Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 22, 2024

Carelon Medical Benefits Management, Inc. updates

Effective on June 30, 2024, the following Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guideline updates for medical necessity review will apply for HealthKeepers, Inc.:

  • Genetic Testing:
    • Hereditary Cancer Testing
    • Carrier Screening in the Prenatal Setting and Preimplantation Genetic Testing
    • Genetic Testing for Inherited Conditions

Existing precertification requirements have not changed. Please share this notice with other members of your practice and office staff.

HealthKeepers, Inc. is an independent licensee of the Blue Cross Blue Shield Association. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

VABCBS-CD-050475-24-CPN49779

PUBLICATIONS: May 2024 Provider Newsletter