Virginia
Provider Communications

December 2022 Anthem Provider News - Virginia

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Title Category

CAA: Timely updates help keep our provider directories current

Administrative

Attention lab providers: COVID-19 update regarding reimbursement

Administrative

Member’s assessment of behavioral healthcare after-hours messaging in 2022

Administrative

Member assessment of PCP after-hours messaging in 2022

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Members’ rights and responsibilities

Administrative

Coordination of care

Administrative

Case management program

Administrative

Important information about utilization management

Administrative

Signature requirements for laboratory orders or requisitions

Administrative

IngenioRx will become CarelonRx on January 1, 2023

Administrative

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

Guideline Updates

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

Coverage and Clinical Guidelines

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Coverage and Clinical Guidelines

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

Reimbursement Policies

Pharmacy information available on the provider website

Pharmacy

Clinical Criteria updates for specialty pharmacy available

Pharmacy

Specialty pharmacy updates - December 2022

Pharmacy

Update to the Pregnancy Notification Form

Medicaid

Doula services

Medicaid

Keep up with Medicaid news: December 2022

  • Medical drug benefit Clinical Criteria updates
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
  • Prior authorization requirement changes effective January 1, 2023
Medicaid

Personal home helper benefit ending

Medicare

2023 Medicare Advantage service area and benefit updates

Medicare

Keep up with Medicare news: December 2022

  • Medical drug benefit Clinical Criteria updates
  • Medical Policies and Clinical Utilization Management Guidelines update
Medicare
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