Virginia
Provider Communications

Provider Spotlight

Jun 25, 2020

Webinar recording now available for providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond

Anthem hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.

Jun 9, 2020

Information from Anthem for Care Providers about COVID-19 (Updated June 9, 2020)

We recently updated FAQs to reflect the extension of coverage for telehealth and telephonic care.

Jun 9, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated June 9, 2020)

We are extending coverage for telehealth and telephone-only care. Through September 30, 2020, Anthem will waive member cost shares for telehealth visits from in-network providers, including visits for mental health or substance use disorders.


Articles Recent

Title Publication Category Date

Anthem Commercial Risk Adjustment (CRA) reporting update; 2020 program year progression: What’s in it for you and your patients

July 2020 Anthem Provider News - Virginia Products & Programs Jul 1, 2020

2020 is the last year for Virginia Behavioral Health Pay for Performance program

July 2020 Anthem Provider News - Virginia Behavioral Health Jul 1, 2020

Anthem prior authorization updates for specialty pharmacy are available

July 2020 Anthem Provider News - Virginia Pharmacy Jul 1, 2020

Updated coverage for HIV PrEP medications

July 2020 Anthem Provider News - Virginia Pharmacy Jul 1, 2020

Clinical nurse specialist contracting

July 2020 Anthem Provider News - Virginia Administrative Jul 1, 2020

Welcome to the Custom Learning Center in Availity

July 2020 Anthem Provider News - Virginia Administrative Jul 1, 2020

Targeting August to launch Interactive Care Reviewer, Anthem’s online prior authorization tool for Federal Employee Program

July 2020 Anthem Provider News - Virginia Administrative Jul 1, 2020

Register for Anthem’s fall webinar scheduled for November 12

July 2020 Anthem Provider News - Virginia Administrative Jul 1, 2020

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

July 2020 Anthem Provider News - Virginia Guideline Updates Jul 1, 2020

New MCG 24th edition guidelines

July 2020 Anthem Provider News - Virginia Guideline Updates Jul 1, 2020

Coverage guidelines effective October 1, 2020

July 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Coding spotlight: Provider guide to coding for cardiovascular conditions

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Quarterly pharmacy formulary change notice

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

UPDATE: Previous changes in DME incontinence quantity limits

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Keep up with Medicaid news

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

In-Office Assessment Program

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Henry County and Henry County Public Schools offer Medicare Advantage option

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Keep up with Medicare news

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Webinar recording now available for providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond

Anthem hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information Behavioral Health Jun 25, 2020

Information from Anthem for Care Providers about COVID-19 (Updated June 9, 2020)

We recently updated FAQs to reflect the extension of coverage for telehealth and telephonic care.
COVID-19 Information Administrative Jun 9, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated June 9, 2020)

We are extending coverage for telehealth and telephone-only care. Through September 30, 2020, Anthem will waive member cost shares for telehealth visits from in-network providers, including visits for mental health or substance use disorders.
COVID-19 Information Administrative Jun 9, 2020

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
June 2020 Anthem Provider News - Virginia Administrative Jun 1, 2020

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

June 2020 Anthem Provider News - Virginia Administrative Jun 1, 2020

Provider contract and fee schedule notifications coming soon

June 2020 Anthem Provider News - Virginia Administrative Jun 1, 2020

Availity Portal Notification Center

June 2020 Anthem Provider News - Virginia Administrative Jun 1, 2020

Quality Corner: CPT® Category II codes - Collaborating for enhanced patient care

June 2020 Anthem Provider News - Virginia Administrative Jun 1, 2020

Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program Continues

June 2020 Anthem Provider News - Virginia Products & Programs Jun 1, 2020

Quality Corner: Follow-up after Hospitalization for Mental Illness

June 2020 Anthem Provider News - Virginia Behavioral Health Jun 1, 2020

National Drug Code requirement on outpatient claims

June 2020 Anthem Provider News - Virginia Pharmacy Jun 1, 2020

Anthem prior authorization updates for specialty pharmacy are available

June 2020 Anthem Provider News - Virginia Pharmacy Jun 1, 2020

Pharmacy information available on anthem.com

June 2020 Anthem Provider News - Virginia Pharmacy Jun 1, 2020

Coverage guidelines effective September 1, 2020

June 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jun 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

2020 affirmative statement concerning utilization management decisions

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Coding Spotlight: An Anthem HealthKeepers Plus provider guide to code social determinants of health

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Follow-up after Hospitalization for Mental Illness

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Complex Case Management program

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Important information about utilization management

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Anthem HealthKeepers Plus Members’ Rights and Responsibilities Statement

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Medicaid patients can make the switch to the Anthem HealthKeepers Plus plan

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Keep up with Medicaid news

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Anthem working with Optum to collect medical records for risk adjustment

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

2020 Medicare risk adjustment provider training

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Keep up with Medicare news

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Anthem waives cost share for COVID-19 treatment (Updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information Administrative May 29, 2020

Important COVID-19 update: Prior authorization and other policy adjustments (Updated May 29, 2020)

We’ve updated guidance about prior authorization requirements and other policy adjustments in response to unprecedented demands on health care providers.
COVID-19 Information Administrative May 29, 2020

Introducing lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Beginning June 1, 2020, Anthem Blue Cross and Blue Shield is introducing our Anthem Health Access Plans for certain large group employers currently enrolled in our commercial lines of business only.
COVID-19 Information Administrative May 26, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with our network providers regarding opportunities providers have to access loans through the U.S. Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information Administrative May 1, 2020

COVID-19 information repository for Anthem care providers

May 2020 Anthem Provider News - Virginia Administrative May 1, 2020

Anthem in Virginia makes mail and fax changes for provider demographics

May 2020 Anthem Provider News - Virginia Administrative May 1, 2020

Quality Corner: Diabetes HbA1c<8 HEDIS guidance

May 2020 Anthem Provider News - Virginia Administrative May 1, 2020

Reminder about system updates

May 2020 Anthem Provider News - Virginia Administrative May 1, 2020

REMINDER: Anthem’s spring webinar takes place on May 13; Register now

May 2020 Anthem Provider News - Virginia Administrative May 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Virginia Guideline Updates May 1, 2020

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Virginia Guideline Updates May 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Virginia Guideline Updates May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Anthem Provider News - Virginia Guideline Updates May 1, 2020

Anthem Commercial Risk Adjustment (CRA) Prospective Program update: Assessing your patients for risk adjustable conditions

May 2020 Anthem Provider News - Virginia Products & Programs May 1, 2020

Anthem prior authorization updates for specialty pharmacy are available

May 2020 Anthem Provider News - Virginia Pharmacy May 1, 2020

Reimbursement Policy: Unlisted, unspecified or miscellaneous codes

May 2020 Anthem Provider News - Virginia Medicaid May 1, 2020

New functionality added to Availity’s provider enrollment tool for Virginia

May 2020 Anthem Provider News - Virginia Medicaid May 1, 2020

Acquisition of Beacon Health Options

May 2020 Anthem Provider News - Virginia Medicaid May 1, 2020

Keep up with Medicaid news

May 2020 Anthem Provider News - Virginia Medicaid May 1, 2020

Reimbursement Policy: Unlisted, unspecified or miscellaneous codes

May 2020 Anthem Provider News - Virginia Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News - Virginia Medicare May 1, 2020

Keep up with Medicare news

May 2020 Anthem Provider News - Virginia Medicare May 1, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them, Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information Administrative Apr 10, 2020

Information from Anthem for Care Providers about COVID-19

Bookmark Provider News Home for the latest information for Care Providers about COVID-19.
April 2020 Anthem Provider News - Virginia Administrative Apr 1, 2020

Anthem continues focus on updates to our public provider website

April 2020 Anthem Provider News - Virginia Administrative Apr 1, 2020

Register today for Anthem’s spring webinar scheduled for May 13

April 2020 Anthem Provider News - Virginia Administrative Apr 1, 2020

MCG Care Guidelines, 24th edition

April 2020 Anthem Provider News - Virginia Guideline Updates Apr 1, 2020

Anthem customizations to MCG Care Guidelines, 24th Edition

April 2020 Anthem Provider News - Virginia Guideline Updates Apr 1, 2020

Provider transparency update

April 2020 Anthem Provider News - Virginia Products & Programs Apr 1, 2020

Anthem acquires Beacon Health Options

April 2020 Anthem Provider News - Virginia Behavioral Health Apr 1, 2020

Anthem to delay most April 1 formulary list updates for commercial health plan pharmacy benefit

April 2020 Anthem Provider News - Virginia Pharmacy Apr 1, 2020

Anthem prior authorization updates for specialty pharmacy are available

April 2020 Anthem Provider News - Virginia Pharmacy Apr 1, 2020

Pharmacy information available on anthem.com

April 2020 Anthem Provider News - Virginia Pharmacy Apr 1, 2020

Anthem Blue Cross Blue Shield Federal Employee Program® admission review process

April 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Apr 1, 2020

Transition to Interactive Care Reviewer as the exclusive online prior authorization tool for FEP membership delayed until late second quarter

April 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Apr 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Apr 1, 2020

Provider enrollment with the Department of Medical Assistance Services required

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Provider manual excerpt: Claim payment disputes

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Prior authorization requirements: New 2020 codes for coverage and precertification

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Medicaid patients can make the switch to Anthem HealthKeepers Plus plan

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Virginia Vaccines for Children

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Change to durable medical equipment incontinence quantity limits

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Use of imaging studies for low back pain (LBP)

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Keep up with Medicaid news

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

2020 Medicare risk adjustment provider training

April 2020 Anthem Provider News - Virginia Medicare Apr 1, 2020
Page 1 of 7 Next Page