News & Announcements

Medicaid Outpatient Fee Schedule




November is Diabetes Awareness Month

During American Diabetes Month, organizations and providers raise awareness of the prevalence of diabetes and the effects it can have.

 

Medicaid Expansion Open Enrollment
through December 31!

Medicaid Expansion open enrollment is 11/1-12/31. Don’t wait to switch your health plan.

 

Clinical Criteria Web Posting September 2019

On September 19, 2019, the Pharmacy and Therapeutics (P&T) Committee approved the following Clinical Criteria applicable to the medical drug benefit for Anthem Blue Cross. These policies were developed, revised or reviewed to support clinical coding edits.

 

Electronic Visit Verification (EVV) Provider Bulletin

Beginning October 1st, 2019 HealthKeepers, Inc. will require the use of electronic visit verification (EVV) for certain services rendered to Anthem HealthKeepers Plus members. These services include personal care, respite and companion services.

 

Pharmacy benefit manager change to IngenioRx

Effective October 1, 2019, IngenioRx will become the pharmacy benefit manager (PBM) for prescription drugs, home delivery pharmacy and specialty pharmacy for Anthem HealthKeepers Plus and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) members.

 

New! Demographic Updates Made Easy

Anthem HealthKeepers Plus providers should update provider demographic information online via the revised Provider Maintenance Form. Update options include: adding an address location, changing a name or tax ID, provider leaving a group or a single location, adding and updating phone/fax numbers, closing a practice location, and more. Visit the form page to review more update options.

Provider Maintenance Form


Provider Orientations

You and your staff are invited to a webinar covering information for members enrolled in Anthem HealthKeepers Plus; the Medallion 4.0 Medicaid Managed Care program and Anthem CCC Plus.

 

Provider Website Survey

Please help us improve our provider website by taking this brief survey. Your input will help us provide more efficient and effective provider resources.

Complete the survey
NCQA MHC Distinction Seal