Anthem HealthKeepers Medicare-Medicaid Plan MMP 2026

See details

4 out of 5

26 votes

The document is a precertification request form for the Anthem HealthKeepers Medicare-Medicaid Plan, detailing the necessary information required for healthcare providers to obtain authorization for various medical services, including specialist consultations, diagnostic studies, and surgeries. It emphasizes the importance of verifying member eligibility and includes sections for patient and provider details, diagnosis codes, and clinical information to support medical necessity.

Here's how it works

01. Edit your anthem healthkeepers online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send anthem healthkeepers medicaid via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Anthem HealthKeepers Medicare-Medicaid Plan MMP with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Anthem HealthKeepers Medicare-Medicaid Plan MMP in the editor.
Begin by entering today’s date at the top of the form. This helps track when the request was made.
Fill in the provider return fax number to ensure that responses are sent back correctly.
In the Member Information section, clearly input the member's name, member number, date of birth, and address. Verify eligibility before proceeding.
Complete the Referring Provider Information by providing details such as name, contact information, and relevant provider numbers.
For Specialist Consults, enter the consultant's name, specialty, and contact details. Include diagnosis codes and any previous treatment history.
If applicable, fill out sections for maternity care or diagnostic studies with specific details regarding procedures and reasons for referral.
Attach any necessary clinical information to support medical necessity before submitting your completed form.

Start using our platform today to streamline your Anthem HealthKeepers Medicare-Medicaid Plan MMP submissions for free!

See more Anthem HealthKeepers Medicare-Medicaid Plan MMP versions

We've got more versions of the Anthem HealthKeepers Medicare-Medicaid Plan MMP form. Select the right Anthem HealthKeepers Medicare-Medicaid Plan MMP version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2022	4.3 Satisfied (55 Votes)
2014	4 Satisfied (26 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does MMP mean in Medicare?

A Medicare Advantage MMP is a private health plan that provides coordinated Medicare and Medicaid benefits for dually eligible individuals. MMPs simplify the processes for dual eligible individuals to access the care they are entitled to under Medicare and Medicaid programs.

Are Anthem and Anthem HealthKeepers the same?

In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc. 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.

What is the difference between MMP and SNP?

With a D-SNP, you can keep the same Medicaid plan and benefits you get today, but you have a separate Medicare Advantage plan that gives you more benefits and features than Original Medicare. But with an MMP, all Medicare and Medicaid benefits and services are provided through one single health plan.

What is the best Medicaid plan in Virginia?

Medicare Advantage (Part C) plans are offered by private insurance companies like Anthem. They replace your Original Medicare Parts A and B but are required by law to provide all Part A and Part B benefits.

What is the Medicare Medicaid plan MMP?

Medicare-Medicaid Plans (MMPs) cover all Medicaid and Medicare benefits under a single entity through a three-way contract between the Centers for Medicare Medicaid Services (CMS), the state, and the health plan.

anthem healthkeepers plus medicaid

Anthem healthkeepers medicare medicaid plan mmp providers Anthem HealthKeepers Plus Anthem HealthKeepers Plus Medicaid Anthem healthkeepers medicare medicaid plan mmp phone number Anthem healthkeepers medicare medicaid plan mmp benefits Anthem HealthKeepers Plus benefits Anthem healthkeepers medicare medicaid plan mmp login Anthem healthkeepers medicare medicaid plan mmp contact number

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

Who is eligible for MMP?

If you are a Marriott employee or an immediate family member or friend. you can learn about Marriotts discount codes when looking for the best travel deals. Two discount codes qualify for these people: Marriott MMP (Marriott Friends and Family Rate) and MMF (Marriott Employee Rate).