AdministrativeHealthKeepers, 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