Virginia
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

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

Direct contracting for nurse practitioners and physician assistants in 2019

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

MCG Care Guidelines update and customizations

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

Policy Update Modifier 25: Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service

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

Medical drug Clinical Criteria updates for first quarter

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

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

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

Early intervention claims

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

Medical drug Clinical Criteria updates for second quarter

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

Behavioral health HEDIS® measures messages

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

Update: Evaluation and management with Modifier 25

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

Medical necessity review for appropriate level of care

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

Provider data update

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

You are invited: Provider orientations

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

Digital transactions cut administrative tasks in half

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

Adolescent well-care visits HEDIS measure

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

Keep up with Medicaid news

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

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

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
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