Virginia
Provider Communications

July 2022 Anthem Provider News - Virginia

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Title Category

Introducing Elevance Health: Focusing on whole health and its most powerful drivers

Administrative

Clearing up coding confusion for diabetic retinal screenings - 3072F: New language about two-year compliance

Administrative

More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesity

Administrative

Consolidated Appropriations Act: Keep your provider directory information current

Administrative

Coming soon: The Anthem Blue Cross and Blue Shield Provider Learning Hub makes Availity learning easier

Digital Tools

Enhancing claims attachment processes through digital applications: Add attachments through Claims Status Inquiry

Digital Tools

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

Coverage and Clinical Guidelines

Termination of enhanced reimbursement for voluntary Cancer Care Quality program effective December 31, 2022

Reimbursement Policies

Retraction for reimbursement policy: Sexually Transmitted Infections - professional

Reimbursement Policies

Reminder: New rehabilitation program effective August 1, 2022

Products & Programs

Help patients heal from the comfort of home with Hospital in Home care

Products & Programs

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

Pharmacy information available online

Pharmacy

Radiology prior authorization review transitioned to AIM; prior authorization required

Federal Employee Plan (FEP)

Prior authorization requirement changes effective August 1, 2022

Medicaid

MCG care guidelines 26th edition

Medicaid

Antibiotic dispensing guidelines

Medicaid

Update use of modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

Medicaid

Change to Department of Medical Assistance Services’ incontinence undergarment benefit limits

Medicaid

Keep up with Medicaid news: July 2022

  • Updating member information
  • Use of Imaging Studies for Low Back Pain (LBP)
  • Remote patient monitoring update
  • Prior authorization updates for medications billed under the medical benefit
  • Virginia Medicaid language interpretation services
Medicaid

Update use of modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

Medicare

Cancer Care Navigator

Medicare

Keep up with Medicare news: July 2022

  • New specialty pharmacy medical step therapy requirements
Medicare
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