Guideline Updates Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2024

Reimbursement policy update: Nurse Practitioner and Physician Assistant Services

(Policy G-20002, effective 11/01/2024)

Beginning with dates of service on or after 11/01/2024, HealthKeepers, Inc. will update the Anthem HealthKeepers Plus reimbursement policy for Nurse Practitioner and Physician Assistant Services as indicated below.

The following services will be removed as physicians’ services:

    • Preventive Services
    • Radiology Services

The following services will be included as physicians’ services:

    • Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS)
    • Laboratory Services and Screening Services

For additional information, please review the Nurse Practitioner and Physician Assistant Services reimbursement policy at providers.anthem.com/va.

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.

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PUBLICATIONS: August 2024 Provider Newsletter