Virginia
Provider Communications

Provider Spotlight

Aug 15, 2022

Attention providers who intend to provide physical, occupational or speech therapy services

The AIM Rehabilitation Program is effective September 1, 2022; AIM call center re-opens August 15.

Aug 8, 2022

Information from Anthem for Care Providers about COVID-19 (Updated August 8, 2022)

We recently updated information about coverage dates for telephonic-only care.


Articles Recent

Title Publication Category Date

Attention providers who intend to provide physical, occupational or speech therapy services

The AIM Rehabilitation Program is effective September 1, 2022; AIM call center re-opens August 15.
Attention providers who intend to provide physical, occupational or speech therapy services - Virginia Products & Programs Aug 15, 2022

Information from Anthem for Care Providers about COVID-19 (Updated August 8, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information Administrative Aug 8, 2022

Reminder: Inpatient/outpatient Commercial claim denials

August 2022 Anthem Provider News - Virginia Administrative Aug 1, 2022

New patient evaluation and management services when reported for the same patient within the last three years

August 2022 Anthem Provider News - Virginia Administrative Aug 1, 2022

Timely updates help keep our provider directories current

August 2022 Anthem Provider News - Virginia Administrative Aug 1, 2022

Anthem to accept Hospital in Home services

August 2022 Anthem Provider News - Virginia Administrative Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Anthem Provider News - Virginia Digital Tools Aug 1, 2022

Add supporting documents directly to your claims with the new Claims Status Send Attachments feature

August 2022 Anthem Provider News - Virginia Digital Tools Aug 1, 2022

Coverage guideline effective November 1, 2022

August 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2022

New AIM Rehabilitation Program delayed until September 1, 2022

August 2022 Anthem Provider News - Virginia Products & Programs Aug 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Provider News - Virginia Behavioral Health Aug 1, 2022

Specialty pharmacy updates effective November 1, 2022

August 2022 Anthem Provider News - Virginia Pharmacy Aug 1, 2022

Clinical Criteria updates for specialty pharmacy are available

August 2022 Anthem Provider News - Virginia Pharmacy Aug 1, 2022

Pharmacy information available on the provider website

August 2022 Anthem Provider News - Virginia Pharmacy Aug 1, 2022

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

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Using screening, brief intervention, and referral to treatment to address opioid and substance use disorders

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

The cost of alcohol use disorder

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Prior authorization requirement changes updated effective November 1, 2022

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Chlamydia screening

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Billing taxonomy code requirements

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Service facilitation visit authorization and limit reminder

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Treatment involving prescription of opioids

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Keep up with Medicaid news: August 2022

  • One-time COVID-19 Support Payment for Attendant/Aides
August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Keep up with Medicare news: August 2022

  • MCG care guidelines 26th edition
August 2022 Anthem Provider News - Virginia Medicare Aug 1, 2022

Attention providers who intend to provide physical, occupational or speech therapy services

AIM Rehabilitation Program effective date delayed until September 1, 2022.
Attention providers who intend to provide physical, occupational or speech therapy services - Virginia Administrative Jul 27, 2022

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Virginia Administrative Jul 20, 2022

Introducing Elevance Health: Focusing on whole health and its most powerful drivers

July 2022 Anthem Provider News - Virginia Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings - 3072F: New language about two-year compliance

July 2022 Anthem Provider News - Virginia Administrative Jul 1, 2022

More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesity

July 2022 Anthem Provider News - Virginia Administrative Jul 1, 2022

Consolidated Appropriations Act: Keep your provider directory information current

July 2022 Anthem Provider News - Virginia Administrative Jul 1, 2022

Coming soon: The Anthem Blue Cross and Blue Shield Provider Learning Hub makes Availity learning easier

July 2022 Anthem Provider News - Virginia Digital Tools Jul 1, 2022

Enhancing claims attachment processes through digital applications: Add attachments through Claims Status Inquiry

July 2022 Anthem Provider News - Virginia Digital Tools Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jul 1, 2022

Termination of enhanced reimbursement for voluntary Cancer Care Quality program effective December 31, 2022

July 2022 Anthem Provider News - Virginia Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy: Sexually Transmitted Infections - professional

July 2022 Anthem Provider News - Virginia Reimbursement Policies Jul 1, 2022

Reminder: New rehabilitation program effective August 1, 2022

July 2022 Anthem Provider News - Virginia Products & Programs Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Provider News - Virginia Products & Programs Jul 1, 2022

Clinical Criteria updates for specialty pharmacy are available

July 2022 Anthem Provider News - Virginia Pharmacy Jul 1, 2022

Pharmacy information available online

July 2022 Anthem Provider News - Virginia Pharmacy Jul 1, 2022

Radiology prior authorization review transitioned to AIM; prior authorization required

July 2022 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jul 1, 2022

Prior authorization requirement changes effective August 1, 2022

July 2022 Anthem Provider News - Virginia Medicaid Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Anthem Provider News - Virginia Medicaid Jul 1, 2022

Antibiotic dispensing guidelines

July 2022 Anthem Provider News - Virginia Medicaid Jul 1, 2022

Update use of modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Virginia Medicaid Jul 1, 2022

Change to Department of Medical Assistance Services’ incontinence undergarment benefit limits

July 2022 Anthem Provider News - Virginia Medicaid Jul 1, 2022

Keep up with Medicaid news: July 2022

  • Updating member information
  • Use of Imaging Studies for Low Back Pain (LBP)
  • Remote patient monitoring update
  • Prior authorization updates for medications billed under the medical benefit
  • Virginia Medicaid language interpretation services
July 2022 Anthem Provider News - Virginia Medicaid Jul 1, 2022

Update use of modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Virginia Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Anthem Provider News - Virginia Medicare Jul 1, 2022

Keep up with Medicare news: July 2022

  • New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Virginia Medicare Jul 1, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 16, 2022

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.

Exploring the Intersection of Race and Disability forum - Virginia Administrative Jun 8, 2022

Provider outreach to validate your provider data

June 2022 Anthem Provider News - Virginia Administrative Jun 1, 2022

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.
June 2022 Anthem Provider News - Virginia Administrative Jun 1, 2022

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

June 2022 Anthem Provider News - Virginia Administrative Jun 1, 2022

Consolidated Appropriations Act: Provider directories accuracy is important

June 2022 Anthem Provider News - Virginia Administrative Jun 1, 2022

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines

June 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

June 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

June 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jun 1, 2022

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

June 2022 Anthem Provider News - Virginia Products & Programs Jun 1, 2022

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

June 2022 Anthem Provider News - Virginia Products & Programs Jun 1, 2022

REMINDER: New Rehabilitation program effective August 1, 2022

June 2022 Anthem Provider News - Virginia Products & Programs Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Virginia Behavioral Health Jun 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available

June 2022 Anthem Provider News - Virginia Pharmacy Jun 1, 2022

Specialty pharmacy updates effective September 1, 2022

June 2022 Anthem Provider News - Virginia Pharmacy Jun 1, 2022

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

June 2022 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jun 1, 2022

Provider notice for COVID-19 testing

June 2022 Anthem Provider News - Virginia Medicaid Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Anthem Provider News - Virginia Medicaid Jun 1, 2022

Medical drug benefit Clinical Criteria updates

June 2022 Anthem Provider News - Virginia Medicaid Jun 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

June 2022 Anthem Provider News - Virginia Medicaid Jun 1, 2022

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
June 2022 Anthem Provider News - Virginia Medicaid Jun 1, 2022

Provider notice for COVID-19 testing

June 2022 Anthem Provider News - Virginia Medicare Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Anthem Provider News - Virginia Medicare Jun 1, 2022

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

June 2022 Anthem Provider News - Virginia Medicare Jun 1, 2022

Medical drug benefit Clinical Criteria updates

June 2022 Anthem Provider News - Virginia Medicare Jun 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

June 2022 Anthem Provider News - Virginia Medicare Jun 1, 2022

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
June 2022 Anthem Provider News - Virginia Medicare Jun 1, 2022

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

Register today for webinar sessions starting in June.
Anthem to offer provider webinars for new Rehabilitation program - Virginia Products & Programs May 20, 2022

Coding tips for reporting administration of Spravato®

May 2022 Anthem Provider News - Virginia Administrative May 1, 2022

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

May 2022 Anthem Provider News - Virginia Administrative May 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Provider News - Virginia Administrative May 1, 2022

Primary care appointment access and open panels

May 2022 Anthem Provider News - Virginia Administrative May 1, 2022

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

May 2022 Anthem Provider News - Virginia Administrative May 1, 2022

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

May 2022 Anthem Provider News - Virginia Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Provider News - Virginia Administrative May 1, 2022

Coding update effective August 1, 2022

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

New Rehabilitation program effective August 1, 2022

May 2022 Anthem Provider News - Virginia Products & Programs May 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available

May 2022 Anthem Provider News - Virginia Pharmacy May 1, 2022

Specialty pharmacy updates effective August 1, 2022

May 2022 Anthem Provider News - Virginia Pharmacy May 1, 2022

Federal Employee Program® AIM radiology prior authorization review reminder

May 2022 Anthem Provider News - Virginia Federal Employee Plan (FEP) May 1, 2022

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

May 2022 Anthem Provider News - Virginia Federal Employee Plan (FEP) May 1, 2022

Join us for a FEP® Quality Learning Program live webinar

Everything you need to know about using CPT II Codes
May 2022 Anthem Provider News - Virginia Federal Employee Plan (FEP) May 1, 2022

Screening for alcohol use disorder in high-prevalence demographics

May 2022 Anthem Provider News - Virginia Medicaid May 1, 2022

Personal care services prior authorization change

May 2022 Anthem Provider News - Virginia Medicaid May 1, 2022

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
May 2022 Anthem Provider News - Virginia Medicaid May 1, 2022

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

May 2022 Anthem Provider News - Virginia Medicare May 1, 2022

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

May 2022 Anthem Provider News - Virginia Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Provider News - Virginia Medicare May 1, 2022

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
May 2022 Anthem Provider News - Virginia Medicare May 1, 2022

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe and Effective Antibiotic Prescribing - Virginia Administrative Apr 5, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Virginia Administrative Apr 1, 2022
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