Coverage guidelines effective February 1, 2023

Anthem Blue Cross and Blue Shield (Anthem) in Virginia and our affiliate HealthKeepers, Inc. will implement the following new and revised Coverage Guidelines effective February 1, 2023. These guidelines impact all our products with the exception of Anthem HealthKeepers Plus, Medallion and Anthem CCC Plus offered by HealthKeepers, Inc.; Medicare Advantage; and the Blue Cross and Blue Shield Service Benefit Plan (also called the Federal Employee Program or FEP).

 

Special note:
The services addressed in the coverage guideline presented in this document and in the attachment under "Article Attachments" to the right will require authorization for all our products offered by HealthKeepers, Inc., with the exception of the Anthem HealthKeepers Plus, Medallion and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus). Other exceptions are Medicare Advantage and the Blue Cross and Blue Shield Service Benefit Plan (also called the Federal Employee Program^® or FEP^®).  A pre-determination can be requested for our Anthem PPO products.

 

The guideline addressed in this edition of Provider News is:

 

• Inhaled Nitric Oxide (CG-MED-69)

 

VABCBS-CM-008720-22