Virginia
Provider Communications

Articles

Title Publication Category Date

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

February 2023 Anthem Provider News - Virginia Administrative Feb 1, 2023

Do you offer telehealth services? Let us know!

February 2023 Anthem Provider News - Virginia Administrative Feb 1, 2023

Enhancing Provider News website and email communications

February 2023 Anthem Provider News - Virginia Digital Tools Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Anthem Provider News - Virginia Administrative Feb 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Anthem Provider News - Virginia Digital Tools Feb 1, 2023

Clinical Guideline update (effective May 1, 2023)

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

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

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

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

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Clinical Guidelines update (effective May 1, 2023)

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Specialty pharmacy updates - February 2023

February 2023 Anthem Provider News - Virginia Pharmacy Feb 1, 2023

Clinical Criteria updates for specialty pharmacy are available

February 2023 Anthem Provider News - Virginia Pharmacy Feb 1, 2023

Introducing the Provider Learning Hub

February 2023 Anthem Provider News - Virginia Medicaid Feb 1, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Virginia Medicare Feb 1, 2023

Keep up with Medicaid news: February 2023

  • Prior authorization updates for medications billed under the medical benefit
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Prior authorization updates for medications billed under the medical benefit
  • POS restrictions for BRAVO services
  • Direct member medical necessity appeals to HealthKeepers, Inc.
  • Patient liability and claims processing
February 2023 Anthem Provider News - Virginia Medicaid Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Provider News - Virginia Federal Employee Plan (FEP) Feb 1, 2023

Introducing the Provider Learning Hub

February 2023 Anthem Provider News - Virginia Medicare Feb 1, 2023

Keep up with Medicare news - February 2023

  • Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (FyInetra)
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
  • Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
  • New specialty pharmacy medical step therapy requirements
  • Prior authorization requirement changes effective April 1, 2023
  • Medical Policies and Clinical Utilization Management Guidelines update
February 2023 Anthem Provider News - Virginia Medicare Feb 1, 2023

Important reminder: New ID cards for many of our Anthem Blue Cross and Blue Shield members

New ID cards for Anthem Blue Cross and Blue Shield members - Virginia Administrative Jan 19, 2023

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Virginia Administrative Jan 11, 2023

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

Primary care physician searches in Find Care

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

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

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

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

Important information about utilization management

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

Retraction of policy: Private duty nursing reimbursement

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
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