Keep up with Medicaid news: January 2022

Please continue to check our website https://providers.anthem.com/virginia-provider/home 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:

 

• Provider orientations and training

 

• Prior authorization updates for medications billed under the medical
  benefit effective March 1, 2022

 

• Prior authorization updates for medications billed under the medical
  benefit

 

• AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
  update

 

• Change to durable medical equipment wheelchair benefit limits

 

• HEDIS Guide for retinal exam using fundoscopic photograph