If the following information is not complete, correct, or legible, the PA process can be delayed. Added benefit Services and limits Qualifying members Approval criteria DENTAL Covered through DentaQuest. The CCC Plus model of care is explained in detail in the CCC Plus contract section 5.0. You can also call Member Services at 1-800-901-0020 (Medallion Medicaid and FAMIS members) or 1-855-323-4687 (CCC Plus members); 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. * Availity, LLC is an independent company providing administrative support services on behalf of HealthKeepers… Anthem HealthKeepers Plus: 855-208-6334. Just call 1-844-374-9159 (TDD 1-800-817-6608). Instructions are available within the portal. Initial PA … Claim Status. Healthy Mss.anthem.com Get All ››. On June 1, 2020, HealthKeepers, Inc. removed all … This secure and private portal reduces the amount of paperwork you need to fill out to complete the credentialing process. HealthKeepers, Inc. has a critical incident reporting and management system for incidents that occur in nursing facilities, inpatient behavioral health or HCBS setting (for example, adult day care center, member’s home or any other community-based setting), among other settings. We’re a call away; Medallion Medicaid/FAMIS: 1-800-901-0020 CCC Plus: 1-855-323-4687 TTY 711 Get the mobile app Let's make healthy happen; is an independent licensee of the Blue Cross and Blue Shield Association. Choose Anthem as your Medicaid health plan provider today. What is Commonwealth Coordinated Care Plus? P.O. AVA-RP-0193-20 December 2020 Reimbursement Policy Subject: Claims Timely Filing Effective Date: 05/04/18 Committee … We’re a call away. Anthem HealthKeepers Plus Commonwealth Coordinated Care Plus (Anthem CCC Plus) 2020 Enhanced Benefits Member Services: 1-855-323-4687 (TTY 711) Select option 4 to connect to the 24/7 NurseLine. Have questions? Call them at 1-844-824-2017. We’re the brand Virginians have trusted for more than 20 years Provider orientation and training HealthKeepers, Inc. for Anthem HealthKeepers Plus and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) Professional, facility, behavioral health and ancillary providers . Pharmacy technicians are available Monday through Friday from 8 a.m. to 8 p.m. Our Member Services representatives serve as advocates for our members. The Anthem HealthKeepers Plus Provider Manual is your key source for information about covered benefits, case management and UM programs, claims and appeal guidance, authorization requests, and other program requirements. You can also read your member handbook for details about your benefits. Medallion Medicaid members FAMIS members CCC Plus members Note: You’ll get a notice in the mail when it’s time to renew your benefits. Health plans will contact CCC Plus members to conduct the MCO Member Health Screening. Anthem CCC Plus member ID card.....6 Provider and pharmacy directory .....7 2. Anthem CCC Plus Provider Relations Staff; Submit paper claims to: HealthKeepers, Inc. Anthem HealthKeepers Plus Claims Mail drop VA2000S110 P.O. Box 27401 Richmond, VA 23279-0001 This policy only affected members 21 and over. Have CCC Plus, but haven’t switched to the Anthem CCC Plus plan? Select Virginia as your state via the button and follow the on-screen instructions. Credentialing is the process Anthem uses to evaluate and select licensed independent practitioners to provide care to our members. ET. Provider search tool Use our provider search tool for referring members enrolled in the Anthem HealthKeepers Plus plan to a PCP, specialist, facility or pharmacy in their plan. Our Provider Portal is the easiest way to check claim status. Contact Us. • One routine exam and cleaning every six months … Anthem is a registered trademark of Anthem Insurance Companies, Inc. Anthem HealthKeepers Plus, 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. Anthem Insurance Companies, Inc. Anthem HealthKeepers Plus, 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. Call Anthem CCC Plus Provider Services at 1-855-323-4687for assistance with claim issues, member enrollment and general inquiries. Choose the Anthem HealthKeepers Plus plan. Anthem Insurance Companies, Inc. Anthem HealthKeepers Plus, 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. Commonwealth Coordinated Care Plus (CCC Plus) is a new statewide Medicaid managed care program that will serve approximately 216,000 individuals with complex health care needs, through a person- centered integrated delivery model including medical, behavioral health and long term services and Anthem HealthKeepers Plus Commonwealth Coordinated Care Plus (Anthem CCC Plus) 2020 Enhanced Benefits . This screening verifies that members are medically complex and collects information about food, housing and other social determinants of health. Provider Resources Overview. Hours of operation are Monday to Friday from 8 a.m. to 8 p.m. Richmond, VA 23220-8250. • 1 routine exam and cleaning every 6 months • 1 … Anthem HealthKeepers Plus/CCC Plus Critical Incident Reporting Form We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility. Call 1-800-643-2273 or visit the Virginia Managed Care website to choose or switch to the Anthem HealthKeepers Plus plan for your Medallion Medicaid or FAMIS benefits. Anthem HealthKeepers Plus Provider Manual Opioids and Buprenorphine . Referrals. In March 2020, HealthKeepers, Inc. informed Anthem HealthKeepers Plus providers that the plan was aligning incontinence benefit limits with those of the Department of Medical Assistance Services (DMAS). Call 1-844-374-9159 (TDD 1-800-817-6608) or go to www.cccplusva.com to choose us. For eligibility-related questions, call the number on the back of the member’s ID card or dial 800-676-BLUE (2583). Looking for help? Anthem HealthKeepers Plus Commonwealth Coordinated Care Plus (Anthem CCC Plus) 2021 Enhanced Benefits Member Services: 1-855-323-4687 (TTY 711) Select option 4 to connect to the 24/7 NurseLine. The resources below will direct you to the right place. Call them at 1-844-824-2017. Box 27401 Login Anthem HealthKeepers Plus Virginia Medicaid. Healthy Mss.anthem.com Get All ››. Anthem uses the Council for Affordable Quality Healthcare (CAQH) ProView application for credentialing. Policies, Guidelines & Manuals. • One routine exam and cleaning every … members, please refer to your provider manual or contact Anthem HealthKeepers Plus Provider Services at 1-800-901-0020 or Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) Provider Services at 1-855-323-4687. Box 4208. 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 Cross and Blue Shield Service Benefit Plan (also called the Federal Employee Program or FEP). 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. TM) PA Criteria Align with Virginia Board of Medicine’s Regulations Governing Prescribing of. Member Eligibility & Pharmacy Overview. 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. .....8 What makes you eligible to be a CCC Plus member?.....8 CCC Plus enrollment.....8 Reasons you would not be eligible to participate in CCC Plus.....8 What if I am pregnant? For paper claims submissions, on a UB-04 form, include the taxonomy code in box 57 or in box 81. Pharmacies in your plan Your benefits include a wide range of prescription and over-the-counter (OTC) drugs. We’re a call away; Medallion Medicaid/FAMIS: 1-800-901-0020 CCC Plus: 1-855-323-4687 TTY 711 Get the mobile app Let's make healthy happen; is an independent licensee of the Blue Cross and Blue Shield Association. HealthKeepers, Inc. Other Providers.anthem.com Get more ››. Provider Training Academy. Aetna Better Health Medicaid and Medicare: 844-822-8109. The delivery of reliable health care requires cooperation between Anthem HealthKeepers Plus members, their providers, and their healthcare benefit plans. Anthem CCC Plus Provider Services: 855-323-4687; Faxing to 800-964-3627; Visiting availity.com* If you have any questions about this communication, call Anthem HealthKeepers Plus Provider Services at 800‑901‑0020 or Anthem CCC Plus Provider Services at 855‑323‑4687. Find the resources that help healthcare professionals do what they do best — care for Anthem HealthKeepers Plus members. We value your partnership as an Anthem HealthKeepers Plus provider. That's why we’ve redesigned the provider site to make it more useful for you and easier to use. Interested in joining our provider network? Learn what you get with the Anthem HealthKeepers Plus plan on your plan benefits page, including many extras just for being our member! Call our Pharmacy department at 1-800-901-0020 for Anthem HealthKeepers Plus members or 1-855-323-4687 for Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) members. Have questions? We’re a click or call away This … Services and limits ; Qualifying . Find drug lists, pharmacy program information, and provider resources. We work with IngenioRx to provide these pharmacy benefits. HealthKeepers, Inc. Other Providers.anthem.com Get All ››. AVACPEC-0193-21 March 2021 Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) … Find frequently used forms, training resources, manuals and guides, prior authorization information, referral information, and other support. Added benefit Services and limits Qualifying members Approval criteria DENTAL Covered through DentaQuest. DENTAL ; Covered through DentaQuest. Member Services: 1-855-323-4687 (TTY 711) Select option 4 to connect to the 24/7 NurseLine. We want to make sure you have the latest information about your benefits, how to get the care you need, and how to find local help and resources. 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. HealthKeepers, Inc. has a critical incident reporting and management system for incidents that occur in nursing facilities, inpatient behavioral health or HCBS setting (for example, adult day care center, member’s home or any other community-based setting), among other settings. Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) Prior Authorization (PA) Form . Electronic Data Interchange (EDI) 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. Call them at 1-844-824-2017. Prior Authorization Requirements. Companies, Inc. Anthem HealthKeepers Plus, 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. Claims Overview. Learn about Virginia Medicaid insurance programs like Medallion, CCC Plus, and FAMIS. Magellan Complete Care of Virginia: 844-876-7915. Extended release buprenorphine (Sublocade. For questions, please call 1-877-719-7358 (TTY: 711); select option 9 for ARTS or option 2 for Claims. Virginia Premier Elite Plus. Featured In: February 2020 Anthem Provider News - Virginia. HealthKeepers, Inc. is committed to supporting you in providing quality care and services to the members in our network. Our resources vary by state. Choose your location to get started. Credentialing is the process Anthem uses to evaluate and select licensed independent practitioners to provide care to our members. Anthem uses the Council for Affordable Quality Healthcare (CAQH) ProView application for credentialing. Medallion Medicaid/FAMIS: 1-800-901-0020 CCC Plus: 1-855-323-4687 TTY 711 Get the mobile app Let's make healthy happen. Have questions? members . Anthem HealthKeepers Plus providers are automatically included in the Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) network. Virginia Premier Health Plan Medicare Plans: 844-822-8115. Anthem HealthKeepers Plus Claims and Billing Manual Page 4 of 4 Monitoring submitted claims After submitting a claim, you can monitor and make changes to the claim by: Using the Availity Web Portal. Provider Services Numbers: Smiles for Children: 888-912-3456, Option 1. HealthKeepers, Inc. has a critical incident reporting and management system for incidents that occur in nursing facilities, inpatient behavioral health or HCBS setting (for example, adult day care center, member’s home or any other community-based setting), among other settings. Added benefit . Virginia Premier Health Plan CCC Plus: 844-824-2015. HealthKeepers, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. Download PDF. Visit the Virginia Managed Care website Signing up for health care can be overwhelming, but our team is here to guide you through it. The integration of physical and behavioral health is core to members’ holistic care management. 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. Approval . Anthem CCC Plus Provider Relations Staff; Submit paper claims to: HealthKeepers, Inc. Anthem HealthKeepers Plus Claims Mail drop VA2000S110 P.O. Thank you for being an Anthem HealthKeepers Plus provider and supporting our members. Forms. Learn more about enrollment and how to switch … criteria . If you are currently not a participating provider in the Anthem HealthKeepers Plus network, please contact our Network Management team using the contact information below: Contracting Facilities and physicians Email: …
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