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
Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2024
CAA: Maintain your online provider directory informationAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 29, 2024
Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsAnthem Blue Cross and Blue Shield | CommercialFebruary 21, 2024
Beginning February 2024, you can submit Physical Health prior authorizations through the Authorization application on Availity.comEducation & Training
Anthem 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 membersAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 1, 2024
Congenital syphilis intervention opportunities for neonatal and pediatric providersHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 1, 2024
Resources to support your diverse patient panelGuideline Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 20, 2024
Clinical Criteria updates — December 2023HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 19, 2024
Medical Policies and Clinical Utilization Management Guidelines updateAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024
Precertification list change notificationAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024
Precertification list change notificationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 16, 2024
Prior authorization requirement changes effective May 1, 2024Code 64505
Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 24, 2024
Prior authorization requirement changes effective May 1, 2024Code C1825
Anthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2024
Prior authorization requirement changes effective May 1, 2024Codes G0481 - G0483
Products & Programs
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 13, 2024
Legally Responsible Individual forms changeAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024
Clinical Criteria updates for specialty pharmacy are availableAnthem Blue Cross and Blue Shield | CommercialFebruary 22, 2024
Specialty pharmacy updates — March 2024Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2024
Important information about your Anthem patients’ Botox prescriptionsAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024
Pharmacy information available on our provider websiteAnthem Blue Cross and Blue Shield | CommercialFebruary 20, 2024
Prior authorization updates for therapeutic duplication of specialty drugsAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 16, 2024
Anthem expands specialty pharmacy precertification listAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2024
Overview of Medicare risk adjustment in-office prospective programsAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 31, 2024
Notification of specialty pharmacy medical step therapy updatesQuality Management
Anthem 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) updateAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 1, 2024
Encourage Cervical Cancer Screening (CCS)Anthem 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 HEDISAnthem 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)Anthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 7, 2024
HEDIS® 2024 documentation for Care of Older Adults (COA)Anthem 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 cureVABCBS-CDCRCM-051148-24
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