Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

August 2023 Provider Newsletter

Featured Articles

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023

Looking to earn CME credits? Check out the CME Engagement Hub!

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023

Reminder: Start using the Provider Data Management application now on Availity Essentials — retirement of previous intake channels October 1, 2023


Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023

Clinical Laboratory Improvement Amendments

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

Clinical Laboratory Improvement Amendments

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

Provider orientation and training

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 18, 2023

Urinary tract infection tool kits are on the way

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023

Provider contract and fee schedule notifications via Availity Essentials

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023

CAA: Review your online provider directory information regularly

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

Submitting prior authorizations is getting easier

Education & Training

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 21, 2023

Electronic visit verification for home health services

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

Provider orientation and training

Guideline Updates

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 17, 2023

Clinical Criteria Updates - March 2023

Guideline UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 29, 2023

Clinical Criteria Updates - March 2023

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJuly 21, 2023

Updates to Carelon Medical Benefits Management, Inc. Joint Surgery, Small Joint Surgery, and MSK Level of Care

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJuly 18, 2023

Expansion of Carelon Medical Benefits Management, Inc. cardiology programs effective October 1, 2023

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 3, 2023

Medical Policies and Clinical Utilization Management Guidelines Update (February 2023)

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

Fylnetra, Stimufend, and Rolvedon Medical Step Therapy Notice

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 25, 2023

Prior authorization requirement changes effective November 1, 2023

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023

Technology Assisted Surgical Procedures

Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

Technology Assisted Surgical Procedures

Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 25, 2023

Change to DME bandages, dressings, gauze, tape, and preparation solutions

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023

Specialty pharmacy updates - August 2023

PharmacyAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023

Clinical Criteria updates for specialty pharmacy are available

PharmacyAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023

Specialty pharmacy updates - August 2023

PharmacyAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023

Pharmacy information available on our provider website

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023

Medication adherence: Back to the basics

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023

Why statin therapy is important in your patients with diabetes

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023

Healthy blood pressure recheck initiative

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023

Healthy blood pressure recheck initiative

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

Complex Case Management program

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

Members’ Rights and Responsibilities

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

Important information about utilization management

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 17, 2023

Pharmacotherapy Management of COPD Exacerbation (PCE) HEDIS® Measure

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

Congenital syphilis is a sentinel health event

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 14, 2023

Pharmacotherapy Management of COPD Exacerbation (PCE) HEDIS® Measure

VABCBS-CDCRCM-030309-23

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Availity, LLC is an independent company providing administrative support services on behalf of the health plan. Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.