Kentucky
Provider Communications

May 2020 Anthem Provider News - Kentucky

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Title Category

COVID-19 information repository for Anthem Care Providers

Administrative

Anthem Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

Administrative

Quality Corner: Diabetes HbA1c<8 HEDIS Guidance

Administrative

Acquisition of Beacon Health Options

Medicaid

Prior authorization requirements: New 2020 codes for coverage and precertification

Medicaid

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

Medicaid

Medical drug benefit Clinical Criteria updates

Medicaid

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Medicare News - May 2020

View these Medicare articles:
- Prior Authorization requirements
- New behavioral health Medicare Advantage individual and Group Retiree Solutions provider fax
Medicare

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

Medicare

Multi-dose packaging

Medicare

Anthem prior authorization updates for specialty pharmacy are available - May 2020

Pharmacy

Reimbursement Policy Update: Claims requiring additional documentation (Facility)

Reimbursement Policies

Reminder about system updates

Reimbursement Policies
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