Virginia
Provider Communications

September 2020 Anthem Provider News - Virginia

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Title Category

Predictive analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

Products & Programs

Anthem Commercial Risk Adjustment (CRA) reporting update: 2020 prospective program continues

Products & Programs

Anthem to update formulary lists for commercial health plan pharmacy benefit

Pharmacy

Updates for specialty pharmacy are available

Pharmacy

Attention Professional Providers: Contract amendment changes effective October 1, 2020; View upcoming contract changes online via Availity

Administrative

New state legislation prompts changes for reimbursement of services during credentialing process for providers

Administrative

New provider directory indicators for medication assisted treatment providers

Administrative

EDI Gateway migration deadline is September 15, 2020

Administrative

Patient360 adds care gap alert feedback for medical providers

Administrative

Enhanced medical records submission process to support claims processing

Administrative

Interactive Care Reviewer: Anthem’s online prior authorization tool targeting September 12 launch for our Commercial membership; Available now for Federal Employee Program members

Administrative

Providers can now receive and respond to medical record requests for postpay audits via Change Healthcare’s Assurance Attach Assist Module

Administrative

Anthem’s fall webinar takes place on November 12: Register now

Administrative

Clinical Laboratory Improvement Amendments for Anthem

Reimbursement Policies

Discharge planning

Medicaid

CLIA Certificate of Waiver

Medicaid

What Matters Most online training course: Improving patient experience

Medicaid

Medical drug benefit Clinical Criteria updates

Medicaid

Coverage Guidelines and Clinical Utilization Management Guidelines update

Medicaid

Quarterly pharmacy formulary change notice

Medicaid

Keep up with Medicaid news

Medicaid

Medical drug benefit Clinical Criteria updates

Medicare

UPDATE: Notice of changes to the AIM musculoskeletal program

Medicare

Keep up with Medicare news

Medicare
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