Virginia
Provider Communications

Articles Month: December 2022

Title Publication Category Date

Anthem Blue Cross and Blue Shield local precertification change in Virginia for HMO

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Anthem Blue Cross and Blue Shield local precertification change in Virginia for PPO

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Primary care physician after-hours access requirements

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Virginia Commercial with Anthem Blue Cross and Blue Shield: local precertification change notification

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Virginia Guideline Updates Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

Coverage and Clinical Guidelines update (effective April 1, 2023)

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

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

January 2023 Anthem Provider News - Virginia Reimbursement Policies Dec 30, 2022

Specialty pharmacy updates

January 2023 Anthem Provider News - Virginia Pharmacy Dec 30, 2022

Engagement with your patient counts

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Monkeypox and smallpox vaccines: Product code on claims

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Attention physicians and lab providers: COVID-19 update regarding reimbursement

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Submitting prior authorizations digitally through ICR

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Implementation of Cardinal Care

January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Keep up with Medicaid news: January 2023

  • This is Quitting: Helping teens and young adults quit vaping
  • HEDIS measure for prenatal and postpartum care
  • Prior authorization requirement changes updated effective January 1, 2023
  • AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
  • Change to vaccine age limitations
January 2023 Anthem Provider News - Virginia Medicaid Dec 30, 2022

Keep up with Medicare news: January 2023

  • Prior authorization requirement changes
  • New specialty pharmacy medical step therapy requirements
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
January 2023 Anthem Provider News - Virginia Medicare Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Submitting prior authorizations digitally through Interactive Care Reviewer

January 2023 Anthem Provider News - Virginia Digital Tools Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases

January 2023 Anthem Provider News - Virginia Federal Employee Plan (FEP) Dec 30, 2022

Professional system updates for 2023

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Engagement with your patient counts

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Virginia Administrative Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

December 2022 Anthem Provider News - Virginia Administrative 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

Signature requirements for laboratory orders or requisitions

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

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Virginia Administrative 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

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

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

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

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

December 2022 Anthem Provider News - Virginia Reimbursement Policies 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

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

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

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Virginia Medicare 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

Member assessment of PCP after-hours messaging in 2022

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

Members’ rights and responsibilities

December 2022 Anthem Provider News - Virginia Administrative 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

Pharmacy information available on the provider website

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

Personal home helper benefit ending

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