Virginia
Provider Communications

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Title Publication Category Date

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

Information from Anthem for Care Providers about COVID-19 (Updated January 26, 2021)

We recently updated information about COVID-19 vaccines.
COVID-19 Information Administrative Jan 26, 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

Find out in minutes why your claim denied; Introducing self-service claim denial review on our secure provider portal

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

Self-service, digital transactions are fast and easy

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

MCG Care Guidelines 24th Edition Customization

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

It is almost CAHPS survey time

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

Attachment tools for Anthem and affiliate payers: Live webinars

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

Coverage guidelines effective April 1, 2021

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

Evaluation and Management changes 2021 (Professional)

January 2021 Anthem Provider News - Virginia Reimbursement Policies Jan 1, 2021

Professional system updates for 2021

January 2021 Anthem Provider News - Virginia Reimbursement Policies Jan 1, 2021

Outpatient system updates for 2021 (Facility)

January 2021 Anthem Provider News - Virginia Reimbursement Policies Jan 1, 2021

2021 FEP® benefit information available online

January 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

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

FDA approvals and expedited pathways used: New molecular entities (NMEs)

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

Medical drug benefit Clinical Criteria updates

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

Coding spotlight: HEDIS MY 2021

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

Disease Management/Population Health program

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

New state legislation prompts changes in reimbursement of services during credential process: Medicaid clarification

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

Discharge planning

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

Keep up with Medicaid news

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

Medical drug benefit Clinical Criteria updates

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

2020 Medicare risk adjustment provider trainings

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

Keep up with Medicare news

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

Access requirements for behavioral health care services

December 2020 Anthem Provider News - Virginia Behavioral Health Dec 1, 2020

Prior authorization updates for specialty pharmacy are available

December 2020 Anthem Provider News - Virginia Pharmacy Dec 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

December 2020 Anthem Provider News - Virginia Pharmacy Dec 1, 2020

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

December 2020 Anthem Provider News - Virginia Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

December 2020 Anthem Provider News - Virginia Pharmacy Dec 1, 2020

Balance Billing legislation prompts changes to provider directory information

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

New Blue HPN® plans go live January 1, 2021

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

Access to claim denial information is now self-service

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

Anthem makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

Anthem in Virginia contracted air ambulance providers

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

PCP after-hours access requirements

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

Two-minute videos to engage patients about preventive care

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

Updated BlueCard® Program Provider Manual available on anthem.com January 1, 2021

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

Case Management Program

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

Coordination of care

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

Important information about utilization management

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

Members’ rights and responsibilities

December 2020 Anthem Provider News - Virginia Administrative Dec 1, 2020

Updates to AIM Cardiology Clinical Appropriateness Guidelines

December 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

December 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2020

Updates to AIM Radiation Oncology Clinical Appropriateness Guidelines

December 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)

December 2020 Anthem Provider News - Virginia Reimbursement Policies Dec 1, 2020

CAHPS education for providers

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Notifications on the Availity Portal

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Resources to support your pregnant and postpartum patients and their families

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Important reminder – coding requirements for reimbursement for early elective deliveries

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Suicide prevention and intervention: What you need to know

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Anthem CCC Plus member open enrollment ends December 18, 2020: Please provide this information to your patients

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

You are invited: Provider orientations

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Keep up with Medicaid news

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News - Virginia Medicare Dec 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Provider News - Virginia Medicare Dec 1, 2020

Medicare Advantage Group Retiree member eligibility, alpha prefix FAQ

December 2020 Anthem Provider News - Virginia Medicare Dec 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

December 2020 Anthem Provider News - Virginia Medicare Dec 1, 2020
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