Virginia
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Federal Employee Program® expands specialty pharmacy prior authorization list

October 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Oct 1, 2020

Coding spotlight: Providers’ guide to coding for behavioral health disorders

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Prior authorization requirements for E0482

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Claim payment disputes: Update

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Provider Chat: A fast, easy way to have your questions answered

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Keep up with Medicaid news

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Prior authorization requirements for the below codes (Effective December 1, 2020)

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Prior authorization requirements for the below codes (Effective January 1, 2021)

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Provider transparency update

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Discharge planning

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

CLIA Certificate of Waiver

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

What Matters Most online training course: Improving patient experience

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

Coverage Guidelines and Clinical Utilization Management Guidelines update

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

Quarterly pharmacy formulary change notice

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

Keep up with Medicaid news

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Anthem Provider News - Virginia Medicare Sep 1, 2020

UPDATE: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Provider News - Virginia Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Anthem Provider News - Virginia Medicare Sep 1, 2020

Behavioral health HEDIS® measures messages

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Provider data update

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Adolescent well-care visits HEDIS measure

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Controlling high blood pressure (CBP)

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Quarterly pharmacy formulary change notice

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

DMAS specifications for ER physician non-emergent payment reduction policy

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

DMAS specifications for readmission payment reduction policy

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Keep up with Medicaid news

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Provider News - Virginia Medicare Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Provider News - Virginia Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Provider News - Virginia Medicare Aug 1, 2020

AIM Musculoskeletal program expansion

August 2020 Anthem Provider News - Virginia Medicare Aug 1, 2020

Keep up with Medicare news

August 2020 Anthem Provider News - Virginia Medicare Aug 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Coding spotlight: Provider guide to coding for cardiovascular conditions

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Quarterly pharmacy formulary change notice

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

UPDATE: Previous changes in DME incontinence quantity limits

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Keep up with Medicaid news

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

In-Office Assessment Program

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Henry County and Henry County Public Schools offer Medicare Advantage option

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Keep up with Medicare news

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

2020 affirmative statement concerning utilization management decisions

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Coding Spotlight: An Anthem HealthKeepers Plus provider guide to code social determinants of health

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Follow-up after Hospitalization for Mental Illness

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Complex Case Management program

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Important information about utilization management

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Anthem HealthKeepers Plus Members’ Rights and Responsibilities Statement

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Medicaid patients can make the switch to the Anthem HealthKeepers Plus plan

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Keep up with Medicaid news

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Anthem working with Optum to collect medical records for risk adjustment

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

2020 Medicare risk adjustment provider training

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Keep up with Medicare news

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Reimbursement Policy: Unlisted, unspecified or miscellaneous codes

May 2020 Anthem Provider News - Virginia Medicaid May 1, 2020

New functionality added to Availity’s provider enrollment tool for Virginia

May 2020 Anthem Provider News - Virginia Medicaid May 1, 2020

Acquisition of Beacon Health Options

May 2020 Anthem Provider News - Virginia Medicaid May 1, 2020

Keep up with Medicaid news

May 2020 Anthem Provider News - Virginia Medicaid May 1, 2020

Reimbursement Policy: Unlisted, unspecified or miscellaneous codes

May 2020 Anthem Provider News - Virginia Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News - Virginia Medicare May 1, 2020

Keep up with Medicare news

May 2020 Anthem Provider News - Virginia Medicare May 1, 2020

Anthem Blue Cross Blue Shield Federal Employee Program® admission review process

April 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Apr 1, 2020

Transition to Interactive Care Reviewer as the exclusive online prior authorization tool for FEP membership delayed until late second quarter

April 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Apr 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Apr 1, 2020

Provider enrollment with the Department of Medical Assistance Services required

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Provider manual excerpt: Claim payment disputes

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Prior authorization requirements: New 2020 codes for coverage and precertification

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Medicaid patients can make the switch to Anthem HealthKeepers Plus plan

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Virginia Vaccines for Children

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Change to durable medical equipment incontinence quantity limits

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Use of imaging studies for low back pain (LBP)

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

Keep up with Medicaid news

April 2020 Anthem Provider News - Virginia Medicaid Apr 1, 2020

2020 Medicare risk adjustment provider training

April 2020 Anthem Provider News - Virginia Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates

April 2020 Anthem Provider News - Virginia Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates

April 2020 Anthem Provider News - Virginia Medicare Apr 1, 2020

Keep up with Medicare News

April 2020 Anthem Provider News - Virginia Medicare Apr 1, 2020

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News - COVID-19 and Medicare Advantage Provider News Archives.
COVID-19 Information State & Federal Mar 25, 2020

Federal Employee Program membership transitioning in April to Interactive Care Reviewer, Anthem’s online prior authorization tool

March 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Mar 1, 2020

Coding tip for psychological and neuropsychological testing

March 2020 Anthem Provider News - Virginia Medicaid Mar 1, 2020

Attention community service boards: Update regarding Targeted Case Management registrations

March 2020 Anthem Provider News - Virginia Medicaid Mar 1, 2020

Antibiotic dispensing guidelines

March 2020 Anthem Provider News - Virginia Medicaid Mar 1, 2020

Upcoming educational opportunities

March 2020 Anthem Provider News - Virginia Medicaid Mar 1, 2020

Coding spotlight: HIV and AIDS

March 2020 Anthem Provider News - Virginia Medicaid Mar 1, 2020
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