Medicare AdvantageAdministrativeLow impact
[Virginia] Statin Use in Persons with Diabetes: closing the statin gap for adults aged 40 to 75 with diabetes
Anthem BCBS·VA · Endocrinology, Cardiology, Internal Medicine +2 more·Provider Bulletin
Effective date
May 1, 2026
We identified it
May 3, 2026
Summary
This is an informational provider bulletin from Anthem Blue Cross emphasizing statin therapy for Medicare Advantage beneficiaries aged 40-75 with diabetes to improve SUPD (Statin Use in Persons with Diabetes) Star measure performance. The bulletin provides clinical guidance and operational strategies for identifying, initiating, and maintaining statin therapy, but does not implement new billing requirements, coverage changes, or prior authorization mandates.
Action Required
No immediate billing or operational changes required. This is educational guidance for providers. Billing teams should be aware that practices may receive increased statin-related inquiries or documentation requests from Anthem related to SUPD measure tracking. Practices should ensure providers have clear documentation protocols for statin therapy initiation, continuation, and any documented intolerance or exclusions, as these support SUPD performance reporting. No changes to billing codes, prior authorization workflows, or claim submission processes are mandated by this bulletin.