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

September 2024 Provider Newsletter

Featured Articles

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2024

Important Information on the HealthKeepers POS Select Product

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 28, 2024

Maximizing care with regular provider data attestation

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023

Clinical Laboratory Improvement Amendments


Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 7, 2024

Enhanced claims edits system for drug quality checks

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

Drug and biologic

Education & Training

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

Important policy change — Medicare coverage for select services effective January 1, 2024

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 | CommercialSeptember 1, 2024

New provider resource for family caregivers of members with cancer

Guideline Updates

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 23, 2024

Clinical Criteria updates

Effective August 25, 2024

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

Medical Policies and Clinical Utilization Management Guidelines update

Effective September 15, 2024

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

Precertification List Change Notification September 1, 2024

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 31, 2024

Prior authorization requirement changes

Effective December 1, 2024

Products & Programs

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialJuly 31, 2024

FEP Quality Reimbursement Program for providers

Long-Term Services & SupportsAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2024

The Power of the Blues: Introducing the Blue National Physician Performance Dataset

Long-Term Services & SupportsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 14, 2024

S5102 Adult day health care change to billing procedure

PharmacyAnthem Blue Cross and Blue Shield | CommercialAugust 26, 2024

Specialty pharmacy updates — September 2024

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 12, 2024

Anthem expands specialty pharmacy precertification list

Code: J1599

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 27, 2024

Anthem expands specialty pharmacy precertification list

Codes: C9399, J9999 and J3590

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

Real-time prescription benefit

PharmacyAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2024

Pharmacy information available on our provider website

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 13, 2024

Announcing the new HEDIS documentation library supporting coding excellence

VABCBS-CDCRCM-065320-24

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