Update to rules governing reimbursement for LMHPs for servicing only Anthem HealthKeepers Plus members

Please read this important update regarding licensed mental health professionals (LMHPs) servicing only Anthem HealthKeepers Plus members.

 

Effective May 1, 2019, unlicensed providers who have their supervision registered with the Board of Health Professions (LPC, LCSW, LCP, LMFT, LSATP) may provide services to Anthem HealthKeepers Plus members under the following conditions:

 

1. The supervising practitioner must be licensed with the appropriate board (as both a practitioner and supervising practitioner) under the Virginia Department of Health Professions for those services offered by the unlicensed provider.

 

2. The supervising practitioner must be credentialed and contracted with Anthem HealthKeepers Plus for the group under which services are being provided by the unlicensed provider.

 

3. Claims must be billed under the supervising practitioner's NPI.

 

If you have any questions about this communication, call Provider Services at 1‑800‑901‑0020 or Anthem CCC Plus Provider Services at 1‑855‑323‑4687.