Commonwealth Coordinated Care (CCC) Update

Anthem Data Breach Information

Anthem has provided the following information (and attached FAQ) regarding services in response to the much-reported data breach of their systems.  You may want to consider providing this information to CCC residents/patients on the Anthem HealthKeepers MMP, although they should also be receiving this information directly from Anthem:

Effective immediately, current and former Anthem HealthKeepers Plus and MMP members can visit AnthemFacts.com to learn more about credit monitoring and identity theft repair services provided by AllClear ID, a leading and trusted identity protection provider. All services are available for two years.  

Details of the services, and instructions on how to enroll, are listed below:

  • Identity theft repair services are available to Anthem members who feel they have experienced fraud. For members who have been impacted by the cyber attack, these services are automatically available and do not require enrollment. Please visit AnthemFacts.com to learn how to access these services. Members may access identity repair services by calling 877-263-7995.
  • Credit monitoring services require a member to actively enroll because the member must provide their personal information and consent to have their credit monitored. Members can enroll at any time during the 24 month coverage period, and can learn how to sign up at AnthemFacts.com. Members who do not have access to the Internet may call 877-263-7995 for assistance.
  • The free identity protection services provided by Anthem include two years of:
  1. Identity Repair Assistance:  Should a member experience fraud, an investigator will do the work to recover financial losses, restore the member’s credit, and ensure the member’s identity is returned to its proper condition. This assistance will cover any fraud that has occurred since the incident first began.
  2. Credit Monitoring: At no cost, members may also enroll in additional protections, including credit monitoring. Credit monitoring alerts consumers when banks and creditors use their identity to open new credit accounts.
  3. Child Identity Protection:  Child-specific identity protection services will also be offered to any members with children insured through their Anthem plan.
  4. Identity theft insurance:  For individuals who enroll, the company has arranged for $1,000,000 in identity theft insurance, where allowed by law. 
  5. Identity theft monitoring/fraud detection: For members who enroll, data such as credit card numbers, social security numbers and emails will be scanned against aggregated data sources maintained by top security researchers that contain stolen and compromised individual data, in order to look for any indication that the members’ data has been compromised.
  6. Phone Alerts:  Individuals who register for this service and provide their contact information will receive an alert when there is a notification from a credit bureau, or when it appears from identity theft monitoring activities that the individual’s identity may be compromised.
  • Spanish-speaking members may access information at AnthemInforma.com, or receive assistance in Spanish at 877-263-7995.
  • Phone lines will be open from 2:00 to 9:00 p.m. ET on Friday, and will be open 9:00 a.m. to 9:00 p.m. ET Monday to Saturday.

Claims Processing Concerns
Last week, we provided a status on the claims processing concerns that had emerged under the CCC program across all three MMPs (last week's article).  VHCA is interested in feedback from the field on whether or not you are experiencing improvement relative to the issues identified, so that we can continue to advocate on your behalf towards expedient resolution.  If you have any updates, please email Steve Ford.

CCC Authorization Issues for Medicare Parts A & B
Additionally, last week we solicited members for examples of Medicare authorization issues with the MMPs in order to continue the dialogue as it relates to the level of care and timeliness concerns.   We continue to encourage you to share examples with DMAS directly via the secured e-mail solution as described in last week’s article.