia Federal Employee Plan (FEP) Feb 1, 2023

Introducing the Provider Learning Hub

February 2023 Anthem Provider News - Virginia Medicare Feb 1, 2023

Keep up with Medicare news - February 2023

  • Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (FyInetra)
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
  • Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
  • New specialty pharmacy medical step therapy requirements
  • Prior authorization requirement changes effective April 1, 2023
  • Medical Policies and Clinical Utilization Management Guidelines update
February 2023 Anthem Provider News - Virginia Medicare Feb 1, 2023

Important reminder: New ID cards for many of our Anthem Blue Cross and Blue Shield members

New ID cards for Anthem Blue Cross and Blue Shield members - Virginia Administrative Jan 19, 2023

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Virginia Administrative Jan 11, 2023

Anthem Blue Cross and Blue Shield local precertification change in Virginia for HMO

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Anthem Blue Cross and Blue Shield local precertification change in Virginia for PPO

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Primary care physician after-hours access requirements

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Virginia Commercial with Anthem Blue Cross and Blue Shield: local precertification change notification

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Virginia Guideline Updates Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

Coverage and Clinical Guidelines update (effective April 1, 2023)

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

Anthem in Virginia’s upcoming amendment will allow posting of Commercial professional reimbursement policies online at anthem.com

January 2023 Anthem Provider News - Virginia Reimbursement Policies Dec 30, 2022

Specialty pharmacy updates

January 2023 Anthem Provider News - Virginia Pharmacy Dec 30, 2022

Engagement with your patient counts

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Monkeypox and smallpox vaccines: Product code on claims

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Attention physicians and lab providers: COVID-19 update regarding reimbursement

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Submitting prior authorizations digitally through ICR

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Implementation of Cardinal Care

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Keep up with Medicaid news: January 2023

  • This is Quitting: Helping teens and young adults quit vaping
  • HEDIS measure for prenatal and postpartum care
  • Prior authorization requirement changes updated effective January 1, 2023
  • AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
  • Change to vaccine age limitations
January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Keep up with Medicare news: January 2023

  • Prior authorization requirement changes
  • New specialty pharmacy medical step therapy requirements
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
January 2023 Anthem Provider News - Virginia Medicare Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Submitting prior authorizations digitally through Interactive Care Reviewer

January 2023 Anthem Provider News - Virginia Digital Tools Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases

January 2023 Anthem Provider News - Virginia Federal Employee Plan (FEP) Dec 30, 2022

Professional system updates for 2023

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Engagement with your patient counts

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Coordination of care

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Case management program

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Important information about utilization management

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

December 2022 Anthem Provider News - Virginia Guideline Updates Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Anthem Provider News - Virginia Reimbursement Policies Dec 1, 2022

Clinical Criteria updates for specialty pharmacy available

December 2022 Anthem Provider News - Virginia Pharmacy Dec 1, 2022

Specialty pharmacy updates - December 2022

December 2022 Anthem Provider News - Virginia Pharmacy Dec 1, 2022

Update to the Pregnancy Notification Form

December 2022 Anthem Provider News - Virginia Medicaid Dec 1, 2022

Doula services

December 2022 Anthem Provider News - Virginia Medicaid Dec 1, 2022

Keep up with Medicaid news: December 2022

  • Medical drug benefit Clinical Criteria updates
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
  • Prior authorization requirement changes effective January 1, 2023
December 2022 Anthem Provider News - Virginia Medicaid Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Virginia Medicare Dec 1, 2022

Keep up with Medicare news: December 2022

  • Medical drug benefit Clinical Criteria updates
  • Medical Policies and Clinical Utilization Management Guidelines update
December 2022 Anthem Provider News - Virginia Medicare Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Virginia Pharmacy Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Virginia Medicare Dec 1, 2022

Primary care physician searches in Find Care

Primary care physician searches in Find Care - Virginia Administrative Nov 2, 2022

Provider contract and fee schedule notifications via Availity

November 2022 Anthem Provider News - Virginia Administrative Nov 1, 2022

Support documentation for AIM prior authorization requests

November 2022 Anthem Provider News - Virginia Administrative Nov 1, 2022

Post office boxes are being retired because of low usage

November 2022 Anthem Provider News - Virginia Administrative Nov 1, 2022

Consolidated Appropriations Act: Keep your provider directory information up to date

November 2022 Anthem Provider News - Virginia Administrative Nov 1, 2022

Claims status message enhancements: Providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Virginia Digital Tools Nov 1, 2022
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