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

June 2024 Provider Newsletter

Featured Articles

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 16, 2024

Provider revalidation general alert

Long-Term Services & SupportsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 24, 2024

Respite authorization renewals


Administrative

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

Availity Essentials single claim submission response reports

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 1, 2024

CAA: Review your online provider directory information

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

Virginia Accredited Office Surgery Program and upcoming program amendment

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 23, 2024

Digital RFAI Availity training

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 17, 2024

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 productsJune 1, 2024

June is LGBTQIA+ Pride Month

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 23, 2024

You are invited: Thriving, not just surviving: navigating challenging times as a clinician

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2024

Change to vaccine codes and age limitations

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 6, 2024

Prior authorization denials UM1/198

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2024

Introducing advanced eLearning features for MyDiversePatients.com

Guideline Updates

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 7, 2024

Clinical Criteria updates

Effective June 10, 2024

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialApril 30, 2024

MCG Care Guidelines 28th edition

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 1, 2024

MCG Care Guidelines 28th edition

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 13, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialMay 28, 2024

Updates to Carelon Post-Acute Care Clinical Appropriateness Guidelines

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 3, 2024

Carelon Medical Benefits Management, Inc. genetic testing code updates

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJune 1, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2024

Changes in prior authorization for Anthem HealthKeepers Plus therapy requests

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2024

Addressing medication adherence gaps

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 6, 2024

Prior authorization updates for medications billed under the medical benefit

PharmacyAnthem Blue Cross and Blue Shield | CommercialJune 1, 2024

Pharmacy information available on our provider website

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2024

Improving patient outcomes with statin therapy in diabetes

Quality Management

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2024

Important information about utilization management

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2024

Members’ Rights and Responsibilities section

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2024

Complex Case Management program

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialMay 6, 2024

Enhance patient access to digital health resources

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialApril 19, 2024

Improving patient health and digital literacies

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 16, 2024

Tips to Improve Adolescent Immunization (IMA) Rates

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

New resources to improve your HEDIS® and CAHPS® quality rates

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 22, 2024

Statin Use in Persons with Cardiovascular Disease (SPC) measure exclusion criteria: HEDIS® 2024 measurement year

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HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).