Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2024

April 2024 Provider Newsletter

Featured Articles

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialApril 1, 2024

Blue High Performance Network


Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2024

OP rehab reconsiderations moving to Carelon Medical Benefits Management, Inc.

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2024

Review your online provider directory information

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2024

Emergency department protocol for Special Investigation Unit review

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialMarch 22, 2024

Coming soon — digital-only authorization case status notifications

Education & Training

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2024

April is National Minority Health Month and Stress Awareness Month

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2024

New digital platform for eLearning

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialMarch 12, 2024

Important reminder: The correct original claim number must be included if submitting a corrected claim

Guideline Updates

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 18, 2024

Clinical Criteria updates — December 2023

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialApril 1, 2024

Coding update effective July 1, 2024

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialApril 1, 2024

Coverage and Clinical Guidelines update July 1, 2024

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 4, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialMarch 27, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 20, 2024

Carelon Medical Benefits Management, Inc. genetic testing code updates

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 11, 2024

Prior authorization requirement changes effective July 1, 2024

Products & Programs

Long-Term Services & SupportsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2024

Changes to prior authorization requirements for routine visit billing code 99509

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 22, 2024

Expansion of specialty pharmacy precertification list

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 20, 2024

Quarterly pharmacy formulary change notice

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 6, 2024

Prior authorization updates for medications billed under the medical benefit

Elfabrio, Epkinly, Qalsody, Vyjuvek, and Zynyz

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 8, 2024

HEDIS® 2024 documentation for Colorectal Cancer Screening (COL-E)

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 8, 2024

HEDIS® 2024 documentation for Colorectal Cancer Screening (COL-E)

VABCBS-CDCRCM-053376-24

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).