Key Updates
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Benefits of utilization management attestations: a guide for care providers
Recent Updates
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 10, 2025
Quarterly pharmacy formulary change noticeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 3, 2025
Quarterly pharmacy formulary change noticeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Clinical Criteria updatesEffective August 3, 2025
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Benefits of utilization management attestations: a guide for care providersAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
National Drug Codes (NDCs) are required for professional and outpatient claimsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
State communication: Virginia’s Medicaid Preferred Drug List (PDL)/ Common Core FormularyAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Implementation of chargemaster‑based claims edit for ER levelingAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
A quick guide to understanding JW and JZ modifiersAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
A quick guide to understanding JW and JZ modifiersAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Seamless Provider Enrollment and Network Management through Availity Essentials optimizes the care provider experienceAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Anthem Blue Cross and Blue Shield VA Precertification/Prior Authorization list change notification July 1, 2025Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Enroll with Availity to verify your provider dataHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Help shape the LTSS workforce: input needed on recruitment and hiringAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Streamlining behavioral health authorizations via Availity EssentialsAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Combat diabetes: Close the statin therapy gap for better heart healthHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Reimbursement Policy Update: Abortion (Termination of Pregnancy)Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Join the 2025 Clinical Quality in Practice webinar seriesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 30, 2025
For hospitals and facilities: introducing a new foster care specialty planHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 30, 2025
Announcing a new Foster Care Specialty PlanAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 27, 2025
Specialty pharmacy precertification list expandedEffective November 1, 2025
Axtle, Bizengri, and Bynfezia pen
Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 25, 2025
Anthem welcomes CareBridgeAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 23, 2025
Essential information for providers: understanding Medicare Advantage group retiree plansHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 17, 2025
You are invited: provider coding educationAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 17, 2025
Specialty pharmacy precertification list expansion — key updatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 9, 2025
Prior authorization requirement changesEffective August 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 6, 2025
July 1, 2025 Implementation of New Cardinal Care Managed Care ContractAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 4, 2025
National Drug Codes (NDC) are required for outpatient claimsAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 2, 2025
Clinical Criteria updatesEffective July 6, 2025
Anthem Blue Cross and Blue Shield | CommercialJune 2, 2025
Specialty pharmacy updates: June 2025Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
LabCorp and Quest Diagnostics are in-network — reminderAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Unlock updated pharmacy insights today — visit our provider websiteAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Availity Essentials Provider Overpayments application launchAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
VA precertification/prior authorization list change notification June 1, 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
Claims guidance: updating inpatient and outpatient bill typesAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Update to claims system for global surgical procedures for professional providersHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025
Member support resource — Complex Case Management programAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025
Registration is now available for our upcoming CME webinar on Integrating Cancer CareAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025
Submitting BH authorizations in Availity EssentialsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025
Shared empowerment — knowing member rights and responsibilitiesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025
Efficacy through efficiency — emphasizing utilization managementAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
Bridging the gap: enhancing medication adherence for better health outcomesAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Clinical Criteria updates for specialty pharmacy are availableEffective September 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 28, 2025
Clinical Criteria updatesEffective June 30, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 27, 2025
Combating congenital syphilis: essential steps for healthcare providersAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 27, 2025
Learn about annual Model of Care training for special needs plansAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 27, 2025
Boost your roster submission skills with Availity EssentialsAnthem Blue Cross and Blue Shield | CommercialMay 22, 2025
Action required: annual patient safety attestationAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 22, 2025
New specialty pharmacy medical step therapy requirementsEffective July 1, 2025
Pavblu, Ahzantive, Enzeevu, Opuviz, and Yesafili
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 21, 2025
2025 Clinical Practice GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 21, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective June 25, 2025