Virginia
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

2022 FEP® Benefit information available online

January 2022 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jan 1, 2022

Botox® update for Anthem HealthKeepers Plus members

January 2022 Anthem Provider News - Virginia Medicaid Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Provider News - Virginia Medicaid Jan 1, 2022

2021 CAHPS Survey results

January 2022 Anthem Provider News - Virginia Medicaid Jan 1, 2022

Submitting prior authorizations is getting easier

January 2022 Anthem Provider News - Virginia Medicaid Jan 1, 2022

Keep up with Medicaid news: January 2022

  • Provider orientations and training
  • Prior authorization updates for medications billed under the medical benefit effective March 1, 2022
  • Prior authorization updates for medications billed under the medical benefit
  • AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update
  • Change to durable medical equipment wheelchair benefit limits
  • HEDIS Guide for retinal exam using fundoscopic photograph
January 2022 Anthem Provider News - Virginia Medicaid Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Volvo Group North American offers Medicare Advantage option

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Availity authorization app available to Anthem Blue Cross and Blue Shield providers in 2022

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Keep up with Medicare news: January 2022

  • Medical step therapy updates
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update
January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Reimbursement policy update: Drug Screen Testing

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

HEDIS measures: Follow-up after ED visits for mental illness and alcohol and drug dependency

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Healthy Rewards reminder for providers

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Change to durable medical equipment wheelchair benefit limits

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Non-payment remittance advice enhancements

December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Keep up with Medicaid news: December 2021

  • Durable medical equipment prior authorization requirement changes effective December 1, 2021
  • Prior authorization requirement changes
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines
  • Medical drug benefit Clinical Criteria updates
  • Important information regarding behavioral health project BRAVO implementation
  • Home delivery pharmacy reminder
December 2021 Anthem Provider News - Virginia Medicaid Dec 1, 2021

Non-payment remittance advice enhancements

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Reimbursement policy: Drug screen testing

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Keep up with Medicare news: December 2021

  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
  • Medical drug benefit Clinical Criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • New York City Medicare Advantage announcement
  • Medical Policies and Clinical Utilization Management Guidelines update
December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Electronic data interchange process

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Clinical Criteria updates

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Unspecified diagnosis reminder

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

4 things you can do to encourage cancer screenings for your women patients

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Keep up with Medicaid news: November 2021

  • FAQ: New AIM Specialty Health contact center phone number
  • Behavioral therapy assessments
  • Change to DME incontinence benefit limits
  • Prior authorization updates for specialty pharmacy
November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Medicare Advantage telehealth rural health center and federally qualified health center claims

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Clinical Criteria updates

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

New York City Medicare Advantage announcement

November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Keep up with Medicare news: November 2021

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

 

New 240k member Group Retiree PPO plan - Virginia Medicare Oct 19, 2021

Diabetes testing and screening HEDIS measures

October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

Prior authorization updates for specialty pharmacy

October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

Prior authorization updates for specialty pharmacy

October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

Keep up with Medicaid news: October 2021

  • 2021 affirmative statement concerning utilization management decisions
  • Medical Policies and Utilization Management Guidelines update
  • Generic buprenorphine/naloxone tablets added to Virginia Preferred Drug List
October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

New medical step therapy requirements

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Sexually Transmitted Infections Testing: Professional

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Keep up with Medicare news: October 2021

  • 2021 affirmative statement concerning utilization management decisions
  • Medical Policies and Utilization Management Guidelines update
October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Federal Employee Program® AIM Radiology prior authorization review transition delayed until November 1

September 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Sep 1, 2021

Keep up with Medicaid news - September 2021

View these Medicaid articles:
  • Clinical Criteria updates notification 
  • New specialty pharmacy medical step therapy requirements:  Iron Infusion Step Therapy
  • Prior authorization required for specialty pharmacy drugs:  Iron Infusion Prior Authorization Update

 

September 2021 Anthem Provider News - Virginia Medicaid Sep 1, 2021

Reimbursement policy update: DRG inpatient facility transfers effective November 30, 2021

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Utilization management authorization rule operations

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Prior authorization/precertification form notification

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Keep up with Medicare news - September 2021

View this Medicare article:
  • Clinical Criteria updates notification
September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Change in email submission of service requests for Federal Employee Program® members

August 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Aug 1, 2021

Adding 87081 to Physician Office Lab list

August 2021 Anthem Provider News - Virginia Medicaid Aug 1, 2021

Enrollment for Northern Virginia area is open now through August 31, 2021

August 2021 Anthem Provider News - Virginia Medicaid Aug 1, 2021

Closing gaps in care through telehealth

August 2021 Anthem Provider News - Virginia Medicaid Aug 1, 2021

Keep up with Medicaid news

August 2021 Anthem Provider News - Virginia Medicaid Aug 1, 2021

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy

August 2021 Anthem Provider News - Virginia Medicare Aug 1, 2021

Keep up with Medicare news

August 2021 Anthem Provider News - Virginia Medicare Aug 1, 2021

Federal Employee Program® AIM radiology prior authorization review

July 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jul 1, 2021

Reimbursement policy: Modifier 90; reference (outside) laboratory and pass-through billing

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to HealthKeepers, Inc. results in improved care management for Anthem HealthKeepers Plus patients

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Coding spotlight: Mental disorders in childhood

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

What matters most: Improving the patient experience

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Resources to support your diverse patient panel

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Suicide prevention and intervention: What you need to know

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Prior authorization requirement changes for medical codes 0205U, 0209U, and 0218U effective September 1, 2021

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Prior authorization requirement changes for multiple medical codes effective September 1, 2021

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Medical drug benefit Clinical Criteria updates

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Keep up with Medicaid news

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Reimbursement policy: Modifier 90; Reference (outside) laboratory and pass-through billing

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

 

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

Prior authorization requirement changes for codes A0426 and A0428 effective October 1, 2021

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

Medical drug benefit Clinical Criteria updates

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

Keep up with Medicare news

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

DEXA bone scan criteria for the Federal Employee Program

June 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jun 1, 2021

Provider education program survey: Your Voice Counts

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

MCG care guidelines 25th edition

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Keeping up with routine vaccinations during COVID-19

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Aspire Health for members in need of palliative care

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Trauma: What you need to know

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Complex Case Management program

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Important information about utilization management

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Members’ Rights and Responsibilities Statement

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Keep up with Medicaid news

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Reimbursement policy: Reminder about inpatient readmissions

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Keep up with Medicare news

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Sign up to receive email from HealthKeepers, Inc.

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021

Enhanced Ambulatory Patient Group platform update

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021

Continuing medical education/continuing education unit opportunities

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021

Keep up with Medicaid news

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021
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