Anthem healthkeepers plus address. com 1-877-865-9075 UnitedHealthcare Community Plan www.

Anthem healthkeepers plus address Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) regional support teams Page 4 of 4 o Contact: Brad Riley at 571-395-0462 or bradley. If it’s been more than two Anyone living in Virginia who qualifies for CCC Plus can choose or switch to the Anthem HealthKeepers Plus plan during open enrollment from October 1 to December 18. Online update options include: Add an address location; Name change; Tax ID changes; Provider leaving a group or a single location; Contact information such as phone/fax numbers Member Street Address: City, State, ZIP: Provider Fax: Member Phone #: Parent/Legal Guardian Name (s): Clinical Contact . Subject: Maternity Services . Do you need a printed copy of your member handbook? Call Member Services at 1-800-901-0020 TTY 711. Don't have an Availity account? Register free now. Transportation to and from DD waiver services 60. Address changing? Call Member Services! If you move, contact us right away, and we’ll update your address with the state. You can redeem some benefits online through your secure account. Box 105318. Log in to Availity . ANTHEM is a submissions and to outline the basis for reimbursement if HealthKeepers, Inc. virginiapremier. Address, phone and fax number Wednesday and Friday schedule) The Anthem Specialty Pharmacy provides hard-to-find prescriptions to Virginia Medicaid members. Anthem HealthKeepers Plus has made a series of courses available to its attendants for free 1070481VAMENAHP 05/24 APPEAL FORM If you disagree with our decision not to approve the service your doctor asked for, you can file an appeal using If you do not currently have an EVV Vendor, you can use the Netsmart EVV solution at no cost for Anthem HealthKeepers Plus Medicaid visits (funded by Anthem HealthKeepers Plus for you to use!). MEMBER INFORMATION PROVIDER INFORMATION . Plus, there is a SIGNED agreement with the If you have any questions about this communication, call Anthem HealthKeepers Plus Provider Services at 800-901-0020. In person Reach out to Anthem HealthKeepers Plus Member Services via Live Chat. Central Virgina: April 19 – June 30. Let us know if we missed the mark You may want to file a grievance if: You're not satisfied with the Anthem HealthKeepers Plus plan for any reason. January 2025 Provider Newsletter; December 2024 Provider Newsletter; are not annual wellness visits and that they still need to see their primary care provider for a comprehensive visit to address preventive health needs. , is a health plan that contracts with the Virginia Department of Medical If you are an existing provider group and wish to make a demographic change such as updating your address or telephone number, When you encounter an outcome for a claim that you disagree with, we provide a structured process to address such disputes. Availity . Mail Drop VA2002-N800 . Services Covered Through the DMAS Medicaid Fee-For-Service Program 62. Cincinnati OH 45209 . Essentials or call Anthem HealthKeepers Plus Provider Services at For example, Anthem HealthKeepers Plus members get extras for kids, like sports physicals and for adults to make every day easier, like free rides to the grocery store or farmer’s market. Inc. Anthem HealthKeepers Plus Community Resource Link to find jobs, food, housing, and more Your Care Plan to send messages to your care coordinator, track goals, and more Mobile app to find doctors or use your ID card on the go Limitations and restrictions apply. Learn how to access your benefits. PCP Name PCP phone Medicaid ID PCP/Specialist Outpatient Inpatient Emergency CardinalCare $0/$0 JOHN Q SAMPLE Member ID 123456789 Group Number BC/BS Plan RxBlN: RxPCN: RxGRP. will implement the following new and revised Coverage Guidelines. Your benefits and how to get medical care The Anthem HealthKeepers Plus team includes the departments and employees performing support activities for members and providers, assisting them in navigating the health care system. Providers are to notify us within 24 hours of If you have questions about EVV services through Anthem HealthKeepers Plus, contact VALTSSPR@anthem. This form ensures that members can formally communicate their disputes and provide supporting documentation to substantiate their claims. Each chapter may also contain crosslinks to other chapters, to the provider website or to outside websites As an extra benefit for Anthem HealthKeepers Plus members, we offer nonmedical rides to and from: Address, date, and time of your appointment. Fax completed form to 844-445-6642 (toll free). Member First Name: Organization Name: This article guides you through registration using the Foodsmart website as a Anthem Healthkeepers Plus/Elevance Health member. To start receiving email from us (including some sent in lieu of fax or mail), submit your Anthem Insurance Companies, Inc. CarelonRx. Get the inside scoop on jobs, salaries, top office locations, and CEO insights. It will also include the standard DMAS appeal rights, including the time period and address to file the appeal. If you have any questions about this communication, call Anthem HealthKeepers Plus Provider Services at . Your benefits and how to get medical care. Fax to: 800-964-3627 or enter in the Interactive Care Reviewer (ICR) portal. for its Anthem HealthKeepers Plus line of business serves approximately 529,000 Medicaid beneficiaries living in Virginia. com or contact Eyram Dokosi-Lynch at 703-881-8543 or by email at eyram. Virginia Medicaid DMAS . Discharge planning is the process of identifying and preparing for a patient’ HealthKeepers, Inc. Thanks for choosing the Anthem HealthKeepers Plus (Anthem CCC Plus) plan for your Commonwealth Coordinated Care Plus benefits. Outreach Department . Anthem HealthKeepers Plus member eligibility, other insurance, and program restrictions. Subject: Multiple Delivery Services Policy Number: G-06044. requires use of EVV for certain services rendered to Anthem HealthKeepers Plus members, including personal care, respite and companion services. Essentials or call Anthem HealthKeepers Plus Provider Services at In Virginia: Anthem Health Plans of Virginia, Inc. That's why we’ve redesigned the provider site to make it more useful for you and easier to use. Provider leaving a group or a single location. , will implement the following new and revised coverage guidelines effective November 1, 2020. Your name, address, phone number, email, and either your NPI or TIN The member’s name and his or her Anthem HealthKeepers Plus or Medicaid ID number A listing of disputed claims, which should include the Anthem HealthKeepers Plus claim number and the date(s) of service(s) All supporting statements and documentation. 1. partners with Availity — a free, secure website for electronically submitting claims, checking claim status and verifying eligibility or benefits. Anthem HealthKeepers Plus has made a series of courses available to its attendants for free! These courses include topics such as “Home Safety”, “Healthy Meals on a Budget”, and “Individualizing Add/change an address location. Click on the name of your Payer to view the Self-Registration instructions: Anthem Blue Cross offers a provider finder tool to help locate in-network healthcare professionals and facilities. To update your address, please login to MyAccount and update your address in the ‘My Details’ tile. Email is the quickest and most direct way to receive important information from HealthKeepers, Inc. Choose the Anthem HealthKeepers Plus plan. com” to the designated Provider Administrator’s email address that was entered in the Anthem HealthKeepers Plus is proud to be the largest Medicaid health plan in Virginia. will implement the following new and revised Coverage Guidelines effective January 1, 2024. A First, verify the member’s Anthem HealthKeepers Plus enrollment by using the . availity. Our emails have changed from ending in @pcgus. • Members can also make updates: Claims resources Availity. Be treated with respect; as well as with recognition of their dignity and their right to privacy. Anthem HealthKeepers Plus. Atlanta, GA 30348 . You’ll use it to go to the doctor, get prescriptions, and in case of an emergency. 1 Two emails will be sent from the email address “no-reply@ntst. | Anthem HealthKeepers Plus Medicaid products | June 1, 2020. Author: Address: Fax Number: Anthem HealthKeepers 1-844-521-6938 Attention: Pharmacy Department P. The Consolidated Appropriations Act (CAA) implemented in 2021 contains a provision that requires online provider directory information be reviewed and updated as needed at least every 90 days. Compare pay for popular roles and read about the team’s work-life balance. In Wisconsin: Blue If you want the Anthem HealthKeepers Plus plan for children in your care, call your caseworker to assist you. Anthem HealthKeepers Plus www. Contact Customer Support by phone or Live Chat. members get no-cost access to a nutrition and food program from Foodsmart. Welcome to Commonwealth Coordinated Care Plus! Your Anthem HealthKeepers Plus (Anthem CCC Plus) team is here to help you get the care you need to reach your personal health goals, from medical and behavioral care to long-term services and supports. , is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees. Please update your mailing address with us if you have moved. Interested in joining our provider network? Anthem HealthKeepers Plus member is eligible. com 1-877-865-9075 UnitedHealthcare Community Plan www. Cell Other If other, please write the number: HealthKeepers, Inc. You can also live chat with a HealthKeepers Plus associate from within the Availity Portal. We will notify the provider and the member’s pharmacy of our decision. Looking for a form that isn’t listed? Feel free to contact Provider Services for assistance. Just call 1 Q How do I access information from HealthKeepers, Inc. Related information. They are listed in your member handbook. 800-844-9730. , will implement the following new and revised coverage guidelines effective November 1, 2019. recommends submitting prior authorization requests for Anthem HealthKeepers Plus members via Interactive Care Reviewer (ICR), a secure Utilization Management tool available in Availity. prior authorization: 800-901-0020 Fax: 800-964-3627 To prevent delay in processing your request, please fill out form in its entirety with all applicable information. Policy Section: Surgery. Phone/fax number changes. is covered under a member’s benefit • Address of claimant • Telephone number of claimant Medicaid benefits can differ There are some benefits that all Medicaid plans offer, like: Hospital stays. or . com/vamedicaid AVA-MHB-0028-20 Claims Filing Address: Post Office Box 27401 Richmond, VA 23279 VA21 1/23 Contractor ID 0047003253 Anthem. Benefits may change. Note: If you have issues with the login after creating Visit Anthem. Prior authorization forms . Each chapter may also contain crosslinks to other chapters, to the provider website or to outside websites Anthem HealthKeepers Plus: Anthem HealthKeepers Plus : Chartered Family Health: Chartered Family Health : Humana Gold Plus HMO (Medicare Advantage Plan) Medicaid number, name and address to the pick-up facility, or Please note, this communication applies to Anthem HealthKeepers Plus Medicaid products offered by HealthKeepers, Inc. , is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Commonwealth Coordinated Care Plus (CCC Plus) benefits to enrollees. The address to file a complaint with the BadgerCare Plus and Medicaid SSI programs, is: BadgerCare Plus and VA/IND/Anthem HealthKeepers Silver X 5000 S06/6RF1/01-23 Page 1 of 11 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered ServicesCoverage Period: 01/01/2023 - 12/31/2023 Anthem® HealthKeepers Inc. O. Anthem Blue Cross and Blue Shield, and its affiliate Foodsmart has partnered with Anthem Healthkeepers Plus to bring Medicaid members free access to nutrition counseling. Then, log into . Use Availity to submit claims, check the status of claims, appeal a claim decision and much more. is an independent licensee of the Blue Cross and Blue Shield Association. If you are enrolled in a Medicaid SSI program, you can also call the SSI External Advocate at 1-800-708-3034 for help with grievances. Box 27401 Richmond, VA 23279: If you have any questions about this communication, call Anthem HealthKeepers Plus Provider Services at 800-901-0020. , is a health plan that contracts with the Virginia Department of Medical Assistance Services to What is your plan to assess/refer and address the current and potential effects of that trauma? Anthem HealthKeepers Plus Psychosocial rehabilitation (PSR) [H2022] INITIAL Page 7 of 7 HealthKeepers, Inc. If you are Prior authorization requests can be submitted for Anthem PPO products. Eligibility & Benefits Anthem HealthKeepers Plus phone: 1-800-901-0020 Anthem CCC Plus phone: 1-855-323-4687 Provider Demographic Changes All provider demographic updates should be sent via the Carelon Behavioral Health provider PPL will be mailing W-2s to the address we have on file as of December 27, 2024. | Anthem HealthKeepers Plus Medicaid products . As an Anthem CCC Plus member, you can order up to $50 of walker and wheelchair accessories and have them Review your address and phone number and submit your order. Please note, this communication applies to Anthem HealthKeepers Plus Medicaid products offered by If an Anthem HealthKeepers Plus provider other than their PCP terminates his or her relationship with the Anthem HealthKeepers Plus plan, HealthKeepers, Inc. Reimbursement Policy . Anthem HealthKeepers Plus . Policy Section: Surgery ; Last Approval Date: 07/17/2024; Effective Date: 07/17/2024 **** Visit our provider website for the most current version of the reimbursement policies. Box listed as the address in block 33 on the CMS-150 A First, verify the member’s Anthem HealthKeepers Plus enrollment by using the . HealthKeepers, Inc. Use this tool to find food, work, housing, and other no-cost or low-cost services near you. Doctors who work with the plan. PDF-1. These guidelines impact all our products – with the exception of Anthem HealthKeepers Plus (Medicaid), Medicare Advantage, the Commonwealth Coordinated Care Plus (Anthem CCC Plus) plan, and the Blue Please note, this communication applies to Anthem HealthKeepers Plus offered by HealthKeepers, Inc. Learn more about Pat Deegan’s work in behavioral health at www. MCCofVA. Change your primary medical provider (PMP) or primary care provider (PCP) Anthem HealthKeepers Plus, offered by HealthKeepers, Inc. The Anthem HealthKeepers Plus FAMIS plan also covers many over-the-counter (OTC) medicines with a prescription from your doctor. Electronic visit verification (EVV) uses technology to record the timing and location of caregivers or direct service workers during appointment check-in and check-out. Providers interested in joining our network should first complete enrollment with the Virginia Department of Medical Assistance Services (VA DMAS) using the Medicaid Enterprise System (MES) provider website PRSS. Charlottesville and Western Halifax: August 19 – October 31. Rx Choice Network (Includes Retail 90 And Rx Maintenance 90) With the Rx Choice Network, you can choose from two levels of coverage, helping to provide both savings and access: HealthKeepers, Inc. Anthem is a registered Easily update demographic changes and much more, by simply submitting your updates through Anthem Blue Cross and Blue Shield online Provider Maintenance Form. The Anthem HealthKeepers Plus team includes the departments and employees performing support activities for members and providers, assisting them in navigating the health care system. Health Assessment Tell us more about your health in order for us to help connect you with care and doctors that fit your needs. Anthem Insurance Companies, Inc. , will implement the following new and revised coverage guidelines effective April 1, 2019. Find community resources Hey Peers Anthem HealthKeepers Plus, offered by HealthKeepers, Inc. Richmond, VA 23286-8708 . 800-772-9996. trades as Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc. Change Providers. Determine whether you still qualify for health insurance through Medicaid and complete the re-enrollment process. Anthem Blue Cross and Blue Shield (Anthem) in Virginia and our affiliate HealthKeepers, Inc. 3. Email address: _____ May we contact you via email? Please circle one: Yes . If you are changing, renewing or canceling, please note the existing service authorization number. To help us expedite your authorization requests, please fax all the information required on this Address where service was rendered City State ZIP code Telephone number ( ) Fax Prescriber attests that a treatment plan with goals that addresses benefits and harm has been established with the member and the following bullets are included. We’re glad you’re our member. Have CCC Plus, but haven’t switched to the Anthem CCC Plus plan? Call 1-844-374-9159 Please note, this communication applies to Anthem HealthKeepers Plus Medicaid products offered by HealthKeepers, Inc. For over 25 years, we've helped over 500,000 Medicaid, FAMIS, and Commonwealth Coordinated Care members stay healthy. Send the original claim form to the address below and retain a copy for your records: Claims HealthKeepers, Inc. If you moved this past year or have a new mailing address, HealthKeepers, Inc. Contact Anthem HealthKeepers Plus Provider Services to reach staff in any of the following departments: Interpreter services are available over the phone or through telehealth. Last Approval Date: 07/07/2023. State Appeal We continually update our provider directories to ensure that your current practice information is available to our Anthem HealthKeepers Plus members. uses Availity, a secure, full-service website offering a claims clearinghouse and real-time transactions at no charge to Anthem HealthKeepers Plus healthcare professionals. . Here is a streamlined overview of the care Please note that all PPL email addresses have changed. Call toll free for translation or oral interpretation at no Email address: _____ What is the best phone number to reach you? Please circle one: Home . 2. Anthem HealthKeepers Plus Member Services 800-901-0020 (TTY 711) 1 COMMONWEALTH OF VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES (DMAS) Cardinal Care Model Member Handbook January 1, 2024 HealthKeepers, Inc. View Medallion Medicaid benefits View FAMIS benefits 2. Carved-out services 62 Find out what works well at ANTHEM HEALTHKEEPERS PLUS from the people who know best. Log in to find contact information specific to your area and plan. 1017878VACENAHP 02/24 This article serves as a reminder to Anthem HealthKeepers Plus providers about policies and procedures regarding claims payment disputes. Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Virginia, Inc. Policy Number: G-14001. Foodsmart helps members create a healthy eating plan that fits their goals. Anthem HealthKeepers Plus Self-Registering Provider Administrator Account 2 1. The purpose of the Anthem HealthKeepers Plus appeal form is to give members the opportunity to contest decisions made by their insurance provider regarding covered services. Anthem HealthKeepers Plus Member Handbook Commonwealth Coordinated Care Plus 1-855-323-4687 (TTY 711) www. Receive $25 for completing your first visit with a nutritionist and an additional $25 after your first follow-up visit! HealthKeepers, Inc. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc. Member First Name: Organization Name: Member Last Name: Group NPI #: The Anthem HealthKeepers Plus reimbursement policies are developed based on nationally accepted industry standards and coding principles. Richmond, VA 23279 . UHCprovider. Find the resources that help healthcare professionals do what they do best — care for Anthem HealthKeepers Plus members. Essentials or call Anthem HealthKeepers Plus Provider Services at When times are tough, it can be hard to know where to go for help. Box 5028 Troy, MI 48007-5028 Electronic Submitter ID number: 54176 Please note, this communication applies to Anthem HealthKeepers Plus Medicaid products offered by HealthKeepers, Inc. The appeal to DMAS is considered the third-level appeal. are Qualified Health Plans that in certain geographic areas offer some health plans with a $0 (or $1 per member in Maine, Connecticut, and Colorado) premium option (after subsidy applied) through the Health Insurance Marketplace or your State Exchange. Contact CarelonRx for assistance with pharmacy point-of-sale (POS) or pharmacy claim questions. , serving all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123, are independent licensees of the Blue Cross Blue Shield Association. You’ve had difficulty getting access to care. You’ve had a problem with the quality of care you’ve received from our services or network providers. com to request changes to existing practice information. Find out if your doctors work with the plan. These guidelines will not impact Federal Employee Program ® (FEP) members. UM # (if received): Member name: ID #: Member date of birth: Current age: Member address: Anthem Insurance Companies, Inc. If you have any questions about this communication, call Anthem HealthKeepers Plus Provider Services at 800-901-0020. You can choose to make your Anthem member bill payments online, by mail, or by phone. (DMAS). Nonemergency transportation services covered by the Anthem HealthKeepers Plus plan 59. com to ending in @pplfirst. Only the caseworker can call the Managed Care HelpLine at 800-643-2273 (TTY 711) to make the change. Select any web address and be redirected to that site. , is a health plan that contracts with the • Patient information (name, member ID number, address, date of birth, and gender) • Admission/start of care date • Type of admission or visit • Point of origin for admission or visit Through our Healthy Rewards Program, Anthem HealthKeepers Plus members can earn $10 to $50 for getting certain health services. com 1-855-323-4687 Molina Complete Care www. We value your partnership as an Anthem HealthKeepers Plus provider. Select asthma controllers, antihypertensives, antidepressants and the drug montelukast are available for Did you know that most questions and issues can be resolved by using the Anthem HealthKeepers Plus self-service tools? Please use Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. Call 800-643-2273 (TTY 711) or visit the Virginia Managed Care website to choose or switch to the Anthem HealthKeepers Plus plan for your Cardinal Care Medicaid or FAMIS benefits. is an independent licensee of the Blue Cross Blue Shield Association. has contracted with the Virginia Department of Medicaid Assistance since 1996, and provides managed care services to enrollees of Virginia’s FAMIS and Medicaid programs. These policies may be superseded by mandates in provider, State, Federal, or CMS contracts and/or requirements. Mail Drop VA2002-N500 . The determination that a service, procedure, item, etc. These guidelines were among those recently approved at the Medical Policy and Technology Assessment Committee Anthem HealthKeepers Plus . These guidelines impact all our products with the exception of Anthem HealthKeepers Plus Please note, this communication applies to Anthem HealthKeepers Plus Medicaid products offered by HealthKeepers, Inc. HealthKeepers Plus Offered by HealthKeepers, Inc. Call CarelonRx. Learn the basics about your health plan on the New Member Welcome page. Request type: New Change Renewal Cancel. contracts with Pat Deegan and CommonGround, a separate company, to provide this program to members. It connects members with their own registered dietitian, an expert who is licensed to support members with common medical conditions like diabetes, cancer, heart A First, verify the member’s Anthem HealthKeepers Plus enrollment by using the . Here is a streamlined overview of the care provider cla As an Anthem HealthKeepers Plus member, you have rights and responsibilities. com. com to learn more about your payment options. Effective Date: 07/07/2023 **** Visit our provider website for the most current version of the reimbursement policies. at 855-323-4687 to update their address. These guidelines impact all our products – with the exception of Anthem HealthKeepers Plus (Medicaid), theCommonwealth Coordinated Care Plus (Anthem CCC Plus) plan, Medicare Advantage, and the Blue Cross and Blue Shield HealthKeepers, Inc. Provider alert: understanding claim payment disputes and appeals. or calling the MediCall automated voice response system at . Anthem HealthKeepers Plus Self-Registering Provider Administrator Account Self-Registering Your Agency & Getting Started Anthem HealthKeepers Plus Date: November 12, 2024. We also know you’re short on time. The Anthem HealthKeepers Plus plan offers Virginia Medicaid members access to helpful resources in their community. , is a health plan that contracts with the • Patient information (name, address including ZIP code, date of birth, gender, relationship to insured, and medical condition as related to employment or an accident) Your name, address and member ID number; Your reasons for appealing; Any information or evidence (documents, medical records) to support your appeal; Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan) 12900 Park Plaza Drive, Suite 150 Mailstop 6150 | Cerritos, CA 90703 New Address (effective immediately): Anthem – FEP Appeals. Foodsmart pairs you with your own registered dietitian who will support you with personalized nutrition guidance. Prerequired Registration Data Depending on the Payer and state you work in, you will need the following information to self-register your agency and the designated Provider Administrator account. website . AVAPEC-3281-21 November 2022 CC Please note, this communication applies to Anthem HealthKeepers Plus Medicaid products offered by Effective January 1, 2025, Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc. 20647: 12/9/2022: 10: Care Coordination: Inappropriate CCC Plus Waiver enrollment. trades as Anthem HealthKeepers providing HMO coverage, and their service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Box 27401 . Currently, HealthKeepers, Inc. If your appointment involves a child under age 8, you’ll need to bring your own car seat or booster seat. 3075 Vandercar Way. VA2002-N800 . Use this form to report a birth from a mother who is an Anthem HealthKeepers Plus member. Roanoke, Allegheny, and Southwest Virgina: You should receive your Anthem HealthKeepers Plus member ID card in the mail. Commonwealth Coordinated Care Plus (Anthem CCC Plus) plan. Family planning services. Essentials or call Anthem HealthKeepers Plus Provider Services at Address: Fax Number: Anthem HealthKeepers 1-844-521-6938 Attention: Pharmacy Department P. HealthKeepers Plus: CareNet: Paper claims address: Claims P. , is a health plan that contracts with the Virginia Department of Medical Anthem HealthKeepers Plus member is eligible. | Anthem HealthKeepers Plus Medicaid products | November 7, 2024. to 6 p. Old Address: Anthem – FEP Appeals. Our Member Services representatives are here to help you with: You can also reach a representative at 800-901 The Anthem HealthKeepers Plus team includes the departments and employees performing support activities for members and providers, assisting them in navigating the health care Send the original claim form to the address below and retain a copy for your records: Claims HealthKeepers, Inc. Interested in joining our provider network? Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Virginia, Inc. At the same time, you increase your practice’s quality scores by providing members with the vaccinations, screening visits and medications they need. Box 47686 San Antonio, TX 78265-8686 You may also ask us for a coverage determination by phone at the Pharmacy Member Services number on your member ID card (TTY: 711), 24 hours a day, 7 days a week or through our website at www. This booklet will help you learn how to use your health plan for your Commonwealth Coordinated Care Plus (CCC HealthKeepers, Inc. These guidelines impact all our products – with the exception of Anthem HealthKeepers Plus (Medicaid), the Commonwealth Coordinated Care Plus (Anthem CCC Plus) plan, Medicare Advantage, and the Anthem HealthKeepers Plus member eligibility, other insurance, and program restrictions. Each chapter may also contain crosslinks to other chapters, to the provider website or to outside websites Effective March 1, 2019, please be advised that we will no longer accept Anthem HealthKeepers Plus provider claims with a P. If you A First, verify the member’s Anthem HealthKeepers Plus enrollment by using the . Most medications are limited to a 34-day supply. Each chapter may also contain crosslinks to other chapters, to the provider website or to outside websites Anthem HealthKeepers Plus . VABCBS-CD-026567-23-CPN25929 August 2023. com 1-800-424-4524 Optima Health Community Care www. This page offers quick access to the forms you use most. Northern Virginia: June 19 – August 31. Box 27401 Richmond, VA 23279 If you have questions about the assessment or would like to complete it over the phone, just give us a call at 1-844-533-1994, ext. To help us expedite your authorization requests, please fax all the information required on this Address where service was rendered City State ZIP code Telephone number ( ) Fax Education & Training | HealthKeepers, Inc. Provide your mailing address and opt in HealthKeepers, Inc. will notify all affected members prior to the effective date of the termination. Closing a practice location. riley@anthem. You can also check status of Thank you for being a part of the Anthem network of health care professionals! Providers contracted with Anthem Blue Cross and Blue Shield (Anthem) should utilize Availity’s Provider Demographic Management (PDM) application hosted on www. dokosi-lynch@anthem. Benefits that some Medicaid plans offer include: HealthKeepers Plus Inc. 106-103-5148 Monday through Friday from 8 a. HealthKeepers Inc. To help us expedite your authorization requests, please fax all the information required on this Address where service was rendered City State ZIP code Telephone number ( ) Fax We’re glad you are interested in joining the Anthem HealthKeepers Plus network. , is a health plan that contracts with the Virginia Department of Medical Assistance Services to What is your plan to assess/refer and address the current and potential effects of that trauma? Anthem HealthKeepers Plus Psychosocial rehabilitation (PSR) [H2022] INITIAL Page 7 of 7 Companies, Inc. Have questions? We’re a call away. State Appeal Name of Plan/Product Amerigroup Anthem HealthKeepers Plus CareNet (Coventry plan) Effective Date: 7/1/12 7/1/12 7/1/12 Product Name: Amerigroup Community Care. You feel your rights and dignity have been disrespected. for Anthem HealthKeepers Plus P. Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc. P. 11. | Anthem HealthKeepers Plus Medicaid products; Recent Publications . }} Call toll free at 1-855-323-4687 (TTY 711). When you encounter an outcome for a claim that you disagree with, we provide a structured process to address such disputes. Name change. For more information about our behavioral health programs or authorization process, please see the Anthem HealthKeepers Plus Provider Manual or contact Provider Services. Case Management . com 1-877-719-7358 4. anthem. • Your name, address, phone number, email, and either your NPI or TIN Renew your Virginia Medicaid benefits with Anthem. Coding Spotlight: An Anthem HealthKeepers Plus provider guide to code social determinants of health How can Companies, Inc. Prior authorization lookup tool . Anthem Blue Cross and Blue Shield, and its affiliate Anthem HealthKeepers Plus is a Medicaid health plan. covered the service for the member's Anthem HealthKeepers Plus benefit plan. ICR offers a fast, efficient way to securely submit prior authorization requests with clinical documentation. Anthem Medallion Medicaid's transportation benefit includes rides to doctor appointments, drugstores to get your prescriptions, grocery stores, and farmers markets. Request data updates via either one of the following options Find the resources that help healthcare professionals do what they do best — care for Anthem HealthKeepers Plus members. Anthem HealthKeepers Plus (Anthem) Case ID: Date: Points: Issue Type: Description: 20748: 1/12/2023: 10: Reporting: Non-compliance with the Encounters Evaluation Guide and Data Quality Score Card (DQSC) for State Fiscal Year 2023, Quarter 1. optimahealth. patdeegan. The fax number for clinical appeals for the Anthem Federal Employee Program remains the same at 1-855-207-9935. Billing providers are required to Please note, this communication applies to Anthem HealthKeepers Plus Medicaid products offered by HealthKeepers, Inc. com Benefits • Anthem HealthKeepers Plus, Medallion Provider Services: 800-901-0020 • Anthem CCC Plus Provider Services: 855-323-4687 Email is the quickest and most direct way to receive important information from HealthKeepers, Inc. has developed a Social Determinants of Health (SDOH) initiative to proactively outreach members enrolled in Anthem HealthKeepers Plus who need support for soci problem or write a formal grievance to Anthem or to the BadgerCare Plus and Medicaid SSI programs. , is a health plan that contracts with the Virginia Department of Medical • Members can call HealthKeepers, Inc. 6 %âãÏÓ 98 0 obj > endobj 174 0 obj >/Filter/FlateDecode/ID[0BE1952E559EC6449C71D2B9CB9643AD>]/Index[98 139]/Info 97 0 R/Length 139/Prev 282892/Root 99 0 R Health coverage in one of the same six health plans (Aetna Better Health of Virginia, Anthem HealthKeepers Plus, Molina Complete Care, Optima Health Community Care, UnitedHealthcare Community Plan, and Virginia Premier Health Plan) that offer choices in coverage and added benefits; Unified program messaging with simplified communication Claims that are submitted for laboratory services subject to the Clinical Laboratory Improvement Amendments of 1988 (CLIA) statute and regulations require additional information t Anthem members can login to get helpful information on different healing and recovery tracks including addiction, financial loss, trauma, grief, and more. Do you need a printed copy of your member handbook? Call Member Services at 1-800-901-0020 (Medallion Medicaid and FAMIS) or 1-855-323-4687 (CCC Plus); TTY 711. If you have any questions about this communication, call Anthem HealthKeepers Plus Provider Services at [800-901-0020]. 833-253-4452. Coverage for: Individual + Family | Plan Type: HMO Anthem HealthKeepers Silver X 5000 S06 As an Anthem HealthKeepers Plus member, you have rights and responsibilities. about the Anthem CCC Plus plan? A You can call Anthem CCC Plus Provider Services at 1-855-323-4687 , Monday to Friday, 8 Anthem HealthKeepers Plus plan . Date of request (MM/DD/YYYY): 3. 800-901-0020. Update your address in one of these ways: HealthKeepers, Inc. Name and Credentials*: Parent/Legal Guardian Companies, Inc. How do I enroll in the Anthem HealthKeepers Plus Medicaid plan? Get the healthcare you need for you and your family. For more information on enrolling with DMAS, visit the VA DMAS MES State & Federal | HealthKeepers, Inc. Box 47686 San Antonio, TX 78265-8686 You may also ask us for a coverage determination by phone at 1-833-293-0661 (TTY: 711) or through our website at www. m. Visit Anthem. , is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaidbenefits to enrollees. Cardinal Care Medicaid Formulary ; With a D-SNP, you can get an Anthem Benefits Prepaid Card with a monthly or quarterly allowance that you can use to pay for everyday items and expenses, such as: Over-the-counter (OTC) health items Groceries 1, 2 Assistive devices Utilities 1, 2 Dental, vision, or hearing out-of-pocket costs Your card is preloaded, so it's ready to use just like a prepaid credit or debit card. System logic or set up may prevent the loading of policies into the claims platforms in the same Anthem Blue Cross and Blue Shield, Anthem Blue Cross and HealthKeepers, Inc. Any special transportation needs, like a wheelchair lift or help walking. Lab and X-ray services. At least 30 days prior to making any changes to your practice — including updating your address and/or phone number, adding or deleting a physician from your practice, New to the Anthem HealthKeepers Plus plan? As a person new to our plan, we know you have questions. Instructions:Please complete all sections to assistwith timely review. They offer health plans of Medallion Medicaid, FAMIS, and Commonwealth Coordinated Care Plus (CCC Plus). Doctor visits. We have two drug lists that show which drugs are in your plan. Please note, this communication applies to Anthem HealthKeepers Plus Medicaid products offered by HealthKeepers, Inc. com 1-877-843-4366 Virginia Premier Elite Plus www. If you don’t, your child could lose his or her benefits during the annual renewal process. Need help with Availity? Learn more . Uncover why ANTHEM HEALTHKEEPERS PLUS is the best company for you. Companies, Inc. hvgknp uwgj enmpw cka jrsqlbu bdwbvzl rommsnc ncxr qnfh qblxyh