Virginia
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

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

Maximizing efficient, high quality COVID-19 screenings

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

Keep up with Medicare news

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

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Apr 1, 2021

Please provide this information to your patients: Enrollment period for Anthem HealthKeepers Plus in Tidewater area is open through April 30, 2021

April 2021 Anthem Provider News - Virginia Medicaid Apr 1, 2021

Keep up with Medicaid news

April 2021 Anthem Provider News - Virginia Medicaid Apr 1, 2021

Medical drug benefit Clinical Criteria updates effective March 26, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Medical drug benefit Clinical Criteria updates effective April 8, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Notify us of telehealth services

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

MCG Care Guidelines 24th edition customization

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

New: Provider manual now available

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

Cystic fibrosis procedure codes 81220 to 81224 update

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

Keep up with Medicaid news

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

MCG Care Guidelines 24th edition customization

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

DME checklist of information needed from providers

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

Coverage Guidelines and Clinical Utilization Management Guidelines update

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

DMAS 80 notifications: Update to fax number

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

CAHPS® survey

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

HEDIS® measurement year 2020: Medicaid summary of changes from NCQA

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

Interpretation services

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

Keep up with Medicaid news

February 2021 Anthem Provider News - Virginia Medicaid Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Provider News - Virginia Medicare Feb 1, 2021

Keep up with Medicare news

February 2021 Anthem Provider News - Virginia Medicare Feb 1, 2021

2021 FEP® benefit information available online

January 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

FDA approvals and expedited pathways used: New molecular entities (NMEs)

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

Coding spotlight: HEDIS MY 2021

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

Disease Management/Population Health program

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

New state legislation prompts changes in reimbursement of services during credential process: Medicaid clarification

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

Discharge planning

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

Keep up with Medicaid news

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Anthem Provider News - Virginia Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Provider News - Virginia Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Anthem Provider News - Virginia Medicare Jan 1, 2021

CAHPS education for providers

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Notifications on the Availity Portal

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Resources to support your pregnant and postpartum patients and their families

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Important reminder – coding requirements for reimbursement for early elective deliveries

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020

Suicide prevention and intervention: What you need to know

December 2020 Anthem Provider News - Virginia Medicaid Dec 1, 2020
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