Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

October 2022 Anthem Provider News - Virginia

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Commercial-Local precertification list change notification

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

National Accounts 2023 Precertification list

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Consolidated Appropriations Act: Review your online provider directory information

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Learn how Interactive Care Reviewer makes it easy to submit authorizations electronically

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

The Provider Learning Hub is here

Guideline Updates

Guideline UpdatesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Coding update effective January 1, 2023

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Coverage and Clinical Guidelines update effective January 1, 2023

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Anthem in Virginia’s upcoming amendment will allow posting of Commercial professional reimbursement policies online at anthem.com

Products & Programs

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Availity Essentials provider chat: A fast, easy way to get your utilization management questions answered for Federal Employee members

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Specialty pharmacy updates effective January 1, 2023

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Clinical Criteria updates for specialty pharmacy are available

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Pharmacy information available on anthem.com

State & Federal

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2022

Complex Case Management program

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2022

Members’ Rights and Responsibilities

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing – Professional

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2022

Monkeypox resources and recommendations for our care providers

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2022

Keep up with Medicaid news: October 2022
  • New specialty pharmacy medical step therapy requirements
  • Prior authorization updates for medications billed under the medical benefit – effective December 1, 2022
  • Prior authorization updates for medications billed under the medical benefit – effective November 1, 2022
  • Private duty nursing reimbursement
  • Change to DME canes, crutches, and walkers benefit limits
  • Change to DME traction equipment

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency FAQ

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2022

Reimbursement policy retraction: Sexually transmitted infections testing - professional

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2022

Keep up with Medicare news: October 2022
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list – J3490, J3590 and J3299
  • Consultation codes