Virginia
Provider Communications

Articles Category: State & Federal > Medicaid

Title Publication Category Date

Reimbursement policy update: Early and Periodic Screening, Diagnostic and Treatment (EPSDT)

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

An update about Anthem’s direct contracting effort for nurse practitioners and physician assistants

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Coverage Guidelines and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

New clinical guideline: Pneumatic compression devices, effective December 1, 2019

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Provider orientations

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Keep up with Medicaid news

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Prior authorization changes

September 2019 Anthem Provider News - Virginia Medicaid Sep 1, 2019

Evaluation and management services: Over-coded services

September 2019 Anthem Provider News - Virginia Medicaid Sep 1, 2019

Wound care requests

September 2019 Anthem Provider News - Virginia Medicaid Sep 1, 2019

MCG Care Guidelines update and customizations

September 2019 Anthem Provider News - Virginia Medicaid Sep 1, 2019

Medical drug Clinical Criteria updates for first quarter

September 2019 Anthem Provider News - Virginia Medicaid Sep 1, 2019

Medical drug Clinical Criteria updates for second quarter

September 2019 Anthem Provider News - Virginia Medicaid Sep 1, 2019

Medical necessity review for appropriate level of care

September 2019 Anthem Provider News - Virginia Medicaid Sep 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Coming soon: Electronic attachments

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Provider claims payment disputes

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Anthem HealthKeepers Plus pharmacy management information

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Use the Provider Maintenance Form to update your information

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Provider satisfaction survey information

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Keep up with Medicaid news

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

Unspecified diagnosis code update

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

Coding Spotlight: Hypertension

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

New service types added to Availity

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

Update to rules governing reimbursement for LMHPs for servicing only Anthem HealthKeepers Plus members

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

Keep up with Medicaid news

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

Reimbursement policy update: Professional anesthesia services

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Intervention for blood sugar control in pregnant women with diabetes

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Complex Case Management program

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Important information about utilization management

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Anthem HealthKeepers Plus Members’ Rights and Responsibilities Statement

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

2019 Utilization management affirmative statement concerning utilization management decisions

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Clinical criteria updates

May 2019 Anthem Provider Newsletter - Virginia Medicaid May 1, 2019

Authorization changes for procedure codes

May 2019 Anthem Provider Newsletter - Virginia Medicaid May 1, 2019

Urgent: Update to behavioral health claims processing

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Coverage Guidelines and Clinical Utilization Management Guidelines update

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Latest updates to Electronic Data Interchange Gateway migration

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Practitioners’ rights during credentialing process

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Anthem HealthKeepers Plus provider surveys

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Clinical Criteria updates

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Help prevent preeclampsia with prenatal aspirin

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Reminder: Precertification requirements

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Anthem HealthKeepers Plus emergency transportation claims update

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Wound care treatment request update

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Quality of Care and Critical Incidents training

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

March 2019 Anthem Provider Newsletter - Virginia Medicaid Mar 1, 2019

Direct contracting for nurse practitioners and physician assistants in 2019

March 2019 Anthem Provider Newsletter - Virginia Medicaid Mar 1, 2019

Policy Update Modifier 25: Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service

March 2019 Anthem Provider Newsletter - Virginia Medicaid Mar 1, 2019

Early intervention claims

March 2019 Anthem Provider Newsletter - Virginia Medicaid Mar 1, 2019

Update: Evaluation and management with Modifier 25

March 2019 Anthem Provider Newsletter - Virginia Medicaid Mar 1, 2019

Reimbursement Policy for Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Reminder: Provider orientations are available

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

P.O. boxes on claims communication

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Early intervention claims

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Wound care treatment request update

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Postpartum outreach initiative

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Introducing a new clinical criteria Web page for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Diabetes: Provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

CORRECTION: Postpartum follow-up care incentives

January 2019 Anthem Provider Newsletter - Virginia Medicaid Jan 1, 2019

Coverage Guidelines and Clinical Utilization Management Guidelines update

January 2019 Anthem Provider Newsletter - Virginia Medicaid Jan 1, 2019

My Diverse Patients: A reminder about a website to support your diverse patients

January 2019 Anthem Provider Newsletter - Virginia Medicaid Jan 1, 2019

Orientations and training sessions offered to all providers

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Reimbursement policy: Claims requiring additional documentation

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Coding spotlight: Substance use disorders and smoking

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Prior authorization requirements for Sublocade

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Quality of care review

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Coverage Guidelines and Clinical Utilization Management Guidelines update

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Anthem HealthKeepers Plus pharmacy management information

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Practitioners’ rights during credentialing process

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Quarterly pharmacy formulary change notice

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Electronic data interchange gateway update

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Precertification requirements reminder

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

MyDiversePatients.com

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

HealthKeepers, Inc. fights opioid addiction: Extension for Community Health Care Outcomes and quality medication-assisted therapy

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Orientations and training sessions offered to all providers

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Vaginal birth after cesarean shared decision-making aid available

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Prior authorization requirements for Interferon beta-1a

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Prior authorization requirements for Somatrem

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

EDI Gateway migration

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

What matters most: Improving the patient experience CME

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Anthem HealthKeepers Plus member reassignment and continuity of care

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Anthem HealthKeepers Plus coding spotlight — Obesity

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Reimbursement policy: Medical Recalls

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Normal newborn diagnosis-related group claims processing update

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Prior authorization requirements for Cabazitaxel (Jevtana)

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

New pregnancy notification process using the Availity portal Benefit Look-up tool for Anthem HealthKeepers Plus members

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Important information about utilization management from HealthKeepers, Inc.

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Anthem HealthKeepers Plus Member’s Rights and Responsibilities Statement from HealthKeepers, Inc.

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Postpartum outreach initiative

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

New collaboration with Edgepark for breast pump supply management

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018
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