Virginia
Provider Communications

November 2019 Anthem Provider News - Virginia

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Title Category

Additional improvements coming to anthem.com

Administrative

Anthem’s prior authorization and clinical criteria updates for specialty pharmacy are available

Pharmacy

Appropriate coding helps provide a comprehensive picture of patients’ health

Products & Programs

Attention professional providers serving Medicare Advantage patients: Important update from Anthem regarding timely filing requirement

Medicare

Attention Professional Providers: Important update regarding timely filing requirement for Anthem’s commercial and Medicare Advantage plans

Administrative

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

Medicare

CMS reminder: Expedited/urgent requests

Medicare

Direct contracting for nurse practitioners and physician assistants in 2019

Medicaid

Electronic submission is preferred method for requesting pharmacy prior authorization

Medicaid

Keep up with Medicaid news

Medicaid

Keep up with Medicare news

Medicare

Medical drug Clinical Criteria updates

Medicaid

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

Pharmacy

Suicide prevention and intervention: What you need to know

Medicaid

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline

Guideline Updates

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

Guideline Updates

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Guideline Updates

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

Guideline Updates
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