Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

December 2021 Anthem Provider News - Virginia

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Member rights and responsibilities

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Coordination of care

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Case Management Program

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Important information about utilization management

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Importance of primary care physician after-hours messaging

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Chlamydia is asymptomatic; Only through screening will we know for sure

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Outpatient system updates for 2022

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Professional system updates for 2022

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem providers
EnrollSafe replaced CAQH Enrollhub effective November 1, 2021

Behavioral Health

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Behavioral healthcare appointment access requirements

Guideline Updates

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Company to retire Blue Precision program on December 31, 2021

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Specialty pharmacy updates effective March 1, 2022

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Pharmacy information available on anthem.com

State & Federal

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2021

Change to durable medical equipment wheelchair benefit limits

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2021

Reimbursement policy update: Drug Screen Testing

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2021

HEDIS measures: Follow-up after ED visits for mental illness and alcohol and drug dependency

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2021

Healthy Rewards reminder for providers

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2021

Non-payment remittance advice enhancements

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2021

Keep up with Medicaid news: December 2021
  • Durable medical equipment prior authorization requirement changes effective December 1, 2021
  • Prior authorization requirement changes
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines
  • Medical drug benefit Clinical Criteria updates
  • Important information regarding behavioral health project BRAVO implementation
  • Home delivery pharmacy reminder

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

Non-payment remittance advice enhancements

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

Reimbursement policy: Drug screen testing

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

2022 Medicare Advantage service area and benefit updates

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

Keep up with Medicare news: December 2021
  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
  • Medical drug benefit Clinical Criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • New York City Medicare Advantage announcement
  • Medical Policies and Clinical Utilization Management Guidelines update