Long-Term Services and Supports (LTSS)
Cardinal Care program
LTSS services are covered under the Cardinal Care program. This program covers a wide variety of long-term services and supports that help improve quality of life for elderly and disabled individuals. Services are provided over an extended period, predominantly in an Anthem HealthKeepers Plus member’s home and community. LTSS covered services include assistance with basic activities of daily life and self-care, as well as support for everyday tasks such as laundry, shopping, and transportation.
Refer to the Provider Manual for more information on LTSS requirements and covered benefits.
Refer a member
Please contact Provider Services to verify eligibility or refer a member for services.
Electronic visit verification
Electronic visit verification (EVV) uses technology to record the timing and location of caregivers or direct service workers during appointment check-in and check-out. HealthKeepers, Inc. requires use of EVV for certain services rendered to Anthem HealthKeepers Plus members, including personal care, respite and companion services.
Critical incident reporting
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.
Related information
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn About Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Policies, Guidelines & Manuals
- Referrals
- Forms
- Provider Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)