Virginia
Provider Communications

December 2020 Anthem Provider News - Virginia

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Title Category

Access requirements for behavioral health care services

Behavioral Health

Prior authorization updates for specialty pharmacy are available

Pharmacy

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Balance Billing legislation prompts changes to provider directory information

Administrative

New Blue HPN® plans go live January 1, 2021

Administrative

Access to claim denial information is now self-service

Administrative

Anthem makes going digital easy with the Provider Digital Engagement Supplement

Administrative

Anthem in Virginia contracted air ambulance providers

Administrative

PCP after-hours access requirements

Administrative

Two-minute videos to engage patients about preventive care

Administrative

Updated BlueCard® Program Provider Manual available on anthem.com January 1, 2021

Administrative

Case Management Program

Administrative

Coordination of care

Administrative

Important information about utilization management

Administrative

Members’ rights and responsibilities

Administrative

Updates to AIM Cardiology Clinical Appropriateness Guidelines

Coverage and Clinical Guidelines

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Coverage and Clinical Guidelines

Updates to AIM Radiation Oncology Clinical Appropriateness Guidelines

Coverage and Clinical Guidelines

Anthem expands hospice policy

Coverage and Clinical Guidelines

Clinical practice and preventive health guidelines available on anthem.com

Coverage and Clinical Guidelines

Reimbursement policy update: Bundled services and supplies (Professional)

Reimbursement Policies

CAHPS education for providers

Medicaid

Notifications on the Availity Portal

Medicaid

Resources to support your pregnant and postpartum patients and their families

Medicaid

Important reminder – coding requirements for reimbursement for early elective deliveries

Medicaid

Suicide prevention and intervention: What you need to know

Medicaid

Anthem CCC Plus member open enrollment ends December 18, 2020: Please provide this information to your patients

Medicaid

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

Medicaid

You are invited: Provider orientations

Medicaid

Digital transactions cut administrative tasks in half

Medicaid

Keep up with Medicaid news

Medicaid

Digital transactions cut administrative tasks in half

Medicare

2021 Medicare Advantage individual benefits and formularies

Medicare

Medicare Advantage Group Retiree member eligibility, alpha prefix FAQ

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Keep up with Medicare news

Medicare
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