Virginia
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Federal Employee Program® specialty pharmacy clinical site-of-care prior authorization review

October 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Oct 1, 2019

Precertification request turnaround times for the Federal Employee Program

October 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Oct 1, 2019

HEDIS 2021 Federal Employee Program® medical record request requirements

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

2021 FEP® benefit information available online

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

Mailing address for Federal Employee Program® paper claims and related correspondence

August 2018 Anthem Provider Newsletter -- Virginia Federal Employee Plan (FEP) Aug 17, 2018

HEDIS® 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Feb 1, 2019

2020 FEP® benefit information available online

January 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jan 1, 2020

Federal Employee Program® expands specialty pharmacy prior authorization list

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

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific specialty drugs and site of care

July 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jul 1, 2019

2019 FEP® benefit information available online

December 2018 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Nov 30, 2018

Benefit change for Infliximab for Federal Employee Program

December 2018 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Nov 30, 2018

Coordination of benefits for FEP® members

December 2018 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Nov 30, 2018

Coordination of benefits for members enrolled in the Federal Employee Program®

December 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Dec 1, 2019

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

DEXA bone scan criteria for the Federal Employee Program

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

Federal Employee Program® AIM radiology prior authorization review

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

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

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

Medical drug benefit Clinical Criteria updates

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

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

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

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

Help Medicaid members keep their health coverage

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

CAHPS education for providers

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

Keep up with Medicaid news

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

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

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

Prior authorization requirements for HCPCS code 55899

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Notifications on the Availity Portal

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

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

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

Medical drug benefit Clinical Criteria updates

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Coding spotlight: Mental disorders in childhood

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

Quarterly pharmacy formulary change notice

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

Coding spotlight: Tips and best practices for compliance

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

What matters most: Improving the patient experience

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

Keep up with Medicaid news

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

Inhaled nitric oxide reviews for diagnosis-related group admissions

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Provider transparency update

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Resources to support your diverse patient panel

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

New specialty pharmacy medical step therapy requirements (Clinical Criteria: ING-CC-0166)

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Medical drug benefit Clinical Criteria updates

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

New specialty pharmacy medical step therapy requirements (Clinical Criteria ING-CC-0107)

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Important reminder: Coding requirements for reimbursement for early elective deliveries

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Medical drug benefit Clinical Criteria updates

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

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Suicide prevention and intervention: What you need to know

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

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

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

Keep up with Medicaid news

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Prior authorization requirements changes effective November 1, 2019

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

Virginia Vaccines for Children

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

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

Change to durable medical equipment incontinence quantity limits

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

Prior authorization requirement changes effective September 1, 2021

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

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

Use of imaging studies for low back pain (LBP)

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

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

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

Keep up with Medicaid news

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

Provider orientations

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

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

Keep up with Medicaid news

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

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

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

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

Resources to support your diverse patient panel

February 2020 Anthem Provider News - Virginia Medicaid Feb 1, 2020

Taxonomy codes

February 2020 Anthem Provider News - Virginia Medicaid Feb 1, 2020

Medical drug benefit Clinical Criteria updates

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

Reimbursement policy update: Split-Care Surgical Modifiers

February 2020 Anthem Provider News - Virginia Medicaid Feb 1, 2020

Postponed: Review of professional claims with emergency room level 5 E/M codes

February 2020 Anthem Provider News - Virginia Medicaid Feb 1, 2020

Keep up with Medicaid news

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

Services requiring prior authorization

February 2020 Anthem Provider News - Virginia Medicaid Feb 1, 2020

Keep up with Medicaid news

February 2020 Anthem Provider News - Virginia Medicaid Feb 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

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

Suicide prevention and intervention: What you need to know

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

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

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

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

Wound care requests

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

Anthem CCC Plus member open enrollment ends December 18, 2020: Please provide this information to your patients

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