Virginia
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

2019 Utilization management affirmative statement concerning utilization management decisions

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

2020 affirmative statement concerning utilization management decisions

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

Access to more claim denial information is now self-service

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

Acquisition of Beacon Health Options

May 2020 Anthem Provider News - Virginia Medicaid May 1, 2020

Adolescent well-care visits HEDIS measure

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

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Virginia Medicaid Aug 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

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

Anthem HealthKeepers Plus coding spotlight — Obesity

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Anthem HealthKeepers Plus emergency transportation claims update

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

Anthem HealthKeepers Plus member reassignment and continuity of care

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Anthem HealthKeepers Plus Members’ Rights and Responsibilities Statement

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

Anthem HealthKeepers Plus Members’ Rights and Responsibilities Statement

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

Anthem HealthKeepers Plus Member’s Rights and Responsibilities Statement from HealthKeepers, Inc.

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Anthem HealthKeepers Plus pharmacy management information

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

Anthem HealthKeepers Plus pharmacy management information

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Anthem HealthKeepers Plus provider surveys

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

Antibiotic dispensing guidelines

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

Aspire Health for members in need of palliative care

June 2021 Anthem Provider News - Virginia Medicaid Jun 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

Attention community service boards: Update regarding Targeted Case Management registrations

March 2020 Anthem Provider News - Virginia Medicaid Mar 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

Authorization changes for procedure codes

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

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

Behavioral health HEDIS® measures messages

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

CAHPS education for providers

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

CAHPS® survey

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

Certain specialty medication precertification requests may require additional documentation

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

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Change to durable medical equipment incontinence quantity limits

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

Claim payment disputes: Update

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

CLIA Certificate of Waiver

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

Clinical Criteria updates

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

Clinical criteria updates

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

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

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

Coding spotlight: Provider’s guide to coding respiratory diseases

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

Coding spotlight: Substance use disorders and smoking

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

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

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

Coding spotlight: HEDIS MY 2021

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

Coding spotlight: HIV and AIDS

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

Coding Spotlight: Hypertension

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

Coding spotlight: Mental disorders in childhood

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

Coding spotlight: Overview of the 2021 evaluation and management changes

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

Coding spotlight: Provider guide to coding for cardiovascular conditions

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

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

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

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

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

Coding spotlight: Tips and best practices for compliance

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

Coding tip for psychological and neuropsychological testing

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

Coming soon: Electronic attachments

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

Complex Case Management program

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

Complex Case Management program

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

Complex Case Management program

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Continuing medical education/continuing education unit opportunities

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021

Controlling high blood pressure (CBP)

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

Correction: Cervical length measurement by transvaginal ultrasound

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

CORRECTION: Postpartum follow-up care incentives

January 2019 Anthem Provider Newsletter - Virginia Medicaid Jan 1, 2019

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

Coverage Guidelines and Clinical Utilization Management Guidelines update

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Coverage Guidelines and Clinical Utilization Management Guidelines update

January 2019 Anthem Provider Newsletter - Virginia Medicaid Jan 1, 2019

Cystic fibrosis procedure codes 81220 to 81224 update

March 2021 Anthem Provider News - Virginia Medicaid Mar 1, 2021

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

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

Diabetes: Provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Digital transactions cut administrative tasks in half

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

Digital transactions cut administrative tasks in half

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

Direct contracting for nurse practitioners and physician assistants in 2019

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

Discharge planning

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

Discharge planning

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

Disease Management can help you care for patients with chronic health care needs

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

Disease Management/Population Health program

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

DMAS 80 notifications: Update to fax number

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

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

Early intervention claims

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

Early intervention claims

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

EDI Gateway migration

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Electronic claim payment reconsideration

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

Electronic data interchange gateway update

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Electronic Data Interchange migration to Availity

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Electronic submission is preferred method for requesting pharmacy prior authorization

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

Enhanced Ambulatory Patient Group platform update

May 2021 Anthem Provider News - Virginia Medicaid May 1, 2021

Evaluation and management services: Over-coded services

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

FDA approvals and expedited pathways used: New molecular entities (NMEs)

January 2021 Anthem Provider News - Virginia Medicaid Jan 1, 2021

Follow-up after Hospitalization for Mental Illness

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

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

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

HealthKeepers, Inc. adopts 22nd edition of the MCG care guidelines

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

HealthKeepers, Inc. fights opioid addiction: Extension for Community Health Care Outcomes and quality medication-assisted therapy

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

HEDIS® measurement year 2020: Medicaid summary of changes from NCQA

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

Help prevent preeclampsia with prenatal aspirin

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

Important information about utilization management

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

Important information about utilization management

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

Important information about utilization management

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Important information about utilization management from HealthKeepers, Inc.

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Important reminder – coding requirements for reimbursement for early elective deliveries

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

Important reminder: Coding requirements for reimbursement for early elective deliveries

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

Improving the lives of our members: Social Determinants of Health

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

Inhaled nitric oxide reviews for diagnosis-related group admissions

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