AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 12, 2024

Change to Service Facilitation codes

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

Configuration changes to Service Facilitation codes are being made retroactively to January 1, 2022. This will change the system configuration from a rolling year to a calendar year. This change ensures that if the care provider's claims are within the visit limitations, the claims will be processed accordingly regardless of when the member enrolled or when the member's Consumer Directed Personal Attendant or Respite authorizations renew:

  • T1028- Reassessment visit — two visits per calendar year
  • S5116 - Training Hours — four per calendar year

No care provider action is required, this notification is informational only. However, if a care provider believes claims for either of these codes are denied incorrectly, they can reach out to their assigned regional care provider relations representative or reach us at VALTSSPR@anthem.com.

If you have any questions about this communication, call Anthem HealthKeepers Plus Provider Services at 800-901-0020.

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-045544-23, VABCBS-CD-051180-24