Virginia
Provider Communications

September 2021 Anthem Provider News - Virginia

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Title Category

Updates for specialty pharmacy are available

Pharmacy

Reimbursement policy update: DRG inpatient facility transfers effective November 30, 2021

Medicare

Utilization management authorization rule operations

Medicare

Prior authorization/precertification form notification

Medicare

Keep up with Medicare news - September 2021

View this Medicare article:
  • Clinical Criteria updates notification
Medicare

Keep up with Medicaid news - September 2021

View these Medicaid articles:
  • Clinical Criteria updates notification 
  • New specialty pharmacy medical step therapy requirements:  Iron Infusion Step Therapy
  • Prior authorization required for specialty pharmacy drugs:  Iron Infusion Prior Authorization Update

 

Medicaid

Federal Employee Program® AIM Radiology prior authorization review transition delayed until November 1

Federal Employee Plan (FEP)

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers - replacing CAQH Enrollhub effective November 1, 2021.
Digital Tools

HEDIS® medical record submission made easier with Anthem’s Remote Electronic Medical Record Access Service

Digital Tools

UPDATE: Company to implement provider claim payment dispute process for Commercial lines of business on September 21

Administrative

National Accounts 2022 Pre-certification list

Administrative

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach
Administrative

Six SIMPLE strategies to help increase medication adherence

Administrative

Cure for the common cold: Rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics.

 

Administrative

Register now for our September CME webinars

Administrative
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