Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc. will delegate care management to Carelon Health, Inc.

This communication applies to Medicaid and Medicare Advantage plans from Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc. in Virginia.

Effective January 1, 2025, we will delegate some care management (case management and disease management services) to Carelon Health, Inc. With this delegation of services, there will be no process changes or impacts to your patients’ current plan or coverage.

This delegation of services will not impact the way we work with members and care providers. There will be no disruptions in service and the way that you work with care management staff. All contracts, policies, and procedures will remain unchanged. Additionally, all existing phone numbers, emails, websites, and portals will remain unchanged:

• No change to services — Your patients’ current points of contact, engagement model, level of care, and service will not change. No action is needed from you.
• A legal disclaimer — In your patients’ plan communication, you will see a footnote referencing the fact that these care management services are now being provided by Carelon Health, Inc. on behalf of Anthem.
• Signature of care management/staff healthcare professional — While the team providing services will not change, you will see that their signatures may change to reflect Carelon Health, Inc.

This change in delegation does not apply to most of the specialty groups, including Fully Integrated Dual Benefits (FIDE); Aged, Blind, or Disabled (ABD); Long Term Services and Support (LTSS), and Foster Care.