Clinical nurse specialist contracting
Pursuant to Virginia House Bill No.1057 (HB No. 1057 Health Insurance, Clinical Nurse Specialists), effective July 1, 2020, a clinical nurse specialist (CNS) may contract and be paid directly for covered health care services provided to Anthem members. Currently, Anthem contracts directly with clinical nurse specialists who provide behavioral health services.
Effective July 1, 2020, clinical nurse specialists can contract with Anthem to receive direct payment for services rendered for any covered medical service, not just behavioral health, within their scope of license. Digital Onboarding through Availity is not yet available for clinical nurse specialists outside of behavioral health. As such, please contact your Anthem network manager directly for further details.
Watch for upcoming editions of Provider News for more information.
July 2020 Anthem Provider News - Virginia