Virginia
Provider Communications

Webinars on tap in advance of new Rehabilitation program that begins August 1, 2022

Coding tips for reporting administration of Spravato®

Anthem announces changes to post-payment audits conducted on our behalf

Resources to support diverse patients and communities

Primary care appointment access and open panels

Consolidation Appropriations Act: Timely updates help keep our provider directories current

May is National High Blood Pressure Education Month: We’ve got this

Alcohol use disorder has a big cost

Coding update effective August 1, 2022

New Rehabilitation program effective August 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available

Specialty pharmacy updates effective August 1, 2022

Federal Employee Program® AIM radiology prior authorization review reminder

CORRECTION: Save time by using CPT II codes: Introducing FEP® Quality Reimbursement Program for PPO providers

Join us for a FEP® Quality Learning Program live webinar

Screening for alcohol use disorder in high-prevalence demographics

Personal care services prior authorization change

Keep up with Medicaid news: May 2022

• DMAS MEMO: Medicaid Enterprise System
• Prior authorization requirement change for HCPCS code K1022
• New specialty pharmacy medical step therapy requirements

Convenient, reliable at-home testing for colorectal cancer and diabetes care

HEDIS 2022: Summary of changes from the National Committee for Quality Assurance

New specialty pharmacy medical step therapy requirements

Keep up with Medicare news: May 2022

• Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list effective July 1, 2022
• Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
• New specialty pharmacy medical step therapy requirements effective June 1, 2022

Information from Anthem for Care Providers about COVID-19 (Updated April 20, 2022)

Improving antibiotic use for acute respiratory infections in the outpatient setting

The Anthem, Inc. name is changing

HEDIS 2022: Summary of changes from National Committee for Quality Assurance

Let’s play catch-up on routine vaccines

Consolidated Appropriations Act: Update your provider directory information

Procedure searches in Find Care

Coverage guidelines effective July 1, 2022

Importance of behavioral healthcare after-hours messaging

Specialty pharmacy updates effective July 1, 2022

Reminder on Botox® for Anthem members

Pharmacy information available on anthem.com

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

The Anthem, Inc. name is changing

Claims reprocessing update for home- and community-based services

Reminder: Provider orientations are available

Disease Management/Population Health program

Clinical Criteria updates

Keep up with Medicaid news: April 2022

• Prior authorization updates for medications billed under the medical benefit
• Medical drug benefit Clinical Criteria updates
• Improving the lives of our members: Social drivers of health
• Medical Policies and Clinical Utilization Management Guidelines update

The Anthem, Inc. name is changing

Model of Care required training

The impact of listening

Clinical Criteria updates

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

Keep up with Medicare news: April 2022

• Medical Policies and Clinical Utilization Management Guidelines update
• Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
• AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

The Anthem, Inc. name is changing

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Your influence matters: Recommending cancer screenings to your patients

Understanding your patients’ differences is lifesaving

Simplifying requests for additional information

Virtual Visits: New CMS place of service code (professional and facility)

Updated Preventive Care Guidance regarding screening colonoscopies

Anthem clinical criteria updates for specialty pharmacy are available effective for dates of service on and after June 1, 2022

Specialty pharmacy updates

Correction to February 2022 specialty pharmacy updates

Change to the Federal Employee Program® clinical grievance and appeal address

HEDIS 2022 Federal Employee Program® medical record request requirements

Urinary tract infection toolkits are on the way

It is CAHPS survey time

Annual wellness visits for Medicare Advantage members

Pharmacy newsletter

Clinical Criteria updates

Prior authorization requirement changes effective June 1, 2022

Keep up with Medicare news: March 2022

• Medical step therapy updates

New: Vaccination resource page for providers

Consolidated Appropriations Act: Have you reviewed your online provider directory information lately?

Prepare for the Consolidated Appropriations Act: Keep your provider directory information current

It is CAHPS survey time

Heart disease is the number one killer of women

Share information with patients about taking an active role in their heart health.

Cancer Care Navigator

Specialty pharmacy updates effective for dates of service on and after May 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available effective for dates of service on and after May 1, 2022

Pharmacy information available on anthem.com

Notice of Regulatory Amendment related to Medicaid participating providers and facilities

Reminder: Provider orientations are available

The Behavioral Health Areas of Expertise Profile improves the referral process

Get faster payments with electronic funds transfer

Keep up with Medicaid news: February 2022

• Provider Services Solution (PRSS)
• Enrollment and maintenance changes starting April 2022
• State Memo: December 1, 2021, Behavioral Health Enhancement (BHE) Licensed Services
• State memo: Important changes to emergency services licenses
• Cancer Care Navigator

Get faster payments with electronic funds transfer

Keep up with Medicare news: February 2022

• NYC Medicare Advantage Plus update
• Cancer Care Navigator

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 18, 2022)

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing Providers Nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

Well-child visits: Know the numbers

Is prior authorization required? Use the Availity Authorization app

Submitting prior authorizations is getting easier

Coverage guidelines effective April 1, 2022

2022 FEP® Benefit information available online

Botox® update for Anthem HealthKeepers Plus members

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

2021 CAHPS Survey results

Submitting prior authorizations is getting easier

Keep up with Medicaid news: January 2022

• Provider orientations and training
• Prior authorization updates for medications billed under the medical benefit effective March 1, 2022
• Prior authorization updates for medications billed under the medical benefit
• AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update
• Change to durable medical equipment wheelchair benefit limits
• HEDIS Guide for retinal exam using fundoscopic photograph

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

Volvo Group North American offers Medicare Advantage option

Availity authorization app available to Anthem Blue Cross and Blue Shield providers in 2022

Keep up with Medicare news: January 2022

• Medical step therapy updates
• Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
• AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update