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

December 2024 Provider Newsletter

Featured Articles

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 19, 2024

Aligned enrollment for Virginia D-SNP members starting January 1, 2025

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2024

Roster Automation updates: roster download functionality

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 7, 2024

Important update: vaccine billing policy reversed — check your affected claims


Administrative

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

Quest Diagnostics will join our network on January 1, 2025

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 18, 2024

Virginia 2025 Medicare Advantage plan changes

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

Important information about utilization management

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

Clinical practice and preventive health guidelines available online

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

Coordination of care

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2024

Anesthesia billed time units update beginning February 2025

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

PCP after‑hours access requirements

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

Case Management program

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 21, 2024

Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc. will delegate care management to Carelon Health, Inc.

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 15, 2024

Skilled nursing facility — vaccine serum compensation

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

Members’ Rights and Responsibilities

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 18, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 18, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

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

Notification of authorization fax number changes

Fax numbers turned off as of November 15, 2024

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 20, 2024

Notification of authorization fax number changes

Fax numbers that will be turned off as of December 15, 2024

Behavioral Health

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2024

Comprehensive, holistic care for obstructive sleep apnea

Education & Training

Education & TrainingAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 18, 2024

Notice of change: Part D Rx HCCs

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 7, 2024

Provider alert: understanding claim payment disputes and appeals

Guideline Updates

Guideline UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 30, 2024

Clinical Criteria updates

Effective December 2, 2024

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 7, 2024

Clinical Criteria updates

Effective December 11, 2024

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 15, 2024

Clinical Criteria updates

Effective December 18, 2024

Products & Programs

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

FEP excited to join PSHB program in 2025

Long-Term Services & SupportsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 21, 2024

Long-Term Services and Supports (LTSS) provider site visits

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

Paragon Healthcare joins our medical specialty pharmacy provider network in 2025

PharmacyAnthem Blue Cross and Blue Shield | CommercialNovember 18, 2024

Specialty pharmacy updates — December 2024

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

Kroger Specialty Pharmacy acquisition

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

Pharmacy information available online

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 14, 2024

Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2024

Clinical Criteria updates for specialty pharmacy are available

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2024

Announcing Health Perks — Earn rewards for your healthcare activities

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