Virginia
Provider Communications

Articles

Title Publication Category Date

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2022

Clinical Criteria updates for specialty pharmacy available

December 2022 Anthem Provider News - Virginia Pharmacy Dec 1, 2022

Specialty pharmacy updates - December 2022

December 2022 Anthem Provider News - Virginia Pharmacy Dec 1, 2022

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

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

Coordination of care

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Case management program

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Important information about utilization management

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Update to the Pregnancy Notification Form

December 2022 Anthem Provider News - Virginia Medicaid Dec 1, 2022

Doula services

December 2022 Anthem Provider News - Virginia Medicaid Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Virginia Medicare Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Keep up with Medicaid news: December 2022

  • Medical drug benefit Clinical Criteria updates
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
  • Prior authorization requirement changes effective January 1, 2023
December 2022 Anthem Provider News - Virginia Medicaid Dec 1, 2022

Keep up with Medicare news: December 2022

  • Medical drug benefit Clinical Criteria updates
  • Medical Policies and Clinical Utilization Management Guidelines update
December 2022 Anthem Provider News - Virginia Medicare Dec 1, 2022

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

December 2022 Anthem Provider News - Virginia Guideline Updates Dec 1, 2022

Attention lab providers: COVID-19 update regarding reimbursement

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Virginia Medicare Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Virginia Pharmacy Dec 1, 2022

Members’ rights and responsibilities

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Anthem Provider News - Virginia Administrative Dec 1, 2022

Primary care physician searches in Find Care

Primary care physician searches in Find Care - Virginia Administrative Nov 2, 2022

Consolidated Appropriations Act: Keep your provider directory information up to date

November 2022 Anthem Provider News - Virginia Administrative Nov 1, 2022

Important information about utilization management

November 2022 Anthem Provider News - Virginia Medicaid Nov 1, 2022

Provider contract and fee schedule notifications via Availity

November 2022 Anthem Provider News - Virginia Administrative Nov 1, 2022

Support documentation for AIM prior authorization requests

November 2022 Anthem Provider News - Virginia Administrative Nov 1, 2022

Post office boxes are being retired because of low usage

November 2022 Anthem Provider News - Virginia Administrative Nov 1, 2022

Claims status message enhancements: Providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Virginia Digital Tools Nov 1, 2022

Authorization application enhancements: Faster, easier, and more efficient

November 2022 Anthem Provider News - Virginia Digital Tools Nov 1, 2022

Submit digital attachments within seven calendar days for claims filed with a PWK segment indicator

November 2022 Anthem Provider News - Virginia Digital Tools Nov 1, 2022

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Anthem Provider News - Virginia Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Anthem Provider News - Virginia Digital Tools Nov 1, 2022

Coverage guidelines effective February 1, 2023

November 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Nov 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Nov 1, 2022

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

November 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Nov 1, 2022

Reminder: Professional reimbursement policies to be posted online

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

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

Specialty pharmacy updates effective February 1, 2023

November 2022 Anthem Provider News - Virginia Pharmacy Nov 1, 2022

Clinical Criteria updates for specialty pharmacy are available

November 2022 Anthem Provider News - Virginia Pharmacy Nov 1, 2022

Retraction of policy: Private duty nursing reimbursement

November 2022 Anthem Provider News - Virginia Medicaid Nov 1, 2022

Guidance for coding evaluation and management services for new and established patients

November 2022 Anthem Provider News - Virginia Medicaid Nov 1, 2022

Important information about utilization management

November 2022 Anthem Provider News - Virginia Medicaid Nov 1, 2022

Remote EMR access service for HEDIS

November 2022 Anthem Provider News - Virginia Medicaid Nov 1, 2022

Keep up with Medicaid news: November 2022

  • Prior authorization requirement changes effective November 1, 2022
  • Medical drug benefit Clinical Criteria updates
November 2022 Anthem Provider News - Virginia Medicaid Nov 1, 2022

Keep up with Medicare news: November 2022

  • New specialty pharmacy medical step therapy requirements
  • New specialty pharmacy medical step therapy requirements
  • Medical drug benefit Clinical Criteria updates
November 2022 Anthem Provider News - Virginia Medicare Nov 1, 2022

Personalized Match

November 2022 Anthem Provider News - Virginia Medicare Nov 1, 2022

Remote EMR access service for HEDIS

November 2022 Anthem Provider News - Virginia Digital Tools Nov 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

November 2022 Anthem Provider News - Virginia Medicare Nov 1, 2022

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

Information from Anthem for Care Providers about COVID-19 – RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.  Future updates regarding COVID-19 will appear in the monthly Provider News publication.

COVID-19 Information – Publication RETIRED as of November 8, 2022 Administrative Oct 13, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Virginia Administrative Oct 7, 2022

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

Specialty pharmacy updates effective January 1, 2023

October 2022 Anthem Provider News - Virginia Pharmacy Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Anthem Provider News - Virginia Pharmacy Oct 1, 2022

Clinical Criteria updates for specialty pharmacy are available

October 2022 Anthem Provider News - Virginia Pharmacy Oct 1, 2022

Pharmacy information available on anthem.com

October 2022 Anthem Provider News - Virginia Pharmacy Oct 1, 2022

Availity Essentials provider chat: A fast, easy way to get your utilization management questions answered for Federal Employee members

October 2022 Anthem Provider News - Virginia Federal Employee Plan (FEP) Oct 1, 2022

Complex Case Management program

October 2022 Anthem Provider News - Virginia Medicaid Oct 1, 2022

Members’ Rights and Responsibilities section

October 2022 Anthem Provider News - Virginia Medicaid Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing – Professional

October 2022 Anthem Provider News - Virginia Medicaid Oct 1, 2022

Monkeypox resources and recommendations for our care providers

October 2022 Anthem Provider News - Virginia Medicaid Oct 1, 2022

Keep up with Medicaid news: October 2022

  • New specialty pharmacy medical step therapy requirements
  • Prior authorization updates for medications billed under the medical benefit – effective December 1, 2022
  • Prior authorization updates for medications billed under the medical benefit – effective November 1, 2022
  • Private duty nursing reimbursement
  • Change to DME canes, crutches, and walkers benefit limits
  • Change to DME traction equipment
October 2022 Anthem Provider News - Virginia Medicaid Oct 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency FAQ

October 2022 Anthem Provider News - Virginia Medicare Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Anthem Provider News - Virginia Medicare Oct 1, 2022

Reimbursement policy retraction: Sexually transmitted infections testing - professional

October 2022 Anthem Provider News - Virginia Medicare Oct 1, 2022

Keep up with Medicare news: October 2022

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list – J3490, J3590 and J3299
  • Consultation codes
October 2022 Anthem Provider News - Virginia Medicare Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Provider News - Virginia Administrative Oct 1, 2022

Norfolk Healthcare Consortium offers plan options from Anthem Blue Cross and Blue Shield and our affiliate HealthKeepers, Inc.

October 2022 Anthem Provider News - Virginia Administrative Oct 1, 2022

Commercial-Local precertification list change notification

October 2022 Anthem Provider News - Virginia Administrative Oct 1, 2022

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 8/1/22

October 2022 Anthem Provider News - Virginia Administrative Oct 1, 2022

National Accounts 2023 Precertification list

October 2022 Anthem Provider News - Virginia Administrative Oct 1, 2022

Consolidated Appropriations Act: Review your online provider directory information

October 2022 Anthem Provider News - Virginia Administrative Oct 1, 2022

Learn how Interactive Care Reviewer makes it easy to submit authorizations electronically

October 2022 Anthem Provider News - Virginia Digital Tools Oct 1, 2022

The Provider Learning Hub is here

October 2022 Anthem Provider News - Virginia Digital Tools Oct 1, 2022

Coverage and Clinical Guidelines update effective January 1, 2023

October 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2022

Coding update effective January 1, 2023

October 2022 Anthem Provider News - Virginia Guideline Updates Oct 1, 2022

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Virginia Administrative Sep 9, 2022

Help your pregnant patients quit smoking

September 2022 Anthem Provider News - Virginia Medicaid Sep 1, 2022

Clinical Laboratory Improvement Amendments

September 2022 Anthem Provider News - Virginia Medicaid Sep 1, 2022

Alcohol use disorders linked to chronic diseases

September 2022 Anthem Provider News - Virginia Medicaid Sep 1, 2022

Keep up with Medicaid news: September 2022

  • Clinical Criteria updates
  • Updates for medication codes billed under the medical benefit
  • Nursing facility admissions and LTSS screenings
  • July 2022 HCBS rate increase notice
September 2022 Anthem Provider News - Virginia Medicaid Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

September 2022 Anthem Provider News - Virginia Medicare Sep 1, 2022

Reimbursement policy update - Modifiers 25 and 57: Evaluation and Management with Global Procedures

September 2022 Anthem Provider News - Virginia Medicare Sep 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

September 2022 Anthem Provider News - Virginia Medicare Sep 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

September 2022 Anthem Provider News - Virginia Medicare Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Anthem Provider News - Virginia Medicare Sep 1, 2022

Keep up with Medicare news: September 2022

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
September 2022 Anthem Provider News - Virginia Medicare Sep 1, 2022

Monkeypox resources and recommendations for our care providers

September 2022 Anthem Provider News - Virginia Administrative Sep 1, 2022

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Provider News - Virginia Administrative Sep 1, 2022

Important information about women’s preventive care visits

September 2022 Anthem Provider News - Virginia Administrative Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Provider News - Virginia Administrative Sep 1, 2022

Consolidated Appropriations Act: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Anthem Provider News - Virginia Administrative Sep 1, 2022

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

September 2022 Anthem Provider News - Virginia Administrative Sep 1, 2022

Updates to the Claim Attachment workflow

September 2022 Anthem Provider News - Virginia Digital Tools Sep 1, 2022

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

Specialty pharmacy updates effective December 1, 2022

September 2022 Anthem Provider News - Virginia Pharmacy Sep 1, 2022
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