HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 25, 2025
Carelon Medical Benefits Management, Inc. updates
This article was updated on June 12, 2025.
Effective on July 26, 2025, the following Carelon Medical Benefits Management Clinical Appropriateness Guideline updates will be adopted for HealthKeepers, Inc. This article is to communicate the plan adoption of these guidelines. Existing prior authorization requirements have not changed. In the event a prior authorization requirement for these services will be implemented, a separate notice will be distributed before the addition of any prior authorization requirements.
The following guideline updates have a publish date of July 26, 2025:
- Genetic Testing
- Chromosomal Microarray Analysis
- Pharmacogenomic Testing
- Whole Exome Sequencing and Whole Genome Sequencing
- Musculoskeletal
- Interventional Pain Management
You may access and download a copy of the current and upcoming guidelines here.
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-080519-25-CPN80116, CPN-CD-086305-25-CPN86305
PUBLICATIONS: June 2025 Provider Newsletter
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