Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2025
April 2025 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2025
D‑SNP members can earn rewards by participating in select healthcare activities
Anthem Blue Cross and Blue Shield | CommercialMarch 28, 2025
Streamline your workflow: Submit BH authorizations through Availity Essentials
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 3, 2025
Important information about specialty prescriptions
Effective March 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 28, 2025
Important change to your patients’ specialty prescriptions
Effective April 1, 2025
Administrative
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 28, 2025
Availity launches enhanced provider enrollment features for improved efficiencyEducation & Training
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2025
Register for our next webinar: Enhancing Diabetes Management — Focus on Standardized MetricsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2025
Enhance billing and coding accuracy with new Payment Integrity trainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 28, 2025
Resources to support diverse patients and communitiesGuideline Updates
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 26, 2025
Clinical Criteria updatesEffective March 28, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 27, 2025
Clinical Criteria updatesEffective March 28, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 24, 2025
Carelon Medical Benefits Management, Inc. updatesEffective on May 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 11, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective April 12, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 27, 2025
Outpatient preapproval update from Carelon Medical Benefits Management, Inc.Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 26, 2025
Prior authorization requirement changesEffective July 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 6, 2025
Prior authorization requirement changesProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialMarch 27, 2025
Specialty pharmacy updates — April 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 19, 2025
Medicare Part B preapproval expands with new drug additionsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2025
Virginia's Medical Preferred Drug List (PDL)/ Common Core FormularyVABCBS-CDCRCM-080630-25
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