HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines
Please note, this communication applies to Anthem HealthKeepers Plus Medicaid products offered by HealthKeepers, Inc.
Effective for dates of service on and after April 14, 2024, the following updates will apply to the Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines. As part of the Carelon Medical Benefits Management guideline annual review process, these updates are focused on advancing efforts to drive clinically appropriate, safe, and affordable healthcare services.
Refer to attachment to view full details.
Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
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-042194-23-CPN42014
ATTACHMENTS: Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines (pdf - 0.31mb)
PUBLICATIONS: January 2024 Provider Newsletter
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