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

March 2024 Provider Newsletter

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2024

CAA: Maintain your online provider directory information

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 29, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024

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

Expansion of Carelon Medical Benefits Management, Inc. programs

Education & Training

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2023

LabCorp is the exclusive clinical reference laboratory provider for Anthem HealthKeepers/HealthKeepers Plus HMO members  

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 1, 2024

Congenital syphilis intervention opportunities for neonatal and pediatric providers

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

Resources to support your diverse patient panel

Guideline Updates

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 20, 2024

Clinical Criteria updates — December 2023

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 19, 2024

Medical Policies and Clinical Utilization Management Guidelines update

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

Precertification list change notification

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

Precertification list change notification

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 16, 2024

Prior authorization requirement changes effective May 1, 2024

Code 64505

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 24, 2024

Prior authorization requirement changes effective May 1, 2024

Code C1825

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2024

Prior authorization requirement changes effective May 1, 2024

Codes G0481 - G0483

Products & Programs

Long-Term Services & SupportsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 13, 2024

Legally Responsible Individual forms change

PharmacyAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024

Clinical Criteria updates for specialty pharmacy are available

PharmacyAnthem Blue Cross and Blue Shield | CommercialFebruary 22, 2024

Specialty pharmacy updates — March 2024

PharmacyAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024

Important information about your Anthem patients’ Botox prescriptions

PharmacyAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024

Pharmacy information available on our provider website

PharmacyAnthem Blue Cross and Blue Shield | CommercialFebruary 20, 2024

Prior authorization updates for therapeutic duplication of specialty drugs

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 16, 2024

Anthem expands specialty pharmacy precertification list

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

Overview of Medicare risk adjustment in-office prospective programs

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 31, 2024

Notification of specialty pharmacy medical step therapy updates

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 29, 2024

HEDIS Breast Cancer Screening (BCS) update

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 1, 2024

Encourage Cervical Cancer Screening (CCS)

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 1, 2024

Cervical Cancer Screening (CCS) and Prenatal and Postpartum Care (PPC) for HEDIS

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 6, 2024

HEDIS 2024 documentation for Controlling High Blood Pressure (CBP) and Statin Therapy for Patients with Cardiovascular Disease (SPC)

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 7, 2024

HEDIS® 2024 documentation for Care of Older Adults (COA)

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024

Boost annual preventive care visits: Tips and resources: An ounce of prevention is worth a pound of cure

VABCBS-CDCRCM-051148-24

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