Virginia
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

Provider notice for COVID-19 testing

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

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

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

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

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

Medical drug benefit Clinical Criteria updates

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Keep up with Medicare news: June 2022

  • Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
  • New specialty pharmacy medical step therapy requirements
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
June 2022 Anthem Provider News - Virginia Medicare Jun 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Provider News - Virginia Medicare May 1, 2022

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

May 2022 Anthem Provider News - Virginia Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Provider News - Virginia Medicare May 1, 2022

Keep up with Medicare news: May 2022

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list effective July 1, 2022
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirements effective June 1, 2022
May 2022 Anthem Provider News - Virginia Medicare May 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Virginia Medicare Apr 1, 2022

Model of Care required training

April 2022 Anthem Provider News - Virginia Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Provider News - Virginia Medicare Apr 1, 2022

Clinical Criteria updates

April 2022 Anthem Provider News - Virginia Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Anthem Provider News - Virginia Medicare Apr 1, 2022

Keep up with Medicare news: April 2022

  • Medical Policies and Clinical Utilization Management Guidelines update
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
April 2022 Anthem Provider News - Virginia Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date.  Read important information about this change.

Transition to NYC Medicare Advantage Plus Delayed Medicare Mar 15, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Provider News - Virginia Medicare Mar 1, 2022

Pharmacy newsletter

March 2022 Anthem Provider News - Virginia Medicare Mar 1, 2022

Clinical Criteria updates

March 2022 Anthem Provider News - Virginia Medicare Mar 1, 2022

Prior authorization requirement changes effective June 1, 2022

March 2022 Anthem Provider News - Virginia Medicare Mar 1, 2022

Keep up with Medicare news: March 2022

  • Medical step therapy updates
March 2022 Anthem Provider News - Virginia Medicare Mar 1, 2022

Get faster payments with electronic funds transfer

February 2022 Anthem Provider News - Virginia Medicare Feb 1, 2022

Keep up with Medicare news: February 2022

  • NYC Medicare Advantage Plus update
  • Cancer Care Navigator
February 2022 Anthem Provider News - Virginia Medicare Feb 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Volvo Group North American offers Medicare Advantage option

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Availity authorization app available to Anthem Blue Cross and Blue Shield providers in 2022

January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Keep up with Medicare news: January 2022

  • Medical step therapy updates
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update
January 2022 Anthem Provider News - Virginia Medicare Jan 1, 2022

Non-payment remittance advice enhancements

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Reimbursement policy: Drug screen testing

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Keep up with Medicare news: December 2021

  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
  • Medical drug benefit Clinical Criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • New York City Medicare Advantage announcement
  • Medical Policies and Clinical Utilization Management Guidelines update
December 2021 Anthem Provider News - Virginia Medicare Dec 1, 2021

Medicare Advantage telehealth rural health center and federally qualified health center claims

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

Electronic data interchange process

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

Clinical Criteria updates

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

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

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

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

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

New York City Medicare Advantage announcement

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

Keep up with Medicare news: November 2021

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

 

New 240k member Group Retiree PPO plan - Virginia Medicare Oct 19, 2021

New medical step therapy requirements

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Sexually Transmitted Infections Testing: Professional

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Keep up with Medicare news: October 2021

  • 2021 affirmative statement concerning utilization management decisions
  • Medical Policies and Utilization Management Guidelines update
October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Reimbursement policy update: DRG inpatient facility transfers effective November 30, 2021

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Utilization management authorization rule operations

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Prior authorization/precertification form notification

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Keep up with Medicare news - September 2021

View this Medicare article:
  • Clinical Criteria updates notification
September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy

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

Keep up with Medicare news

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

Reimbursement policy: Modifier 90; Reference (outside) laboratory and pass-through billing

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

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

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

Prior authorization requirement changes for codes A0426 and A0428 effective October 1, 2021

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicare news

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

Reimbursement policy: Reminder about inpatient readmissions

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

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

Keep up with Medicare news

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

Maximizing efficient, high quality COVID-19 screenings

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

Keep up with Medicare news

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

Medical drug benefit Clinical Criteria updates effective March 26, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Medical drug benefit Clinical Criteria updates effective April 8, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Notify us of telehealth services

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Access to more claim denial information is now self-service

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

MCG Care Guidelines 24th edition customization

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

New provider directory indicator for telehealth services

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

DME checklist of information needed from providers

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

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

Keep up with Medicare news

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicare news

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

Medical drug benefit Clinical Criteria updates

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

2020 Medicare risk adjustment provider trainings

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

Keep up with Medicare news

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

Digital transactions cut administrative tasks in half

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

2021 Medicare Advantage individual benefits and formularies

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

Medicare Advantage Group Retiree member eligibility, alpha prefix FAQ

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Keep up with Medicare news

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

Preferred continuous glucose monitors

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

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

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

Medical drug benefit Clinical Criteria updates

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

FDA approvals and expedited pathways used: New molecular entities

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

Keep up with Medicare news

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

Social determinants of health support expanding with GroundGame Health

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

Update: Notice of changes to the AIM musculoskeletal program

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

Patient360 enhancement for medical providers

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

Prior authorization requirements for the below codes (Effective December 1, 2020)

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

Prior authorization requirements for the below codes (Effective January 1, 2021)

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

Provider transparency update

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicare news

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