Virginia
Provider Communications

January 2023 Anthem Provider News - Virginia

Download as PDF

Title Category

Professional system updates for 2023

Administrative

Outpatient system updates for 2023

Administrative

Notification regarding reimbursement changes to COVID-19 laboratory services codes

Administrative

Childhood Immunization Status and Lead Screening in Children for HEDIS

Administrative

Engagement with your patient counts

Administrative

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

Administrative

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

Administrative

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

Administrative

Primary care physician after-hours access requirements

Administrative

Virginia Commercial with Anthem Blue Cross and Blue Shield: local precertification change notification

Administrative

Submitting prior authorizations digitally through Interactive Care Reviewer

Digital Tools

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

Guideline Updates

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

Coverage and Clinical Guidelines

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Coverage and Clinical Guidelines

Coverage and Clinical Guidelines update (effective April 1, 2023)

Coverage and Clinical Guidelines

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change

Coverage and Clinical Guidelines

Anthem in Virginia’s upcoming amendment will allow posting of Commercial professional reimbursement policies online at anthem.com

Reimbursement Policies

Specialty pharmacy updates

Pharmacy

Engagement with your patient counts

Medicaid

Childhood Immunization Status and Lead Screening in Children for HEDIS

Medicaid

Monkeypox and smallpox vaccines: Product code on claims

Medicaid

Attention physicians and lab providers: COVID-19 update regarding reimbursement

Medicaid

Submitting prior authorizations digitally through ICR

Medicaid

Implementation of Cardinal Care

Medicaid

Keep up with Medicaid news: January 2023

  • This is Quitting: Helping teens and young adults quit vaping
  • HEDIS measure for prenatal and postpartum care
  • Prior authorization requirement changes updated effective January 1, 2023
  • AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
  • Change to vaccine age limitations
Medicaid

Keep up with Medicare news: January 2023

  • Prior authorization requirement changes
  • New specialty pharmacy medical step therapy requirements
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
Medicare

Federal Employee Program observation conversion for musculoskeletal cases

Federal Employee Plan (FEP)
Page 1 of 1