Key Updates
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 19, 2025
Technical difficulties: My Diverse Patients
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 3, 2025
Important information about specialty prescriptions
Anthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 28, 2025
Important change to your patients’ specialty prescriptions
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 28, 2025
Availity launches enhanced provider enrollment features for improved efficiency
Recent Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 19, 2025
Medicare Part B preapproval expands with new drug additionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 19, 2025
Technical difficulties: My Diverse PatientsAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 14, 2025
Glycemic Status Assessment for Patients with Diabetes (GSD) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 14, 2025
Controlling High Blood Pressure (CBP) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 11, 2025
Care for Older Adults (COA) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 11, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective April 12, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 6, 2025
Prior authorization requirement changesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 3, 2025
Important information about specialty prescriptionsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 1, 2025
Streamline your workflow with Care Central on Availity EssentialsAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
Changes in Postal Service Health Benefits for 2025Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
New coding guidelines: include the anatomic modifierAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
Precertification list change notification March 1, 2025Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
Update: Drug claims edits to focus on FDA‑approved indicationsAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
Coverage Guideline update — June 1, 2025Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
Clinical Criteria updates for specialty pharmacy are availableAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2025
Reminder: provider data attestationAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 28, 2025
Important change to your patients’ specialty prescriptionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 28, 2025
Resources to support diverse patients and communitiesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 28, 2025
Availity launches enhanced provider enrollment features for improved efficiencyAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 27, 2025
Clinical Criteria updatesEffective March 28, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 26, 2025
Clinical Criteria updatesEffective March 28, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 25, 2025
Prior authorization updates for medications billed under the medical benefitEffective April 1, 2025
Orencia and Avsola
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 24, 2025
Prior authorization updates for medications billed under the medical benefitEffective April 1, 2025
Tevimbra and Tyenne
Anthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 21, 2025
Advanced Illness and Frailty Exclusions 2025HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 21, 2025
You are invited: provider office hours scheduled for CCC Plus Waiver Providers and Nursing FacilitiesAnthem Blue Cross and Blue Shield | CommercialFebruary 21, 2025
Start 2025 with an easy way to earn continuing education creditsAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 20, 2025
MCG Care Guidelines 29th editionEffective June 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 20, 2025
Doula and OB delivery claim denialsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 19, 2025
Prior authorization updates for medications billed under the medical benefitEffective April 1, 2025
Anktiva, Hercessi, and Imdelltra
Anthem Blue Cross and Blue Shield | CommercialFebruary 18, 2025
MCG Care Guidelines 29th editionEffective June 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 17, 2025
MCG Care Guidelines 29th editionEffective June 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 14, 2025
Clinical Criteria updatesEffective March 24, 2025
Anthem Blue Cross and Blue Shield | CommercialFebruary 11, 2025
Developmental screening in the first three years of lifeAnthem Blue Cross and Blue Shield | CommercialFebruary 11, 2025
Glycemic Status Assessment for Patients with Diabetes (GSD) 2025Anthem Blue Cross and Blue Shield | CommercialFebruary 11, 2025
Chlamydia Screening (CHL) 2025Anthem Blue Cross and Blue Shield | CommercialFebruary 10, 2025
Colorectal Cancer Screening (COL-E) 2025Anthem Blue Cross and Blue Shield | CommercialFebruary 4, 2025
Expansion of Carelon Medical Benefits Management, Inc. programsAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Pharmacy information available on our provider websiteAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Medical records needed for accurate payment of certain facility inpatient claimsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2025
Claims billing education: Medicaid secondary billing errorsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2025
2025 Clinical Quality in Practice webinar seriesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2025
Quarterly pharmacy formulary change noticeAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Corrected claim guidance for the Federal Employee Program®Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2025
New Communication Center added to Availity EssentialsAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Clinical Criteria updates for specialty pharmacy are availableHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 31, 2025
Clinical Criteria updatesEffective March 7, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 30, 2025
Important update: group billable status for FQHCs and RHCsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 28, 2025
FAMIS formulary and Preferred Drug List updateAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 28, 2025
Eye Exam for Patients with Diabetes (EED) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 27, 2025
Key formulary updates: effective January 1, 2025