Virginia
Provider Communications

Articles Month: October 2022

Title Publication Category Date

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

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

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
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