Virginia
Provider Communications

Articles Month: October 2022

Title Publication Category Date

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

Coverage and Clinical Guidelines update effective January 1, 2023

October 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines 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

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

Coding update effective January 1, 2023

October 2022 Anthem Provider News - Virginia Guideline Updates 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

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

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 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
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