Kentucky
Provider Communications

August 2019 Anthem Provider News - Kentucky

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Title Category

AIM Specialty Health programs may require documentation

Medicare

Anthem customizations to MCG care guidelines 23rd edition

Medical Policy & Clinical Guidelines

Clinical criteria and prior authorization updates for specialty pharmacy are available

Pharmacy

Coming soon: electronic attachments

Medicaid

Medicaid News -- August 2019

Medicaid

Medical Policy and Clinical Guideline Updates -- August 2019

Medical Policy & Clinical Guidelines

Medicare News -- August 2019

Medicare

New location for Provider Manuals on anthem.com

Administrative

New Reimbursement Policy: Drug Screen Testing

Medicare

New service types added to Availity

Medicare

Pharmacy information available at anthem.com

Pharmacy

Pharmacy management information

Medicaid

Reimbursement Policy Update: Bundled Services-Professional

Reimbursement Policies

Reimbursement Policy Update: Frequency Editing-Professional

Reimbursement Policies

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

Pharmacy

Special needs plans - provider training required

Medicare

Update: Sepsis Coding

Administrative

Updated Provider Manual now available

Administrative

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Use the Provider Maintenance Form for professional providers to update your information

Medicaid
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