Virginia
Provider Communications

October 2022 Anthem Provider News - Virginia

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Title Category

Monkeypox and smallpox vaccines: Product code on claims

Administrative

Norfolk Healthcare Consortium offers plan options from Anthem Blue Cross and Blue Shield and our affiliate HealthKeepers, Inc.

Administrative

Commercial-Local precertification list change notification

Administrative

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 8/1/22

Administrative

National Accounts 2023 Precertification list

Administrative

Consolidated Appropriations Act: Review your online provider directory information

Administrative

Learn how Interactive Care Reviewer makes it easy to submit authorizations electronically

Digital Tools

The Provider Learning Hub is here

Digital Tools

Coverage and Clinical Guidelines update effective January 1, 2023

Coverage and Clinical Guidelines

Coding update effective January 1, 2023

Guideline Updates

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

Reimbursement Policies

Specialty pharmacy updates effective January 1, 2023

Pharmacy

IngenioRx will become CarelonRx on January 1, 2023

Pharmacy

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Availity Essentials provider chat: A fast, easy way to get your utilization management questions answered for Federal Employee members

Federal Employee Plan (FEP)

Complex Case Management program

Medicaid

Members’ Rights and Responsibilities section

Medicaid

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing – Professional

Medicaid

Monkeypox resources and recommendations for our care providers

Medicaid

Keep up with Medicaid news: October 2022

  • New specialty pharmacy medical step therapy requirements
  • Prior authorization updates for medications billed under the medical benefit – effective December 1, 2022
  • Prior authorization updates for medications billed under the medical benefit – effective November 1, 2022
  • Private duty nursing reimbursement
  • Change to DME canes, crutches, and walkers benefit limits
  • Change to DME traction equipment
Medicaid

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency FAQ

Medicare

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare

Reimbursement policy retraction: Sexually transmitted infections testing - professional

Medicare

Keep up with Medicare news: October 2022

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list – J3490, J3590 and J3299
  • Consultation codes
Medicare
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