Keep up with Medicaid news: October 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:

 

• New specialty pharmacy medical step therapy requirements

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

 

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

 

• Private duty nursing reimbursement RETRACTION: October 14, 2022

  (Watch for the November 2022 edition of Provider News for further information.)

• Change to DME canes, crutches, and walkers benefit limits

 

• Change to DME traction equipment