Virginia
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

Help your pregnant patients quit smoking

September 2022 Anthem Provider News - Virginia Medicaid Sep 1, 2022

Discharge planning

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

Engagement with your patient counts

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

CLIA Certificate of Waiver

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

HEDIS 2022: Summary of changes from the National Committee for Quality Assurance

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Using screening, brief intervention, and referral to treatment to address opioid and substance use disorders

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

The cost of alcohol use disorder

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Clinical Laboratory Improvement Amendments

September 2022 Anthem Provider News - Virginia Medicaid Sep 1, 2022

Prior authorization requirement changes updated effective November 1, 2022

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Alcohol use disorders linked to chronic diseases

September 2022 Anthem Provider News - Virginia Medicaid Sep 1, 2022

Chlamydia screening

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Keep up with Medicaid news: September 2022

  • Clinical Criteria updates
  • Updates for medication codes billed under the medical benefit
  • Nursing facility admissions and LTSS screenings
  • July 2022 HCBS rate increase notice
September 2022 Anthem Provider News - Virginia Medicaid Sep 1, 2022

Billing taxonomy code requirements

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Service facilitation visit authorization and limit reminder

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

Treatment involving prescription of opioids

August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

What Matters Most online training course: Improving patient experience

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

Keep up with Medicaid news: August 2022

  • One-time COVID-19 Support Payment for Attendant/Aides
August 2022 Anthem Provider News - Virginia Medicaid Aug 1, 2022

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

Adding 87081 to Physician Office Lab list

August 2021 Anthem Provider News - Virginia Medicaid Aug 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

Enrollment for Northern Virginia area is open now through August 31, 2021

August 2021 Anthem Provider News - Virginia Medicaid Aug 1, 2021

Interpretation services

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

Closing gaps in care through telehealth

August 2021 Anthem Provider News - Virginia Medicaid Aug 1, 2021

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicaid news

August 2021 Anthem Provider News - Virginia Medicaid Aug 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

Update to the Pregnancy Notification Form

December 2022 Anthem Provider News - Virginia Medicaid Dec 1, 2022

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

Doula services

December 2022 Anthem Provider News - Virginia Medicaid Dec 1, 2022

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

Electronic data interchange process

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Keep up with Medicaid news: December 2022

  • Medical drug benefit Clinical Criteria updates
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
  • Prior authorization requirement changes effective January 1, 2023
December 2022 Anthem Provider News - Virginia Medicaid Dec 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

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

Clinical Criteria updates

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

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

Unspecified diagnosis reminder

November 2021 Anthem Provider News - Virginia Medicaid Nov 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

4 things you can do to encourage cancer screenings for your women patients

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

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: November 2021

  • FAQ: New AIM Specialty Health contact center phone number
  • Behavioral therapy assessments
  • Change to DME incontinence benefit limits
  • Prior authorization updates for specialty pharmacy
November 2021 Anthem Provider News - Virginia Medicaid Nov 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

Provider notice for COVID-19 testing

June 2022 Anthem Provider News - Virginia Medicaid Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Anthem Provider News - Virginia Medicaid Jun 1, 2022

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

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

Medical drug benefit Clinical Criteria updates

June 2022 Anthem Provider News - Virginia Medicaid Jun 1, 2022

Resources to support your diverse patient panel

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

Medical Policies and Clinical Utilization Management Guidelines update

June 2022 Anthem Provider News - Virginia Medicaid Jun 1, 2022

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

Keep up with Medicaid news: June 2022

  • Transcranial magnetic stimulation provider communication
  • Prior authorization update for select durable medical equipment (DME) items
  • MES and DMAS enrollment requirement
  • Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
  • Prior authorization updates for medications billed under the medical benefit
  • Precertification requirement notice
June 2022 Anthem Provider News - Virginia Medicaid Jun 1, 2022

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

Keep up with Medicaid news: February 2023

  • Prior authorization updates for medications billed under the medical benefit
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit
  • POS restrictions for BRAVO services
  • Direct member medical necessity appeals to HealthKeepers, Inc.
  • Patient liability and claims processing
February 2023 Anthem Provider News - Virginia Medicaid Feb 1, 2023

Coverage Guidelines and Clinical Utilization Management Guidelines update

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Complex Case Management program

October 2022 Anthem Provider News - Virginia Medicaid Oct 1, 2022

Latest updates to Electronic Data Interchange Gateway migration

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Botox® update for Anthem HealthKeepers Plus members

January 2022 Anthem Provider News - Virginia Medicaid Jan 1, 2022
Page 1 of 4 Next Page