Please note, this communication applies to Anthem HealthKeepers Plus Medicaid products offered by HealthKeepers, Inc.

 

This is an important message for all providers contracted with the Anthem HealthKeepers Plus network.

 

Virginia’s Department of Medical Assistance Services (DMAS) will implement Cardinal Care effective January 1, 2023, which combines the two managed care programs — Medallion 4.0 and Commonwealth Coordinated Care Plus (CCC Plus) — to create a single identity for all members receiving services through Medicaid.

 

Medallion 4.0 serves children, pregnant individuals and adults. CCC Plus serves older adults, disabled children and adults, and individuals receiving long-term services and supports (LTSS). Cardinal Care will continue to offer members the same programs and services and will not reduce or change any existing coverage.

 

While new Cardinal Care-branded ID cards will be issued during the first quarter of 2023, providers should continue to accept the member’s current ID card.

 

We will be consolidating customer service phone numbers for Medallion 4.0 and CCC Plus into one customer service phone number to provide seamless service to both members and providers. Please note these Cardinal Care customer service phone numbers:

 

Member Services

800-901-0020

Provider Services

800-901-0020

Pharmacy

833-207-3120

24/7 NurseLine

800-901-0020

Authorization

800-901-0200

Mental Health Services

800-901-0200

Transportation Service

877-892-3988

 

Providers will continue to follow the same processes that currently exist to submit claims, verify eligibility, and verify benefits. Providers do not need to take any action at this time. HealthKeepers, Inc. and DMAS will continue to provide updates as needed.

 

If you have any questions about this communication, call Provider Services at 800‑901‑0020 or your Provider Experience representative.

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January 2023 Anthem Provider News - Virginia