Kentucky
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

2019 Provider Satisfaction Survey: We need your help!

September 2019 Anthem Provider News - Kentucky Medicaid Sep 1, 2019

2020 affirmative statement concerning utilization management decisions

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

2021 affirmative statement concerning utilization management decisions

October 2021 Anthem Provider News - Kentucky Medicaid Oct 1, 2021

4 things you can do to encourage cancer screenings for your female patients

December 2021 Anthem Provider News - Kentucky Medicaid Dec 1, 2021

Access to more claim denial information is now self-service

April 2021 Anthem Provider News - Kentucky Medicaid Apr 1, 2021

Acquisition of Beacon Health Options

May 2020 Anthem Provider News - Kentucky Medicaid May 1, 2020

Anthem fights opioid addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Antibiotic dispensing guidelines

March 2020 Anthem Provider News - Kentucky Medicaid Mar 1, 2020

Appointment availability and after-hours access requirements

October 2021 Anthem Provider News - Kentucky Medicaid Oct 1, 2021

Aspire Health now provides palliative care for Medicaid members

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

December 2020 Anthem Provider News - Kentucky Medicaid Dec 1, 2020

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Attention: Updated laboratory fee schedule

November 2020 Anthem Provider News - Kentucky Medicaid Nov 1, 2020

August 2019 medical drug benefit clinical criteria updates

January 2020 Anthem Provider News - Kentucky Medicaid Jan 1, 2020

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID cards

March 2021 Anthem Provider News - Kentucky Medicaid Mar 1, 2021

CAHPS education for providers

December 2020 Anthem Provider News - Kentucky Medicaid Dec 1, 2020

CAHPS® survey

February 2021 Anthem Provider News - Kentucky Medicaid Feb 1, 2021

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Clinical Criteria updates

September 2019 Anthem Provider News - Kentucky Medicaid Sep 1, 2019

Clinical Criteria updates - May 2019

May 2019 Anthem Provider Newsletter - Kentucky Medicaid May 1, 2019

Clinical Utilization Management Guidelines update - March 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Coding Spotlight - Obesity

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 1, 2019

Coding spotlight: diabetes - provider guide to coding the diagnosis and treatment of diabetes

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

Coding spotlight: HIV and AIDS

March 2020 Anthem Provider News - Kentucky Medicaid Mar 1, 2020

Coding Spotlight: Hypertension

July 2019 Anthem Provider News - Kentucky Medicaid Jul 1, 2019

Coding spotlight: mental disorders in childhood

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Coding spotlight: Provider’s guide to code social determinants of health

July 2020 Anthem Provider News - Kentucky Medicaid Jul 1, 2020

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

December 2019 Anthem Provider News - Kentucky Medicaid Dec 1, 2019

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

January 2020 Anthem Provider News - Kentucky Medicaid Jan 1, 2020

Coding spotlight: Provider’s guide to coding for cardiovascular conditions

July 2020 Anthem Provider News - Kentucky Medicaid Jul 1, 2020

Coding Spotlight: Substance Use Disorders and Smoking

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Coding tip for psychological and neuropsychological testing

March 2020 Anthem Provider News - Kentucky Medicaid Mar 1, 2020

Coming soon: electronic attachments

August 2019 Anthem Provider News - Kentucky Medicaid Aug 1, 2019

Complex Case Management program

June 2019 Anthem Provider Newsletter - Kentucky Medicaid Jun 1, 2019

Complex Case Management program

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

Complex case management program

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Continuing medical education and continuing education unit opportunities

May 2021 Anthem Provider News - Kentucky Medicaid May 1, 2021

Controlling high blood pressure (CBP)

August 2020 Anthem Provider News - Kentucky Medicaid Aug 1, 2020

Copay update

January 2019 Anthem Kentucky Provider Newsletter Medicaid Jan 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Kentucky Medicaid Apr 1, 2019

COVID-19 Vaccine Provider Incentive program

December 2021 Anthem Provider News - Kentucky Medicaid Dec 1, 2021

Diabetes testing and screening HEDIS measures

November 2021 Anthem Provider News - Kentucky Medicaid Nov 1, 2021

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Kentucky Medicaid Nov 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News - Kentucky Medicaid Dec 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Anthem Provider News - Kentucky Medicaid Apr 1, 2020

Disease Management/Population Health program

January 2021 Anthem Provider News - Kentucky Medicaid Jan 1, 2021

EDI Gateway migration

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Electronic data interchange gateway update

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

Electronic data interchange process

November 2021 Anthem Provider News - Kentucky Medicaid Nov 1, 2021

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Kentucky Medicaid Nov 1, 2019

FDA approvals and expedited pathways used - new molecular entities (NMEs)

February 2021 Anthem Provider News - Kentucky Medicaid Feb 1, 2021

Follow-Up After Hospitalization for Mental Illness

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

Get your payments faster when you sign up for electronic funds transfer

November 2021 Anthem Provider News - Kentucky Medicaid Nov 1, 2021

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Provider News - Kentucky Medicaid Dec 1, 2019

Good news: Non-payment remittance advice enhancements are here

December 2021 Anthem Provider News - Kentucky Medicaid Dec 1, 2021

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

February 2021 Anthem Provider News - Kentucky Medicaid Feb 1, 2021

HEDIS measures: Follow-Up After ED Visits for Mental Illness and Alcohol and Other Drug Abuse or Dependence

December 2021 Anthem Provider News - Kentucky Medicaid Dec 1, 2021

Important Crib and Car Seat Program update

June 2021 Anthem Provider News - Kentucky Medicaid Jun 1, 2021

Important information about utilization management

June 2019 Anthem Provider Newsletter - Kentucky Medicaid Jun 1, 2019

Important information about utilization management

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

Important information about utilization management

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

July 2018 Medical Policies and Clinical Utilization Management Guidelines update

March 2019 Anthem Provider Newsletter - Kentucky Medicaid Mar 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines Update

November 2019 Anthem Provider News - Kentucky Medicaid Nov 1, 2019

June 2020 medical drug benefit clinical criteria updates

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Keep up with Medicaid News - December 2021

  • Prior authorization updates for specialty pharmacy effective December 1, 2021
  • Prior authorization updates for specialty pharmacy effective January 1, 2022
December 2021 Anthem Provider News - Kentucky Medicaid Dec 1, 2021

Keep up with Medicaid News - November 2021

View these Medicaid articles:
- March 2021 Medical drug benefit Clinical Criteria updates
- May 2021 Medical drug benefit Clinical Criteria updates
November 2021 Anthem Provider News - Kentucky Medicaid Nov 1, 2021

Keep up with Medicaid news  - September 2021

View this Medicaid article:
- Clinical criteria web posting May 2020
September 2021 Anthem Provider News - Kentucky Medicaid Sep 1, 2021

Keeping up with routine vaccination during COVID-19

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Kentucky Health Information Exchange grant opportunity

April 2020 Anthem Provider News - Kentucky Medicaid Apr 1, 2020

Latest updates to Electronic Data Interchange Gateway migration

July 2019 Anthem Provider News - Kentucky Medicaid Jul 1, 2019

Let’s Vaccinate

July 2021 Anthem Provider News - Kentucky Medicaid Jul 1, 2021

March 2020 medical drug benefit clinical criteria updates

August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

May 2021 medical policies and utilization management guidelines update

October 2021 Anthem Provider News - Kentucky Medicaid Oct 1, 2021

Medicaid News - April 2020

View this Medicaid notice:
- New specialty pharmacy medical step therapy requirements
April 2020 Anthem Provider News - Kentucky Medicaid Apr 1, 2020

Medicaid News - August 2020

View these Medicaid articles:
- InterQual 2020 update
- Appointment availability and after-hours access requirements
August 2020 Anthem Provider News - Kentucky Medicaid Aug 1, 2020

Medicaid News - August 2021

View these Medicaid articles:
- InterQual April 2021 revisions
- Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837
August 2021 Anthem Provider News - Kentucky Medicaid Aug 1, 2021

Medicaid News - February 2020

February 2020 Anthem Provider News - Kentucky Medicaid Feb 1, 2020

Medicaid News - February 2021

View these Medicaid articles:
- InterQual 2020.1 update
- New specialty pharmacy medical step therapy requirements-1
- New specialty pharmacy medical step therapy requirements-2
- Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging
- Sign up to receive email from Anthem Blue Cross and Blue Shield Medicaid
February 2021 Anthem Provider News - Kentucky Medicaid Feb 1, 2021

Medicaid News - July 2021

View these Medicaid articles:
- Aspire Health for members in need of palliative care
- Clinical criteria updates notification December 2020
July 2021 Anthem Provider News - Kentucky Medicaid Jul 1, 2021

Medicaid News - June 2021

View these Medicaid articles:
- Maximizing efficient, high quality COVID-19 screenings
- Medical drug benefit clinical criteria updates
- Updates to the AIM Advanced Imaging clinical appropriateness guidelines
June 2021 Anthem Provider News - Kentucky Medicaid Jun 1, 2021

Medicaid News - March 2020

March 2020 Anthem Provider News - Kentucky Medicaid Mar 1, 2020

Medicaid News - May 2019

May 2019 Anthem Provider Newsletter - Kentucky Medicaid May 1, 2019

Medicaid news - May 2021

View these Medicaid articles:
- Clinical criteria updates notification November 2020
- Update to claim filing limit
May 2021 Anthem Provider News - Kentucky Medicaid May 1, 2021

Medicaid News - September 2020

View these Medicaid article:
- Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines
- Provider data update
September 2020 Anthem Provider News - Kentucky Medicaid Sep 1, 2020

Medicaid News -- August 2019

August 2019 Anthem Provider News - Kentucky Medicaid Aug 1, 2019

Medicaid News -- December 2019

December 2019 Anthem Provider News - Kentucky Medicaid Dec 1, 2019

Medicaid News -- January 2020

January 2020 Anthem Provider News - Kentucky Medicaid Jan 1, 2020

Medicaid News -- June 2019

June 2019 Anthem Provider Newsletter - Kentucky Medicaid Jun 1, 2019

Medicaid News -- October 2019

October 2019 Anthem Provider News - Kentucky Medicaid Oct 1, 2019

Medical drug benefit Clinical Criteria updates

May 2020 Anthem Provider News - Kentucky Medicaid May 1, 2020

Medical drug benefit clinical criteria updates

August 2020 Anthem Provider News - Kentucky Medicaid Aug 1, 2020

Medical drug benefit clinical criteria updates - April 2021

April 2021 Anthem Provider News - Kentucky Medicaid Apr 1, 2021

Medical drug benefit clinical criteria updates - February 2021

February 2021 Anthem Provider News - Kentucky Medicaid Feb 1, 2021

Medical drug benefit Clinical Criteria updates - November 2019

June 2020 Anthem Provider News - Kentucky Medicaid Jun 1, 2020

Medical Drug Clinical Criteria updates

November 2019 Anthem Provider News - Kentucky Medicaid Nov 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Kentucky Medicaid Dec 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update - January 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Medical Policies and Clinical Utilization Management Guidelines update - May 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018
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