Virginia
Provider Communications

Articles

Title Publication Category Date

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News - COVID-19 and Medicare Advantage Provider News Archives.
COVID-19 Information – Publication RETIRED as of November 8, 2022 State & Federal Mar 25, 2020

Anthem in Virginia’s upcoming amendment will allow posting of Commercial professional reimbursement policies online at anthem.com

October 2022 Anthem Provider News - Virginia Reimbursement Policies Oct 1, 2022

Virtual Visits: New CMS place of service code (professional and facility)

March 2022 Anthem Provider News - Virginia Reimbursement Policies Mar 1, 2022

Reimbursement policy update: Bundled services and supplies (Professional)

December 2020 Anthem Provider News - Virginia Reimbursement Policies Dec 1, 2020

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Anthem Provider News - Virginia Reimbursement Policies Dec 1, 2022

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - Professional

November 2021 Anthem Provider News - Virginia Reimbursement Policies Nov 1, 2021

Injectable substances with related injection services: Professional

August 2020 Anthem Provider News - Virginia Reimbursement Policies Aug 1, 2020

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Virginia Reimbursement Policies Sep 1, 2019

Claims editing update for ICD-10-CM Excludes 1 notes

April 2021 Anthem Provider News - Virginia Reimbursement Policies Apr 1, 2021

Evaluation and Management changes 2021 (Professional)

January 2021 Anthem Provider News - Virginia Reimbursement Policies Jan 1, 2021

Professional system updates for 2021

January 2021 Anthem Provider News - Virginia Reimbursement Policies Jan 1, 2021

Outpatient system updates for 2021 (Facility)

January 2021 Anthem Provider News - Virginia Reimbursement Policies Jan 1, 2021

Emergency department reimbursement policy

October 2020 Anthem Provider News - Virginia Reimbursement Policies Oct 1, 2020

Termination of enhanced reimbursement for voluntary Cancer Care Quality program effective December 31, 2022

July 2022 Anthem Provider News - Virginia Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy: Sexually Transmitted Infections - professional

July 2022 Anthem Provider News - Virginia Reimbursement Policies Jul 1, 2022

System updates for 2020: Professional

December 2019 Anthem Provider News - Virginia Reimbursement Policies Dec 1, 2019

Reminder: Professional reimbursement policies to be posted online

November 2022 Anthem Provider News - Virginia Reimbursement Policies Nov 1, 2022

Update to provider utilization management reimbursement penalties for professional providers

June 2021 Anthem Provider News - Virginia Reimbursement Policies Jun 1, 2021

Clinical Laboratory Improvement Amendments for Anthem

September 2020 Anthem Provider News - Virginia Reimbursement Policies Sep 1, 2020

New AIM Rehabilitation Program delayed until September 1, 2022

August 2022 Anthem Provider News - Virginia Products & Programs Aug 1, 2022

Get the full picture of your patients’ health through their smartphones

November 2020 Anthem Provider News - Virginia Products & Programs Nov 1, 2020

Updated Preventive Care Guidance regarding screening colonoscopies

March 2022 Anthem Provider News - Virginia Products & Programs Mar 1, 2022

Anthem Commercial Risk Adjustment (CRA) reporting update: Retrospective Program continues

October 2019 Anthem Provider News - Virginia Products & Programs Oct 1, 2019

Update regarding annual wellness visits for health plans compliant with the Affordable Care Act

November 2021 Anthem Provider News - Virginia Products & Programs Nov 1, 2021

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Virginia Products & Programs Nov 1, 2021

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care reviews

June 2022 Anthem Provider News - Virginia Products & Programs Jun 1, 2022

Updated AIM Musculoskeletal Program effective September 1, 2022: Site of care reviews

June 2022 Anthem Provider News - Virginia Products & Programs Jun 1, 2022

REMINDER: New Rehabilitation program effective August 1, 2022

June 2022 Anthem Provider News - Virginia Products & Programs Jun 1, 2022

Anthem SOAP notes/health assessments for 2019 calendar year are due February 15, 2020

February 2020 Anthem Provider News - Virginia Products & Programs Feb 1, 2020

Attention providers who intend to provide physical, occupational or speech therapy services

The AIM Rehabilitation Program is effective September 1, 2022; AIM call center re-opens August 15.
Attention providers who intend to provide physical, occupational or speech therapy services - Virginia Products & Programs Aug 15, 2022

Company to retire Blue Precision program on December 31, 2021

December 2021 Anthem Provider News - Virginia Products & Programs Dec 1, 2021

Anthem Commercial Risk Adjustment (CRA) reporting update; 2020 program year progression: What’s in it for you and your patients

July 2020 Anthem Provider News - Virginia Products & Programs Jul 1, 2020

Interactive bilingual website taking action for patients’ health

Exclusively developed for the Latino community.
April 2021 Anthem Provider News - Virginia Products & Programs Apr 1, 2021

Provider transparency update

March 2019 Anthem Provider Newsletter - Virginia Products & Programs Mar 1, 2019

Anthem Commercial Risk Adjustment Program Update: Medical chart collection for ACA members due by March 31, 2019

March 2019 Anthem Provider Newsletter - Virginia Products & Programs Mar 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2019 Anthem Provider Newsletter - Virginia Products & Programs Feb 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) audit happening now

September 2019 Anthem Provider News - Virginia Products & Programs Sep 1, 2019

Additional support available for members with rare conditions

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Care and Cost Finder – New sort option

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

New Rehabilitation program effective August 1, 2022

May 2022 Anthem Provider News - Virginia Products & Programs May 1, 2022

An important reminder from Anthem about home sleep testing with NovaSom

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Provider transparency update

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Anthem’s Commercial Risk Adjustment reporting update: Retrospective program begins; benefits of direct connection access to your EMR

June 2019 Anthem Provider Newsletter - Virginia Products & Programs Jun 1, 2019

MyDiversePatients.com – A website to support your diverse patients

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Updates to AIM level of care Musculoskeletal Surgery Clinical Appropriateness Guidelines

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Updates to AIM Radiation Oncology Clinical Appropriateness Guidelines

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

New pregnancy notification process using Availity’s benefit look-up tool

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

New functionality added to Availity’s provider enrollment tool for Virginia

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Attention providers who intend to provide physical, occupational or speech therapy services

The AIM Rehabilitation Program is effective November 1, 2022.  AIM call center re-opens October 17, 2022.
Attention providers who intend to provide physical, occupational or speech therapy services - Virginia Products & Programs Oct 14, 2022

Anthem sponsors webinars about Availity’s EDI gateway services

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Provider transparency update

April 2020 Anthem Provider News - Virginia Products & Programs Apr 1, 2020

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

August 2019 Anthem Provider News - Virginia Products & Programs Aug 1, 2019

Updates on Anthem’s Inmate Medical Services Program

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

HEDIS® 2018 results are in for our Anthem PPO and HealthKeepers commercial products

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Case Management Program

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

ConditionCare Program benefits patients and physicians

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Anthem Commercial Risk Adjustment Reporting Update: New guidance on telephone-only service CPT codes for Risk Adjustment Program

October 2020 Anthem Provider News - Virginia Products & Programs Oct 1, 2020

Cancer Care Navigator

February 2022 Anthem Provider News - Virginia Products & Programs Feb 1, 2022

New Musculoskeletal and Pain Management Solution effective for select National ASO Accounts January 1, 2020

January 2020 Anthem Provider News - Virginia Products & Programs Jan 1, 2020

Webinars on tap in advance of new Rehabilitation program that begins August 1, 2022

Register today for webinar sessions starting in June.
Anthem to offer provider webinars for new Rehabilitation program - Virginia Products & Programs May 20, 2022

Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits patients and physicians

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Coordination of care

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Important Information about utilization management

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Members’ Rights and Responsibilities

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Vaginal Birth after Cesarean (VBAC) Certified shared decision making aid available on the Web

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Anthem Commercial Risk Adjustment reporting update: 2019 Program year progression

July 2019 Anthem Provider News - Virginia Products & Programs Jul 1, 2019

An important reminder from Anthem about home sleep testing with NovaSom

July 2019 Anthem Provider News - Virginia Products & Programs Jul 1, 2019

Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program Continues

June 2020 Anthem Provider News - Virginia Products & Programs Jun 1, 2020

Modification to voluntary Cancer Care Quality Program (CCQP) enhanced reimbursement begins July 1, 2021

May 2021 Anthem Provider News - Virginia Products & Programs May 1, 2021

Reminder: New rehabilitation program effective August 1, 2022

July 2022 Anthem Provider News - Virginia Products & Programs Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Provider News - Virginia Products & Programs Jul 1, 2022

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Virginia Products & Programs Jul 1, 2021

New Back Pain Management Program

September 2022 Anthem Provider News - Virginia Products & Programs Sep 1, 2022

Attention providers who intend to provide physical, occupational, or speech therapy services

AIM Rehabilitation Program effective date is still delayed. A prior authorization is not required for therapy services at this time.
September 2022 Anthem Provider News - Virginia Products & Programs Sep 1, 2022

HEDIS® 2019 starts early February

January 2019 Anthem Provider Newsletter - Virginia Products & Programs Jan 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Provider News - Virginia Products & Programs Nov 1, 2019

Now Available: Get patient payments faster with Healthcare Bill Payments at anthem.com

August 31, 2018: Anthem eUPDATE - Virginia Products & Programs Aug 31, 2018

Anthem Commercial Risk Adjustment (CRA) Prospective Program update: Assessing your patients for risk adjustable conditions

May 2020 Anthem Provider News - Virginia Products & Programs May 1, 2020

Submit electronic SOAP notes today using ePASS® and receive $100 each

August 31, 2018: Anthem eUPDATE - Virginia Products & Programs Aug 31, 2018

Let’s vaccinate

Help increase your vaccination rates and close gaps in care with these tools and strategies.
June 2021 Anthem Provider News - Virginia Products & Programs Jun 1, 2021

Attention providers who intend to provide physical, occupational or speech therapy services

The AIM Rehabilitation Program is effective November 1, 2022.
November 2022 Anthem Provider News - Virginia Products & Programs Nov 1, 2022

Update to AIM Specialty Health clinical appropriateness guidelines: Advanced imaging appropriate use criteria for imaging of the heart

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

New precertification requirements for certain cardiovascular diagnostic and interventional services begins January 1, 2019

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

Anthem Commercial Risk Adjustment Program Update: Medical chart collection for certain Anthem members due March 31, 2020

March 2020 Anthem Provider News - Virginia Products & Programs Mar 1, 2020

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

Innovative ways to help improve your patients’ experiences and earn CME credits

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

State employees eligible to participate in Vitals SmartShopper program beginning October 1

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

HEDIS® 2018: Provider incentive winners announced

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

Predictive analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

September 2020 Anthem Provider News - Virginia Products & Programs Sep 1, 2020

Anthem Commercial Risk Adjustment (CRA) reporting update: 2020 prospective program continues

September 2020 Anthem Provider News - Virginia Products & Programs Sep 1, 2020

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Provider Newsletter - Virginia Products & Programs May 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Anthem Provider News - Virginia Products & Programs Aug 1, 2020

Anthem prior authorization updates for specialty pharmacy are available

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

Anthem to update formulary lists for Commercial health plan pharmacy benefit

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

Voluntary site of care outreach for oncology checkpoint inhibitors beginning August 1, 2020

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

REMINDER: Company requires National Drug Code for professional and facility outpatient claims effective September 1, 2020

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

Specialty pharmacy updates effective November 1, 2022

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

Pharmacy information available on anthem.com

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