Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 1, 2025

March 2025 Provider Newsletter

Featured Articles

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2025

Reminder: provider data attestation

Long-Term Services & SupportsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 21, 2025

You are invited: provider office hours scheduled for CCC Plus Waiver Providers and Nursing Facilities

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025

Update: Drug claims edits to focus on FDA‑approved indications

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025

New coding guidelines: include the anatomic modifier

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 1, 2025

Streamline your workflow with Care Central on Availity Essentials

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Adopting digital member ID cards

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialFebruary 4, 2025

Expansion of Carelon Medical Benefits Management, Inc. programs

Education & Training

Education & TrainingAnthem 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 training

WebinarsAnthem Blue Cross and Blue Shield | CommercialFebruary 21, 2025

Start 2025 with an easy way to earn continuing education credits

Guideline Updates

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 31, 2025

Clinical Criteria updates

Effective March 7, 2025

Guideline UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 14, 2025

Clinical Criteria updates

Effective March 24, 2025

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025

Coverage Guideline update — June 1, 2025

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 20, 2025

MCG Care Guidelines 29th edition

Effective June 1, 2025

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialFebruary 18, 2025

MCG Care Guidelines 29th edition

Effective June 1, 2025

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 17, 2025

MCG Care Guidelines 29th edition

Effective June 1, 2025

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025

Precertification list change notification March 1, 2025

Products & Programs

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2025

Changes in Postal Service Health Benefits for 2025

PharmacyAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025

Clinical Criteria updates for specialty pharmacy are available

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 19, 2025

Prior authorization updates for medications billed under the medical benefit

Effective April 1, 2025
Anktiva, Hercessi, and Imdelltra

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 24, 2025

Prior authorization updates for medications billed under the medical benefit

Effective April 1, 2025
Tevimbra and Tyenne

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 25, 2025

Prior authorization updates for medications billed under the medical benefit

Effective April 1, 2025
Orencia and Avsola

VABCBS-CDCRCM-078145-25 , CPN78072