Virginia
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

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

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

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

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

Default enrollment to the Anthem MediBlue Dual Advantage: (HMO D-SNP) Plan

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

Reminder: Mid-level practitioners are required to file using their NPI

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

Improving the lives of our members: Social Determinants of Health

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

Services requiring prior authorization: Certain physical therapy services

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

Low back pain

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

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

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

Services requiring prior authorization

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

Coding spotlight: Provider’s guide to coding respiratory diseases

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Inmate Services Program

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Verifying and updating your provider information

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Coding spotlight: Provider’s guide to coding behavioral and emotional disorders

December 2019 Anthem Provider News - Virginia Medicaid Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Provider News - Virginia Medicaid Dec 1, 2019

Direct contracting for nurse practitioners and physician assistants in 2019

November 2019 Anthem Provider News - Virginia Medicaid Nov 1, 2019

Medical drug Clinical Criteria updates

November 2019 Anthem Provider News - Virginia Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Virginia Medicaid Nov 1, 2019

Suicide prevention and intervention: What you need to know

November 2019 Anthem Provider News - Virginia Medicaid Nov 1, 2019

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

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

Prior authorization requirements changes effective November 1, 2019

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

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

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

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

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

Provider orientations

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

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

Wound care requests

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

MCG Care Guidelines update and customizations

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

Medical drug Clinical Criteria updates for first quarter

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

Medical drug Clinical Criteria updates for second quarter

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

Medical necessity review for appropriate level of care

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

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Coming soon: Electronic attachments

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Provider claims payment disputes

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Anthem HealthKeepers Plus pharmacy management information

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Use the Provider Maintenance Form to update your information

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Provider satisfaction survey information

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

Unspecified diagnosis code update

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

Coding Spotlight: Hypertension

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

New service types added to Availity

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

Update to rules governing reimbursement for LMHPs for servicing only Anthem HealthKeepers Plus members

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Provider News - Virginia Medicaid Jul 1, 2019

Reimbursement policy update: Professional anesthesia services

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Intervention for blood sugar control in pregnant women with diabetes

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Complex Case Management program

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Important information about utilization management

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Anthem HealthKeepers Plus Members’ Rights and Responsibilities Statement

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

2019 Utilization management affirmative statement concerning utilization management decisions

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Clinical criteria updates

May 2019 Anthem Provider Newsletter - Virginia Medicaid May 1, 2019

Authorization changes for procedure codes

May 2019 Anthem Provider Newsletter - Virginia Medicaid May 1, 2019

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

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

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