Virginia
Provider Communications

December 2021 Anthem Provider News - Virginia

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Title Category

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

Administrative

Professional system updates for 2022

Administrative

Outpatient system updates for 2022

Administrative

Chlamydia is asymptomatic; Only through screening will we know for sure

Administrative

Importance of primary care physician after-hours messaging

Administrative

Important information about utilization management

Administrative

Case Management Program

Administrative

Coordination of care

Administrative

Member rights and responsibilities

Administrative

Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
Digital Tools

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

Coverage and Clinical Guidelines

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Coverage and Clinical Guidelines

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

Coverage and Clinical Guidelines

Clinical practice and preventive health guidelines available on anthem.com

Coverage and Clinical Guidelines

Company to retire Blue Precision program on December 31, 2021

Products & Programs

Behavioral healthcare appointment access requirements

Behavioral Health

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Coverage and Clinical Guidelines

Specialty pharmacy updates effective March 1, 2022

Pharmacy

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Reimbursement policy update: Drug Screen Testing

Medicaid

HEDIS measures: Follow-up after ED visits for mental illness and alcohol and drug dependency

Medicaid

Healthy Rewards reminder for providers

Medicaid

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicaid

Medical Policies and Clinical Utilization Management Guidelines update

Medicaid

Change to durable medical equipment wheelchair benefit limits

Medicaid

Non-payment remittance advice enhancements

Medicaid

Keep up with Medicaid news: December 2021

  • Durable medical equipment prior authorization requirement changes effective December 1, 2021
  • Prior authorization requirement changes
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines
  • Medical drug benefit Clinical Criteria updates
  • Important information regarding behavioral health project BRAVO implementation
  • Home delivery pharmacy reminder
Medicaid

Non-payment remittance advice enhancements

Medicare

Reimbursement policy: Drug screen testing

Medicare

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare

2022 Medicare Advantage service area and benefit updates

Medicare

Keep up with Medicare news: December 2021

  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
  • Medical drug benefit Clinical Criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • New York City Medicare Advantage announcement
  • Medical Policies and Clinical Utilization Management Guidelines update
Medicare
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