Virginia
Provider Communications

July 2020 Anthem Provider News - Virginia

Download as PDF

Title Category

Anthem Commercial Risk Adjustment (CRA) reporting update; 2020 program year progression: What’s in it for you and your patients

Products & Programs

2020 is the last year for Virginia Behavioral Health Pay for Performance program

Behavioral Health

Anthem prior authorization updates for specialty pharmacy are available

Pharmacy

Updated coverage for HIV PrEP medications

Pharmacy

Clinical nurse specialist contracting

Administrative

Welcome to the Custom Learning Center in Availity

Administrative

Targeting August to launch Interactive Care Reviewer, Anthem’s online prior authorization tool for Federal Employee Program

Administrative

Register for Anthem’s fall webinar scheduled for November 12

Administrative

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

Guideline Updates

New MCG 24th edition guidelines

Guideline Updates

Coverage guidelines effective October 1, 2020

Coverage and Clinical Guidelines

Medical drug benefit Clinical Criteria updates

Medicaid

Coding spotlight: Provider guide to coding for cardiovascular conditions

Medicaid

Quarterly pharmacy formulary change notice

Medicaid

UPDATE: Previous changes in DME incontinence quantity limits

Medicaid

Keep up with Medicaid news

Medicaid

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

Medicare

Medical drug benefit Clinical Criteria updates

Medicare

In-Office Assessment Program

Medicare

Henry County and Henry County Public Schools offer Medicare Advantage option

Medicare

2020 Special Needs Plans

Medicare

Keep up with Medicare news

Medicare
Page 1 of 1