HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 18, 2024
Personal care rate changes
Please note, regardless of rate changes, our system will not pay more than the amount billed. Providers who bill at the old rate after July 1, 2024, must submit corrected claims to receive appropriate payment.
Agency directed
Procedure code | Description | Region | Rates as of July 1, 2024 |
T1019 | Personal care | Northern Virginia | $23.34 |
T1019 | Personal care | Rest of state | $19.83 |
T1005 | Respite care | Northern Virginia | $23.34 |
T1005 | Respite care | Rest of state | $19.83 |
S5135 | Companion care | Northern Virginia | $23.34 |
S5135 | Companion care | Rest of state | $19.83 |
Consumer directed
Procedure code | Description | Region | Rates as of July 1, 2024 |
S5126 | Consumer-directed personal care | Northern Virginia | $17.62 |
S5126 | Consumer-directed personal care | Rest of state | $13.61 |
S5150 | Consumer-directed respite care | Northern Virginia | $17.62 |
S5150 | Consumer-directed respite care | Rest of state | $13.61 |
S5136 | Consumer-directed companion care | Northern Virginia | $17.62 |
S5136 | Consumer-directed companion care | Rest of state | $13.61 |
Providers with questions about the rate change may contact the Long-Term Services and Supports (LTSS) Provider Relations team at valtsspr@anthem.com or your assigned regional representative.
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-062539-24
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