This Pride Month may be the first in a while that you’ve celebrates outside of the comfort and relative isolation of home, and in case you’ve forgotten, music is pretty key to a go...If you have any questions about this communication, call Anthem HealthKeepers Plus, Medallion Provider Services at 800-901-0020 or Anthem CCC Plus Provider Services at 855-323-4687. Email is the quickest and most direct way to receive important information from HealthKeepers, Inc.Key contact information. Anthem CCC Plus Provider and Member Services: 1-855-323-4687. 24/7 NurseLine: 1-855-323-4687 (TTY 711) Preauthorization phone: 1-855-323-4687. Preauthorization fax: 1-800-964-3627 for Inpatient admissions/ Outpatient services. 1-888-280-3725 for therapies, home health, DME and discharge planning.Overview. Commonwealth Coordinated Care Plus (CCC Plus) is a Medicaid managed long-term services and support program that serves over 260,000 individuals throughout the Commonwealth of Virginia. CCC Plus uses an integrated delivery model, across a comprehensive range of health services, to assist members with complex care needs.You can also find out more details about your benefits and read your member handbook. CCC Plus is a Medicaid only plan and is a Commonwealth of Virginia health program. If you have Medicare, your Medicare plan will not be impacted or changed. For Medicare questions, call 855-548-2647.1-855-323-4687 (TTY 711) AVA-MEM-1863-20. Getting started. } Look for your Anthem CCC Plus member ID card in the mail. You’ll use it to go to the doctor, get prescriptions and in case of an emergency.Your Medicaid patients receive all the Anthem CCC Plus benefits, plus extras at no cost for eligible Anthem HealthKeepers Plus members. Anthem HealthKeepers …Anthem CCC Plus phone: 1-855-323-4687 Provider Demographic Changes All provider demographic updates should be sent via the Carelon Behavioral Health provider portal and the provider’s CAQH profile.FAMIS. We offer low-cost benefits for your kids through FAMIS (Family Access to Medical Insurance Security), Virginia’s health insurance program for children of working parents who may not qualify for Medicaid. You or your child (ren) may be eligible for Medicaid through the Anthem HealthKeepers Plus plan if you:A First, verify the member’s Anthem HealthKeepers Plus enrollment by using the . Virginia Medicaid DMAS . website . or calling the MediCall automated voice response system at . 800-844-9730. or . 800-772-9996. Then, log into . Availity . Essentials or call Anthem HealthKeepers Plus Provider Services atA First, verify the member’s Anthem HealthKeepers Plus enrollment by using the . Virginia Medicaid DMAS . website . or calling the MediCall automated voice response system at . 800-844-9730. or . 800-772-9996. Then, log into . Availity . Essentials or call Anthem HealthKeepers Plus Provider Services atReturn Shopper. Pick up where you left off. Please select your account type. Medicare, Individual & Family, and Employer Group Plans Medicaid. Log In. Forgot Username or …As an Anthem CCC Plus member, you can order up to $50 of walker and wheelchair accessories and have them mailed right to your door in just three easy steps. Use this catalog to find items to fit your needs like wheelchair gloves, seat cushions, safety lights and more. Place your order. }} Call toll free at 1-855-323-4687 (TTY 711).Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Shop plans for Medicare, Medical, Dental, Vision & Employers.Updating member information. Please note, this communication applies to Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) …Have CCC Plus, but haven’t switched to the Anthem CCC Plus plan? Call 1-844-374-9159 (TDD 1-800-817-6608) or go to www.cccplusva.com to choose us. We’re a click or call away This directory is provided at a regional level. Find the most up-to-date list of the doctors, hospitals and health care professionals in your plan statewide at www ...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. Just call 1-844-374-9159 (TDD 1-800-817-6608). Learn more about enrollment and how to switch plans.Anthem Blue Cross and Blue Shield in Virginia and our affiliate, HealthKeepers, Inc., will implement the following new and revised coverage guidelines effective October 1, 2021. These guidelines impact all our products – with the exception of Anthem HealthKeepers Plus (Medicaid), Medicare Advantage, the Commonwealth …•All providers treating Anthem CCC Plus members and Medallion 4.0 members must participate in critical incident reporting. •Providers are required to identify the different types of incidents so they can submit an accurate report to ensure compliance with the guidelines set forth by the Virginia Department of Medical Assistance Services (DMAS).Provider Manuals. Health insurance can be complicated. We strive to make working with Anthem easy so that you can focus on providing excellent care to your patients. As part of that goal, we provide you with resources containing information to help your relationship with us run as smoothly as possible.The Virginia Commonwealth Coordinated Care Plus Medicaid Waiver, is abbreviated as CCC+ or CCC Plus. This program provides services to elders and individuals with physical disabilities in the community (as opposed to in a nursing home) to prevent the premature institutionalization of these groups. Many services are available via this waiver ...CCC Plus: 1-855-325-7581 (TTY 711) lease have your member ID number, address, date and time of your appointment ready when you call. Remember to write down your confirmation number in case you need to refer to it later. Let them know if you have any special transportation needs. T ell Southeastrans if you need a wheelchair lift, stretcher or helpSubmit the completed form/documents online at commonhelp.virginia.gov using the case number and client ID on your form to associate your case to your account. Call Cover Virginia at 1-855-242-8282 (TTY: 1-888-221-1590) to submit your renewal information. Have the requested information gathered and ready to give over the phone.Anthem CCC Plus phone: 1-855-323-4687 Provider Demographic Changes All provider demographic updates should be sent via the Carelon Behavioral Health provider portal and the provider’s CAQH profile.Feb 1, 2021 · The website is only updated for SNF admissions if the member is an Anthem CCC Plus and Medicare Advantage member. All other SNF DMAS 80 forms are for notification only. If you have any questions about this communication, call Provider Services at 1‑800‑901‑0020 or Anthem CCC Plus Provider Services at 1‑855‑323‑4687 .Anthem HealthKeepers Plus (Anthem) Non-compliance with the Encounters Evaluation Guide and Data Quality Score Card (DQSC) for State Fiscal Year 2023, Quarter 1. Inappropriate CCC Plus Waiver enrollment. Use of inaccurate Level of Care (LOC) benefit information resulting in capitation overpayments. Non-compliance with the Encounters Evaluation ...COVID-19 (Coronavirus) updates and announcements for providers serving Anthem HealthKeepers Plus members.Cardinal Care Medicaid Ride Assist: 1-877-892-3988 (TTY 711), option 2. You can also call our Member Services team or your care coordinator at the number below. We’re here to help. 1-800-901-0020 (TTY 711)HealthKeepers, Inc.’s case management/care coordination program emphasizes collaborative, multidisciplinary teamwork to develop, implement, coordinate and monitor treatment plans that optimize members’ healthcare benefits. The integration of physical and behavioral health is core to members’ holistic care management.CarelonRx is the pharmacy benefits manager (PBM) for Anthem HealthKeepers Plus members in Virginia. Medicaid formulary. The Anthem HealthKeepers Plus drug formulary contains a comprehensive list of drugs in commonly prescribed therapeutic categories, including preferred and non-preferred drugs, and drugs requiring prior authorization.Commonwealth Coordinated Care Plus (Anthem CCC Plus) offered by HealthKeepers, Inc. On September 22, 2021, and November 19, 2021, the Pharmacy and Therapeutics (P&T) Committee approved the following Clinical Criteria applicable to the Anthem HealthKeepers Plus medical drug benefit for HealthKeepers, Inc.Serve more than 750,000 Medicaid members. *According to NCQA’s Medicaid Health Plan Accreditation Advertising and Marketing Guidelines 2020. Learn about Virginia Medicaid insurance programs like Cardinal Care and FAMIS. Choose Anthem as your Medicaid health plan provider today.Commonwealth Coordinated Care Plus (Anthem CCC Plus) offered by HealthKeepers, Inc. On September 22, 2021, and November 19, 2021, the Pharmacy and Therapeutics (P&T) Committee approved the following Clinical Criteria applicable to the Anthem HealthKeepers Plus medical drug benefit for HealthKeepers, Inc.Policies, Guidelines and Manuals. HealthKeepers, Inc. is committed to supporting you in providing quality care and services to the members in our network. Find information on member benefits, program requirements, Utilization Management (UM) guidelines, clinical practice policies and other resources for providing care to our members.If you have any questions about this communication, call Anthem HealthKeepers Plus, Medallion Provider Services at 800‑901‑0020 or Anthem CCC Plus Provider Services at 855‑323‑4687. * Availity, LLC is an independent company providing administrative support services on behalf of HealthKeepers, Inc. AVA-NU-0571-22CCC Plus Care Coordinator If you or the member have questions or concerns, please use the following Care Coordination Phone line to get in touch with a Member’s Care Coordinator. CCC Plus Care Coordination Aetna Anthem Magellan Optima United HealthCare VA Premier 1-855-652-8249 press #1 and ask for Care Coordinator 1-855-323-4687 Press #4DD waiver services are covered through Medicaid fee-for-service. Providers - Commonwealth Coordinated Care Plus (CCC Plus) is for Medicaid-eligible adults who …Anthem HealthKeepers Plus is a Medicaid plan that offers no-cost health insurance, pharmacy, dental, vision, and behavioral health benefits. It also provides extra benefits like books, hearing aids, smartphones, and rides to members who switch from Cardinal Care.Anthem HealthKeepers Plus Claims Mail drop VA2000S110 P.O. Box 27401 Richmond, VA 23279-0001. Provider tools & resources. Log in to Availity ; Launch Provider Learning Hub Now ; Learn About Availity ; Prior Authorization Lookup Tool ; Prior Authorization Requirements ; Claims Overview ;Claims for members enrolled in Anthem HealthKeepers Plus benefit plans (Medicaid and the Commonwealth Coordinated Care Plus commonly referred to as Anthem CCC Plus) are not impacted. Additionally, the amendment does NOT apply to facility/hospital contracts. If you have further questions, please contact your Anthem …Nov 1, 2022 ... These guidelines impact all our products with the exception of Anthem HealthKeepers Plus, Medallion and Anthem CCC Plus offered by HealthKeepers ...Anthem HealthKeepers Plus. 800-901-0020. Call CarelonRx. Contact CarelonRx for assistance with pharmacy point-of-sale (POS) or pharmacy claim questions. CarelonRx. 833-253-4452. Related information. Prior authorization forms . Prior authorization lookup tool . Anthem HealthKeepers Plus Formulary;If you have any questions about this communication, call Anthem HealthKeepers Plus, Medallion Provider Services at 800-901-0020 or Anthem CCC Plus Provider Services at 855-323-4687. Email is the quickest and most direct way to receive important information from HealthKeepers, Inc.Please note, this communication applies to Anthem HealthKeepers Plus Medicaid products offered by HealthKeepers, Inc. Having a fast and accurate system for processing claims allows providers to manage their practice and the care of Anthem HealthKeepers Plus members more efficiently. With that in mind, HealthKeepers, Inc. has made claimsHow we are doing and what our goals are. How we are working to make things better for you. We can also send you information on our Quality Management program. Call 1-800-901-0020 if you’re a Medallion Medicaid or FAMIS member or 1-855-323-4687 if you’re a CCC Plus member; TTY 711.1. Commonwealth Coordinated Care Plus \(CCC Plus\) 5. Welcome to the Anthem CCC Plus plan 5. How to use this handbook 5. Other information we will send to you 6. Anthem CCC Plus member ID card 6. Provider and pharmacy directory 7. 2. What is Commonwealth Coordinated Care Plus? 8. What makes you eligible to be a CCC Plus member? 8. CCC …Anthem CCC Plus Waiver standard requests. 844-864-7853. Anthem CCC Plus Waiver expedited requests. 888-235-8390. If you have any questions about this communication, call Anthem HealthKeepers Plus, Medallion Provider Services at 800‑901‑0020 or Anthem CCC Plus Provider Services at 855‑323‑4687. VAHK-CD-002649-22.Jan 1, 2022 ... ... Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) offered by HealthKeepers, Inc. Effective January 1, 2022, CVS Specialty Pharmacy ...Once you choose a plan, there are 3 ways to enroll: online, by mobile app, or by phone. To check your enrollment, go to Check my case.Effective January 1, 2022, you will need to buy this drug and bill HealthKeepers, Inc. If you have questions regarding a member’s medical specialty pharmacy benefits, call Anthem HealthKeepers Plus, Medallion Provider Services at 800‑901‑0020 or Anthem CCC Plus Provider Services at 855‑323‑4687. For Botox managed under a member’s ...Key contact information. Anthem CCC Plus Provider and Member Services: 1-855-323-4687. 24/7 NurseLine: 1-855-323-4687 (TTY 711) Preauthorization phone: 1-855-323-4687. Preauthorization fax: 1-800-964-3627 for Inpatient admissions/ Outpatient services. 1-888-280-3725 for therapies, home health, DME and discharge planning.MEMBER SERVICES Contact Line: Please first call the number found on the back of your member ID card for accurate and faster service. To place an Anthem CCC Plus Assist order over the phone call: toll free 1-855-323-4687 (TTY 711) General Member Customer Service Toll-Free Number: 1-855-548-2647.New to the Anthem HealthKeepers Plus plan? As a person new to our plan, we know you have questions. We also know you’re short on time. Learn the basics about your health plan on the New Member Welcome page. 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 HealthKeepers Plus is a Medicaid plan that offers no-cost health insurance, pharmacy, dental, vision, and behavioral health benefits. It also provides extra benefits …Pharmacy Member Services at 833-207-3120 or Anthem CCC Plus Pharmacy Member Services at 833-235-2027. Email is the quickest and most direct way to receive important information from HealthKeepers, Inc. To start receiving email from us (including some sent in lieu of fax or mail), submit yourHave CCC Plus, but haven’t switched to the Anthem CCC Plus plan? Call 1-844-374-9159 (TDD 1-800-817-6608) or go to. www.cccplusva.com. to choose us. We’re a click or call away This directory is provided at a regional level. Find the most up-to-date list of the doctors, hospitals and health care professionals in your plan statewide a. t ...Inappropriate CCC Plus Waiver enrollment. 20488: 8/3/2022: 5: Other: Use of inaccurate Level of Care (LOC) benefit information resulting in capitation overpayments. 20190: 2/1/2022: 5: Reporting: Non-compliance with the Encounters Evaluation Guide and Data Quality Score Card (DQSC) for State Fiscal Year 2023, Quarter 1. 20083: 11/17/2021: 5: …Clinical UM Guidelines. On February 17, 2022, the MPTAC approved the following Clinical UM Guidelines applicable to HealthKeepers, Inc. These guidelines adopted by the medical operations committee for our members on March 24, 2022. These guidelines take effect June 4, 2022. Publish date.Switch to the Anthem HealthKeepers Plus plan You can change your Medicaid plan during open enrollment (OE) With us, you are covered for all the Medicaid benefits you expect, like doctor visits, prescriptions, and 24/7 NurseLine at no cost. Plus, you get extra benefits like: Adult eye exams, $150 for lenses and frames or contacts per yearIf you are unsure or have any questions, please be sure to check member eligibility and benefit coverage before proceeding with any authorization requests or services by contacting Provider Services at 800-901-0020. Select Patient Registration from the top navigation. Select Auth/Referral Inquiry or Authorizations.CCC Plus Care Coordinator If you or the member have questions or concerns, please use the following Care Coordination Phone line to get in touch with a Member’s Care Coordinator. CCC Plus Care Coordination Aetna Anthem Magellan Optima United HealthCare VA Premier 1-855-652-8249 press #1 and ask for Care Coordinator 1-855-323-4687 Press #4Anthem HealthKeepers Plus is a Medicaid plan that offers no-cost health insurance, pharmacy, dental, vision, and behavioral health benefits. It also provides extra benefits …The story behind China's national anthem is a celebration of shifting context and meaning—and of multiple connections with revered American voices. Marcia Vivace. These were the wo...Oct 1, 2022 ... ... Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) offered by HealthKeepers, Inc. In line with our commitment to participating ...Anthem Blue Cross and Blue Shield in Virginia and our affiliate, HealthKeepers, Inc., will implement the following new and revised coverage guidelines effective October 1, 2021. These guidelines impact all our products – with the exception of Anthem HealthKeepers Plus (Medicaid), Medicare Advantage, the Commonwealth …Anthem, the second-largest health insurer in the U.S., says hackers obtained names, Social Security numbers, dates of birth, and more. By clicking "TRY IT", I agree to receive news...Anthem CCC Plus member ID card 6. Provider and pharmacy directory 7. 2. What is Commonwealth Coordinated Care Plus? 9. What makes you eligible to be a CCC Plus member? 9. CCC Plus enrollment 9. Reasons you would not be eligible to participate in CCC Plus 9. What if I am pregnant? 10. Coverage for newborns born to moms covered …