Virginia
Provider Communications

November 2022 Anthem Provider News - Virginia

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Title Category

Provider contract and fee schedule notifications via Availity

Administrative

Support documentation for AIM prior authorization requests

Administrative

Post office boxes are being retired because of low usage

Administrative

Consolidated Appropriations Act: Keep your provider directory information up to date

Administrative

Remote EMR access service for HEDIS

Digital Tools

Claims status message enhancements: Providing clear descriptions and actionable next steps

Digital Tools

Authorization application enhancements: Faster, easier, and more efficient

Digital Tools

Submit digital attachments within seven calendar days for claims filed with a PWK segment indicator

Digital Tools

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

Digital Tools

Visit the Provider Learning Hub to view our latest learning opportunities

Digital Tools

Coverage guidelines effective February 1, 2023

Coverage and Clinical Guidelines

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

Coverage and Clinical Guidelines

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

Coverage and Clinical Guidelines

Reminder: Professional reimbursement policies to be posted online

Reimbursement Policies

Attention providers who intend to provide physical, occupational or speech therapy services

The AIM Rehabilitation Program is effective November 1, 2022.
Products & Programs

Specialty pharmacy updates effective February 1, 2023

Pharmacy

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

Important information about utilization management

Medicaid

Remote EMR access service for HEDIS

Medicaid

Important information about utilization management

Medicaid

Guidance for coding evaluation and management services for new and established patients

Medicaid

Retraction of policy: Private duty nursing reimbursement

Medicaid

Keep up with Medicaid news: November 2022

  • Prior authorization requirement changes effective November 1, 2022
  • Medical drug benefit Clinical Criteria updates
Medicaid

Personalized Match

Medicare

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

Medicare

Keep up with Medicare news: November 2022

  • New specialty pharmacy medical step therapy requirements
  • New specialty pharmacy medical step therapy requirements
  • Medical drug benefit Clinical Criteria updates
Medicare
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