Virginia
Provider Communications

September 2022 Anthem Provider News - Virginia

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Title Category

Monkeypox resources and recommendations for our care providers

Administrative

Continuing to Explore the Intersection of Race and Disability

Administrative

Important information about women’s preventive care visits

Administrative

Drug code billing reminder

Administrative

Consolidated Appropriations Act: Current provider directory information is key for members and providers to engage with you seamlessly

Administrative

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

Administrative

Updates to the Claim Attachment workflow

Digital Tools

New Back Pain Management Program

Products & Programs

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

AIM Rehabilitation Program effective date is still delayed. A prior authorization is not required for therapy services at this time.
Products & Programs

Specialty pharmacy updates effective December 1, 2022

Pharmacy

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

Update to formulary lists for Commercial health plan pharmacy benefit

Pharmacy

OBRA 93 claim filing for Federal Employee Program

Federal Employee Plan (FEP)

Reimbursement policy update - Modifiers 25 and 57: Evaluation and Management with Global Procedures

Medicaid

Enhancing claims attachment processes through digital applications

Medicaid

New specialty pharmacy medical step therapy requirements

Medicaid

Provider Services Solution enrollment for MCO-only providers

Medicaid

Help your pregnant patients quit smoking

Medicaid

Clinical Laboratory Improvement Amendments

Medicaid

Alcohol use disorders linked to chronic diseases

Medicaid

Keep up with Medicaid news: September 2022

  • Clinical Criteria updates
  • Updates for medication codes billed under the medical benefit
  • Nursing facility admissions and LTSS screenings
  • July 2022 HCBS rate increase notice
Medicaid

Prior authorization requirement changes effective December 1, 2022

Medicare

Reimbursement policy update - Modifiers 25 and 57: Evaluation and Management with Global Procedures

Medicare

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

Medicare

Reminder: AIM prior authorization phone number change for Medicare

Medicare

Enhancing claims attachment processes through digital applications

Medicare

Keep up with Medicare news: September 2022

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
Medicare
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