Virginia
Provider Communications

Provider Spotlight

Jan 18, 2022

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

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing and acute rehabilitation facilities.

Dec 30, 2021

Information from Anthem for Care Providers about COVID-19 (Updated December 30, 2021)

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


Articles Recent

Title Publication Category Date

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

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing and acute rehabilitation facilities.
COVID-19 Information Administrative Jan 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.

 

Important Update for New 200k Group Retiree PPO Plan - Virginia Administrative Jan 5, 2022

Well-child visits: Know the numbers

January 2022 Anthem Provider News - Virginia Administrative Jan 1, 2022

Is prior authorization required? Use the Availity Authorization app

Answering your questions about the new Availity Authorization App
January 2022 Anthem Provider News - Virginia Digital Tools Jan 1, 2022

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
January 2022 Anthem Provider News - Virginia Digital Tools Jan 1, 2022

Coverage guidelines effective April 1, 2022

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

2022 FEP® Benefit information available online

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

Botox® update for Anthem HealthKeepers Plus members

January 2022 Anthem Provider News - Virginia Medicaid Jan 1, 2022

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

January 2022 Anthem Provider News - Virginia Medicaid Jan 1, 2022

2021 CAHPS Survey results

January 2022 Anthem Provider News - Virginia Medicaid Jan 1, 2022

Submitting prior authorizations is getting easier

January 2022 Anthem Provider News - Virginia Medicaid Jan 1, 2022

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
January 2022 Anthem Provider News - Virginia Medicaid Jan 1, 2022

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

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

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

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Volvo Group North American offers Medicare Advantage option

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

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

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 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
January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Information from Anthem for Care Providers about COVID-19 (Updated December 30, 2021)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information Administrative Dec 30, 2021

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

December 2021 Anthem Provider News - Virginia Administrative Dec 1, 2021

Professional system updates for 2022

December 2021 Anthem Provider News - Virginia Administrative Dec 1, 2021

Outpatient system updates for 2022

December 2021 Anthem Provider News - Virginia Administrative Dec 1, 2021

Chlamydia is asymptomatic; Only through screening will we know for sure

December 2021 Anthem Provider News - Virginia Administrative Dec 1, 2021

Importance of primary care physician after-hours messaging

December 2021 Anthem Provider News - Virginia Administrative Dec 1, 2021

Important information about utilization management

December 2021 Anthem Provider News - Virginia Administrative Dec 1, 2021

Case Management Program

December 2021 Anthem Provider News - Virginia Administrative Dec 1, 2021

Coordination of care

December 2021 Anthem Provider News - Virginia Administrative Dec 1, 2021

Member rights and responsibilities

December 2021 Anthem Provider News - Virginia Administrative Dec 1, 2021

Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Anthem Provider News - Virginia Digital Tools Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

December 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2021

Company to retire Blue Precision program on December 31, 2021

December 2021 Anthem Provider News - Virginia Products & Programs Dec 1, 2021

Behavioral healthcare appointment access requirements

December 2021 Anthem Provider News - Virginia Behavioral Health Dec 1, 2021

Specialty pharmacy updates effective March 1, 2022

December 2021 Anthem Provider News - Virginia Pharmacy Dec 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

December 2021 Anthem Provider News - Virginia Pharmacy Dec 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Provider News - Virginia Pharmacy Dec 1, 2021

Reimbursement policy update: Drug Screen Testing

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

HEDIS measures: Follow-up after ED visits for mental illness and alcohol and drug dependency

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Healthy Rewards reminder for providers

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Change to durable medical equipment wheelchair benefit limits

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Non-payment remittance advice enhancements

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Keep up with Medicaid news: December 2021

  • Durable medical equipment prior authorization requirement changes effective December 1, 2021
  • Prior authorization requirement changes
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines
  • Medical drug benefit Clinical Criteria updates
  • Important information regarding behavioral health project BRAVO implementation
  • Home delivery pharmacy reminder
December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Non-payment remittance advice enhancements

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Reimbursement policy: Drug screen testing

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Keep up with Medicare news: December 2021

  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
  • Medical drug benefit Clinical Criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • New York City Medicare Advantage announcement
  • Medical Policies and Clinical Utilization Management Guidelines update
December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Register today for a forum on Grief and Loss: The disproportionate impact of the pandemic on communities of color

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the disproportionate impact of the pandemic on communities of color.
Grief and Loss Forum - Virginia Administrative Nov 29, 2021

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

November 2021 Anthem Provider News - Virginia Administrative Nov 1, 2021

Change in coverage for continuous glucose monitors for some fully insured groups

November 2021 Anthem Provider News - Virginia Administrative Nov 1, 2021

Time to prepare for HEDIS® medical record review

November 2021 Anthem Provider News - Virginia Administrative Nov 1, 2021

Reducing the burden of medical record review and improving health outcomes with HEDIS® Electronic Clinical Data Systems reporting

November 2021 Anthem Provider News - Virginia Administrative Nov 1, 2021

Be Antibiotics Aware: Protect your patients

November 2021 Anthem Provider News - Virginia Administrative Nov 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Provider News - Virginia Administrative Nov 1, 2021

Join Anthem in talking about racism and its impact on health and earn continuing education credits

November 2021 Anthem Provider News - Virginia Administrative Nov 1, 2021

Continuing medical education credits available in 2021 for a variety of clinical quality webinars: Register now

November 2021 Anthem Provider News - Virginia Administrative Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
November 2021 Anthem Provider News - Virginia Digital Tools Nov 1, 2021

Against medical advice discharge physician tracking tool

November 2021 Anthem Provider News - Virginia Digital Tools Nov 1, 2021

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - Professional

November 2021 Anthem Provider News - Virginia Reimbursement Policies Nov 1, 2021

Update regarding annual wellness visits for health plans compliant with the Affordable Care Act

November 2021 Anthem Provider News - Virginia Products & Programs Nov 1, 2021

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Virginia Products & Programs Nov 1, 2021

Specialty pharmacy updates are available (effective for dates of service on and after February 1, 2022)

November 2021 Anthem Provider News - Virginia Pharmacy Nov 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

November 2021 Anthem Provider News - Virginia Pharmacy Nov 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Provider News - Virginia Pharmacy Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Clinical Criteria updates

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Unspecified diagnosis reminder

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

4 things you can do to encourage cancer screenings for your women patients

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Keep up with Medicaid news: November 2021

  • FAQ: New AIM Specialty Health contact center phone number
  • Behavioral therapy assessments
  • Change to DME incontinence benefit limits
  • Prior authorization updates for specialty pharmacy
November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Medicare Advantage telehealth rural health center and federally qualified health center claims

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Clinical Criteria updates

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

New York City Medicare Advantage announcement

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Keep up with Medicare news: November 2021

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Virginia Administrative Oct 21, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

 

New 240k member Group Retiree PPO plan - Virginia Medicare Oct 19, 2021

Submit claims with complete and correct data to avoid claim denials

Submit claims with complete and correct data to avoid claim denials Administrative Oct 8, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Virginia Administrative Oct 5, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated October 1, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information Administrative Oct 1, 2021

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

October 2021 Anthem Provider News - Virginia Administrative Oct 1, 2021

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Anthem Provider News - Virginia Administrative Oct 1, 2021

Are you talking to ALL of your patients about breast cancer screenings?

October 2021 Anthem Provider News - Virginia Administrative Oct 1, 2021

Looking to earn continuing medical education credits? Register for these on-demand webinars

October 2021 Anthem Provider News - Virginia Administrative Oct 1, 2021

Clinical appeals

October 2021 Anthem Provider News - Virginia Administrative Oct 1, 2021

Good news: Non-payment remittance advice enhancements coming soon

October 2021 Anthem Provider News - Virginia Digital Tools Oct 1, 2021

Procedure searches in Find Care

October 2021 Anthem Provider News - Virginia Digital Tools Oct 1, 2021

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers - replacing CAQH Enrollhub effective November 1, 2021

October 2021 Anthem Provider News - Virginia Digital Tools Oct 1, 2021

Coverage guidelines effective January 1, 2022

October 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2021

Clinical utilization management guideline update

October 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2021

Specialty pharmacy updates are available

October 2021 Anthem Provider News - Virginia Pharmacy Oct 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Provider News - Virginia Pharmacy Oct 1, 2021

Diabetes testing and screening HEDIS measures

October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

Prior authorization updates for specialty pharmacy

October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021
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