Virginia
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

Coding spotlight: Providers’ guide to coding for behavioral health disorders

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Prior authorization requirements for E0482

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Claim payment disputes: Update

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Provider Chat: A fast, easy way to have your questions answered

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Keep up with Medicaid news

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

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

Medical drug benefit Clinical Criteria updates

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

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

Quarterly pharmacy formulary change notice

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

Keep up with Medicaid news

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

Behavioral health HEDIS® measures messages

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Provider data update

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Adolescent well-care visits HEDIS measure

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Controlling high blood pressure (CBP)

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Quarterly pharmacy formulary change notice

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

DMAS specifications for ER physician non-emergent payment reduction policy

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

DMAS specifications for readmission payment reduction policy

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Keep up with Medicaid news

August 2020 Anthem Provider News - Virginia Medicaid Aug 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Coding spotlight: Provider guide to coding for cardiovascular conditions

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Quarterly pharmacy formulary change notice

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

UPDATE: Previous changes in DME incontinence quantity limits

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Keep up with Medicaid news

July 2020 Anthem Provider News - Virginia Medicaid Jul 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

2020 affirmative statement concerning utilization management decisions

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Coding Spotlight: An Anthem HealthKeepers Plus provider guide to code social determinants of health

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Follow-up after Hospitalization for Mental Illness

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Complex Case Management program

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Important information about utilization management

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Anthem HealthKeepers Plus Members’ Rights and Responsibilities Statement

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Medicaid patients can make the switch to the Anthem HealthKeepers Plus plan

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

Keep up with Medicaid news

June 2020 Anthem Provider News - Virginia Medicaid Jun 1, 2020

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicaid news

April 2020 Anthem Provider News - Virginia Medicaid Apr 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

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

Keep up with Medicaid news

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

Keep up with Medicaid news

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

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Virginia Medicaid Jan 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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicaid news

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicaid news

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

Keep up with Medicaid news

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

Keep up with Medicaid news

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
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