State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2021

Keep up with Medicaid news

Please continue to check our website https://mediproviders.anthem.com for the latest Medicaid information for members enrolled in HealthKeepers, Inc.’s Anthem HealthKeepers Plus and the Commonwealth Coordinated Care Plus (Anthem CCC Plus) benefit plans. Here are the topics we’re addressing in this edition:

Something new happening at HealthKeepers, Inc.:  Improvements to platform for utilization review

AVA-NU-0334-20

Prior authorization updates for specialty pharmacy

 AVA-NU-0337-20

Iron Infusion Medical Step Therapy Notice

AVA-NU-0338-21

Some HIV medication combinations requiring prior authorization

 AVA-NU-0339-21

Prior authorization required for specialty pharmacy drugs

 AVA-NU-0340-21

Clinical Criteria Updates Notification November 2020

 AVA-NU-0341-21

Update to Physician Office Lab rates

 AVA-NU-0343-21

Clinical Criteria Updates Notification December 2020

 AVA-NU-0345-21