Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

December 2022 Anthem Provider News - Virginia

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

CAA: Timely updates help keep our provider directories current

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Attention lab providers: COVID-19 update regarding reimbursement

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Member assessment of PCP after-hours messaging in 2022

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Members’ rights and responsibilities

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Coordination of care

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Case management program

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Important information about utilization management

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Signature requirements for laboratory orders or requisitions

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

Guideline Updates

Guideline UpdatesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Pharmacy information available on the provider website

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Clinical Criteria updates for specialty pharmacy available

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Specialty pharmacy updates - December 2022

State & Federal

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2022

Update to the Pregnancy Notification Form

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2022

Doula services

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2022

Keep up with Medicaid news: December 2022
  • Medical drug benefit Clinical Criteria updates
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
  • Prior authorization requirement changes effective January 1, 2023

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2022

Personal home helper benefit ending

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2022

2023 Medicare Advantage service area and benefit updates

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2022

Keep up with Medicare news: December 2022
  • Medical drug benefit Clinical Criteria updates
  • Medical Policies and Clinical Utilization Management Guidelines update