Key Updates
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2025
You are invited: immunization measures webinar
Anthem Blue Cross and Blue Shield | CommercialJuly 24, 2025
Specialty pharmacy updates — August 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 24, 2025
Essential updates for community services boards’ claims processing
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 23, 2025
Enhance care provider data accuracy with updated roster tools
Recent Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2025
Expanded specialty pharmacy precertification listAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Changes to Federal Employees Health Benefits program and Postal Service Health Benefits program telemedicine servicesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
SUD confidentiality protections for membersAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2025
You are invited: immunization measures webinarAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2025
Compatibility in care: sharing REL data to improve member healthAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Upcoming updates: medical claims edit system for self‑administered drugsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
New EMR messaging alerts aim to close gaps in care for ACA patientsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Clinical Criteria updates for specialty pharmacyEffective November 1, 2025
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Coverage and Clinical Guidelines update November 1, 2025Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Introducing a new Applied Behavior Analysis Provider Resource GuideAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 28, 2025
Clinical Criteria updatesEffective September 4, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageJuly 25, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective August 28, 2025
Anthem Blue Cross and Blue Shield | CommercialJuly 24, 2025
Specialty pharmacy updates — August 2025HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 24, 2025
Prior authorization requirement changesEffective September 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 24, 2025
Essential updates for community services boards’ claims processingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 23, 2025
Enhance care provider data accuracy with updated roster toolsAnthem Blue Cross and Blue Shield | CommercialJuly 22, 2025
July formulary deletionsAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 21, 2025
Anthem Medicare Advantage Group Retiree Quick Reference GuideAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 15, 2025
Prior authorization requirement changesEffective November 1, 2025
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
Update: 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 | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Join the 2025 Clinical Quality in Practice webinar seriesAnthem 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 experienceHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Reimbursement Policy Update: Abortion (Termination of Pregnancy)Anthem 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 dataAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Combat diabetes: Close the statin therapy gap for better heart healthAnthem 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 EssentialsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Help shape the LTSS workforce: input needed on recruitment and hiringHealthKeepers, 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 | CommercialJune 1, 2025
Clinical Criteria updates for specialty pharmacy are availableEffective September 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
Bridging the gap: enhancing medication adherence for better health outcomes