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March 2023 Anthem Provider News - Virginia
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Medicaid
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Mar 1, 2023
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- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
- Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List
- Carelon Medical Benefits Management, Inc. Radiology Clinical Appropriateness Guidelines CPT code list update
- Clinical Criteria updates
- Prior authorization updates for medications billed under the medical benefit (Carvykti)
- Prior authorization updates for medications billed under the medical benefit (Aduhelm)
- Applied behavior analysis
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March 2023 Anthem Provider News - Virginia
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Medicaid
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Mar 1, 2023
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- Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List in Virginia
- Carelon Medical Benefits Management, Inc.Genetic Testing Clinical Appropriateness Guidelines CPT code list update
- What date to select for inpatient admissions for claims
- Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements
- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
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March 2023 Anthem Provider News - Virginia
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Medicare
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Mar 1, 2023
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March 2023 Anthem Provider News - Virginia
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Medicare
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Mar 1, 2023
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March 2023 Anthem Provider News - Virginia
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Medicare
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Mar 1, 2023
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March 2023 Anthem Provider News - Virginia
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Medicare
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Mar 1, 2023
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March 2023 Anthem Provider News - Virginia
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Medicare
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Mar 1, 2023
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February 2023 Anthem Provider News - Virginia
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Medicaid
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Feb 1, 2023
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February 2023 Anthem Provider News - Virginia
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Medicare
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Feb 1, 2023
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- Prior authorization updates for medications billed under the medical benefit
- Medical Policies and Clinical Utilization Management Guidelines update
- Prior authorization updates for medications billed under the medical benefit
- POS restrictions for BRAVO services
- Direct member medical necessity appeals to HealthKeepers, Inc.
- Patient liability and claims processing
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February 2023 Anthem Provider News - Virginia
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Medicaid
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Feb 1, 2023
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February 2023 Anthem Provider News - Virginia
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Federal Employee Plan (FEP)
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Feb 1, 2023
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February 2023 Anthem Provider News - Virginia
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Medicare
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Feb 1, 2023
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- Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (FyInetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
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February 2023 Anthem Provider News - Virginia
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Medicare
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Feb 1, 2023
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January 2023 Anthem Provider News - Virginia
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Medicaid
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Dec 30, 2022
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January 2023 Anthem Provider News - Virginia
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Medicaid
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Dec 30, 2022
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January 2023 Anthem Provider News - Virginia
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Medicaid
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Dec 30, 2022
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January 2023 Anthem Provider News - Virginia
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Medicaid
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Dec 30, 2022
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January 2023 Anthem Provider News - Virginia
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Medicaid
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Dec 30, 2022
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January 2023 Anthem Provider News - Virginia
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Medicaid
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Dec 30, 2022
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- This is Quitting: Helping teens and young adults quit vaping
- HEDIS measure for prenatal and postpartum care
- Prior authorization requirement changes updated effective January 1, 2023
- AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
- Change to vaccine age limitations
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January 2023 Anthem Provider News - Virginia
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Medicaid
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Dec 30, 2022
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- Prior authorization requirement changes
- New specialty pharmacy medical step therapy requirements
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
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January 2023 Anthem Provider News - Virginia
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Medicare
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Dec 30, 2022
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January 2023 Anthem Provider News - Virginia
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Federal Employee Plan (FEP)
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Dec 30, 2022
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December 2022 Anthem Provider News - Virginia
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Medicaid
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Dec 1, 2022
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December 2022 Anthem Provider News - Virginia
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Medicaid
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Dec 1, 2022
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- Medical drug benefit Clinical Criteria updates
- Medical Policies and Clinical Utilization Management Guidelines update
- Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
- Prior authorization requirement changes effective January 1, 2023
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December 2022 Anthem Provider News - Virginia
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Medicaid
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Dec 1, 2022
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December 2022 Anthem Provider News - Virginia
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Medicare
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Dec 1, 2022
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- Medical drug benefit Clinical Criteria updates
- Medical Policies and Clinical Utilization Management Guidelines update
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December 2022 Anthem Provider News - Virginia
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Medicare
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Dec 1, 2022
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December 2022 Anthem Provider News - Virginia
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Medicare
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Dec 1, 2022
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November 2022 Anthem Provider News - Virginia
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Medicaid
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Nov 1, 2022
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November 2022 Anthem Provider News - Virginia
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Medicaid
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Nov 1, 2022
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November 2022 Anthem Provider News - Virginia
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Medicaid
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Nov 1, 2022
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November 2022 Anthem Provider News - Virginia
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Medicaid
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Nov 1, 2022
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November 2022 Anthem Provider News - Virginia
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Medicaid
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Nov 1, 2022
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- Prior authorization requirement changes effective November 1, 2022
- Medical drug benefit Clinical Criteria updates
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November 2022 Anthem Provider News - Virginia
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Medicaid
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Nov 1, 2022
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- New specialty pharmacy medical step therapy requirements
- New specialty pharmacy medical step therapy requirements
- Medical drug benefit Clinical Criteria updates
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November 2022 Anthem Provider News - Virginia
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Medicare
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Nov 1, 2022
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November 2022 Anthem Provider News - Virginia
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Medicare
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Nov 1, 2022
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November 2022 Anthem Provider News - Virginia
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Medicare
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Nov 1, 2022
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October 2022 Anthem Provider News - Virginia
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Federal Employee Plan (FEP)
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Oct 1, 2022
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October 2022 Anthem Provider News - Virginia
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Medicaid
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Oct 1, 2022
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October 2022 Anthem Provider News - Virginia
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Medicaid
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Oct 1, 2022
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October 2022 Anthem Provider News - Virginia
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Medicaid
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Oct 1, 2022
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October 2022 Anthem Provider News - Virginia
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Medicaid
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Oct 1, 2022
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- 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
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October 2022 Anthem Provider News - Virginia
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Medicaid
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Oct 1, 2022
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October 2022 Anthem Provider News - Virginia
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Medicare
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Oct 1, 2022
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October 2022 Anthem Provider News - Virginia
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Medicare
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Oct 1, 2022
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October 2022 Anthem Provider News - Virginia
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Medicare
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Oct 1, 2022
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- 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
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October 2022 Anthem Provider News - Virginia
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Medicare
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Oct 1, 2022
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September 2022 Anthem Provider News - Virginia
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Federal Employee Plan (FEP)
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicaid
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicaid
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicaid
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicaid
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicaid
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicaid
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicaid
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Sep 1, 2022
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- Clinical Criteria updates
- Updates for medication codes billed under the medical benefit
- Nursing facility admissions and LTSS screenings
- July 2022 HCBS rate increase notice
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September 2022 Anthem Provider News - Virginia
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Medicaid
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicare
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicare
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicare
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicare
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Sep 1, 2022
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September 2022 Anthem Provider News - Virginia
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Medicare
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Sep 1, 2022
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- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
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September 2022 Anthem Provider News - Virginia
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Medicare
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Sep 1, 2022
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August 2022 Anthem Provider News - Virginia
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Medicaid
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Aug 1, 2022
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August 2022 Anthem Provider News - Virginia
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Medicaid
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Aug 1, 2022
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August 2022 Anthem Provider News - Virginia
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Medicaid
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Aug 1, 2022
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August 2022 Anthem Provider News - Virginia
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Medicaid
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Aug 1, 2022
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August 2022 Anthem Provider News - Virginia
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Medicaid
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Aug 1, 2022
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August 2022 Anthem Provider News - Virginia
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Medicaid
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Aug 1, 2022
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August 2022 Anthem Provider News - Virginia
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Medicaid
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Aug 1, 2022
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August 2022 Anthem Provider News - Virginia
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Medicaid
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Aug 1, 2022
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- One-time COVID-19 Support Payment for Attendant/Aides
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August 2022 Anthem Provider News - Virginia
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Medicaid
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Aug 1, 2022
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- MCG care guidelines 26th edition
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August 2022 Anthem Provider News - Virginia
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Medicare
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Aug 1, 2022
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July 2022 Anthem Provider News - Virginia
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Federal Employee Plan (FEP)
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Jul 1, 2022
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July 2022 Anthem Provider News - Virginia
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Medicaid
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Jul 1, 2022
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July 2022 Anthem Provider News - Virginia
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Medicaid
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Jul 1, 2022
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July 2022 Anthem Provider News - Virginia
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Medicaid
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Jul 1, 2022
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July 2022 Anthem Provider News - Virginia
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Medicaid
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Jul 1, 2022
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July 2022 Anthem Provider News - Virginia
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Medicaid
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Jul 1, 2022
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- Updating member information
- Use of Imaging Studies for Low Back Pain (LBP)
- Remote patient monitoring update
- Prior authorization updates for medications billed under the medical benefit
- Virginia Medicaid language interpretation services
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July 2022 Anthem Provider News - Virginia
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Medicaid
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Jul 1, 2022
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July 2022 Anthem Provider News - Virginia
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Medicare
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Jul 1, 2022
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July 2022 Anthem Provider News - Virginia
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Medicare
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Jul 1, 2022
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- New specialty pharmacy medical step therapy requirements
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July 2022 Anthem Provider News - Virginia
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Medicare
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Jul 1, 2022
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June 2022 Anthem Provider News - Virginia
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Federal Employee Plan (FEP)
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Jun 1, 2022
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June 2022 Anthem Provider News - Virginia
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Medicaid
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Jun 1, 2022
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June 2022 Anthem Provider News - Virginia
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Medicaid
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Jun 1, 2022
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June 2022 Anthem Provider News - Virginia
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Medicaid
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Jun 1, 2022
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June 2022 Anthem Provider News - Virginia
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Medicaid
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Jun 1, 2022
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- Transcranial magnetic stimulation provider communication
- Prior authorization update for select durable medical equipment (DME) items
- MES and DMAS enrollment requirement
- Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
- Prior authorization updates for medications billed under the medical benefit
- Precertification requirement notice
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June 2022 Anthem Provider News - Virginia
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Medicaid
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Jun 1, 2022
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June 2022 Anthem Provider News - Virginia
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Medicare
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Jun 1, 2022
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June 2022 Anthem Provider News - Virginia
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Medicare
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Jun 1, 2022
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June 2022 Anthem Provider News - Virginia
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Medicare
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Jun 1, 2022
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June 2022 Anthem Provider News - Virginia
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Medicare
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Jun 1, 2022
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June 2022 Anthem Provider News - Virginia
|
Medicare
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Jun 1, 2022
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- Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
- New specialty pharmacy medical step therapy requirements
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
- Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
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June 2022 Anthem Provider News - Virginia
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Medicare
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Jun 1, 2022
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May 2022 Anthem Provider News - Virginia
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Federal Employee Plan (FEP)
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May 1, 2022
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May 2022 Anthem Provider News - Virginia
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Federal Employee Plan (FEP)
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May 1, 2022
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Everything you need to know about using CPT II Codes
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May 2022 Anthem Provider News - Virginia
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Federal Employee Plan (FEP)
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May 1, 2022
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May 2022 Anthem Provider News - Virginia
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Medicaid
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May 1, 2022
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May 2022 Anthem Provider News - Virginia
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Medicaid
|
May 1, 2022
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- DMAS MEMO: Medicaid Enterprise System
- Prior authorization requirement change for HCPCS code K1022
- New specialty pharmacy medical step therapy requirements
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May 2022 Anthem Provider News - Virginia
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Medicaid
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May 1, 2022
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