MedicaidAdministrativeMedium impact
[Virginia] Updated LTSS authorization and care management training material
Anthem BCBS·VA · Geriatrics, Palliative Care·Provider Bulletin
Effective date
Jul 16, 2026
We identified it
Jul 17, 2026
Summary
Anthem HealthKeepers, Inc. (Virginia Medicaid) has updated training materials for Long-Term Services & Supports (LTSS) authorization and care management, including revised Quick Reference Guide and FAQ documents. These updates clarify provider workflows, authorization alignment, and coordination between providers, care managers, and utilization management teams for consumer-directed and agency-directed personal care services.
Action Required
By August 16, 2026: Billing and clinical staff providing consumer-directed attendant care (S5126) and agency-directed personal care (T1019) services must review the updated Quick Reference Guide (QRG) and Frequently Asked Questions (FAQ) documents available on the Anthem provider portal. Update internal workflows and authorization processes to align with clarified LTSS authorization requirements and care management coordination procedures. Attend scheduled webinars (dates to be announced) to understand implementation details. Ensure all service facilitators and providers understand revised authorization alignment and care management coordination protocols. Failure to implement updated procedures may result in authorization denials and claim processing delays.