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Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 21, 2025

2025 Clinical Practice Guidelines

Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 21, 2025

Medical Policies and Clinical Utilization Management Guidelines update

Effective June 25, 2025

Education & TrainingAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 20, 2025

Automated renewals for respite authorizations

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialMay 1, 2025

Coverage and Clinical Guidelines update August 1, 2025

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 30, 2025

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Effective August 1, 2025

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 24, 2025

Medical Policies and Clinical Utilization Management Guidelines update

Effective May 25, 2025

Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2025

Medical Policies and Clinical Utilization Management Guidelines update

Effective May 1, 2025

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 11, 2025

Medical Policies and Clinical Utilization Management Guidelines update

Effective April 12, 2025

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025

Coverage Guideline update — June 1, 2025

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 20, 2025

MCG Care Guidelines 29th edition

Effective June 1, 2025

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialFebruary 18, 2025

MCG Care Guidelines 29th edition

Effective June 1, 2025

Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 17, 2025

MCG Care Guidelines 29th edition

Effective June 1, 2025

Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 26, 2024

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 26, 2024

Coverage Guidelines and Clinical Guidelines update, April 1, 2025

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 19, 2024

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 4, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective January 5, 2024

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2024

Quest Diagnostics will join our network on January 1, 2025

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 21, 2024

Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc. will delegate care management to Carelon Health, Inc.

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2024

Expand access to specialty care with virtual consults — now available in Virginia

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024

Coverage and Clinical Guidelines update (effective January 1, 2025)

Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 24, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective October 26, 2024

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 10, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective October 10, 2024

Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 13, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective September 15, 2024

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2024

MCG Care Guidelines 28th edition

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2024

Coverage and Clinical Guidelines update

Effective November 1, 2024

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 11, 2024

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Effective for dates of service on and after November 17, 2024

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 5, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective August 8, 2024

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024

Coding update effective October 1, 2024

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024

Coverage and Clinical Guidelines update (effective October 1, 2024)

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 27, 2024

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJune 25, 2024

Updates to Carelon Medical Benefits Management Clinical Appropriateness Guidelines

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 30, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective July 1, 2024

Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 30, 2024

MCG Care Guidelines 28th edition

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialMay 28, 2024

Updates to Carelon Post-Acute Care Clinical Appropriateness Guidelines

Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 22, 2024

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 13, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 7, 2024

Clinical Criteria updates

Effective June 10, 2024

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 3, 2024

Carelon Medical Benefits Management, Inc. genetic testing code updates

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 1, 2024

MCG Care Guidelines 28th edition

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialApril 30, 2024

MCG Care Guidelines 28th edition

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 10, 2024

Optum Documentation and coding tips: Arthritis

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialApril 1, 2024

Coding update effective July 1, 2024

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialApril 1, 2024

Coverage and Clinical Guidelines update July 1, 2024

Guideline Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 20, 2024

Carelon Medical Benefits Management, Inc. genetic testing code updates

Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 18, 2024

Clinical Criteria updates — December 2023

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 4, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 20, 2024

Clinical Criteria updates — December 2023

Guideline Updates Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 19, 2024

Medical Policies and Clinical Utilization Management Guidelines update

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 12, 2024

Change to Service Facilitation codes

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJanuary 24, 2024

Carelon Medical Benefits Management, Inc. genetic testing code updates