Virginia
Provider Communications

February 2023 Anthem Provider News - Virginia

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Title Category

Have you reviewed your online provider directory information lately?

Administrative

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

Administrative

Do you offer telehealth services? Let us know!

Administrative

Enhancing Provider News website and email communications

Digital Tools

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

Digital Tools

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Coverage and Clinical Guidelines

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Coverage and Clinical Guidelines

Clinical Guideline update (effective May 1, 2023)

Coverage and Clinical Guidelines

Anthem Blue Cross and Blue Shield local precertification change in Virginia for HMO

Coverage and Clinical Guidelines

Anthem Blue Cross and Blue Shield local precertification change in Virginia for PPO

Coverage and Clinical Guidelines

Clinical Guidelines update (effective May 1, 2023)

Coverage and Clinical Guidelines

Specialty pharmacy updates - February 2023

Pharmacy

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

Introducing the Provider Learning Hub

Medicaid

Keep up with Medicaid news: February 2023

  • Prior authorization updates for medications billed under the medical benefit
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit
  • POS restrictions for BRAVO services
  • Direct member medical necessity appeals to HealthKeepers, Inc.
  • Patient liability and claims processing
Medicaid

Introducing the Provider Learning Hub

Medicare

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

Medicare

Keep up with Medicare news - February 2023

  • Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (FyInetra)
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
  • Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
  • New specialty pharmacy medical step therapy requirements
  • Prior authorization requirement changes effective April 1, 2023
  • Medical Policies and Clinical Utilization Management Guidelines update
Medicare

2023 FEP benefit information available online

Federal Employee Plan (FEP)
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