Kentucky
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

Why do patients stop taking their prescribed medications and what can you do to help them?

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

What Matters Most: Improving the Patient Experience CME

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

What Matters Most: Improving the Patient Experience

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

What Matters Most online training course: Improving patient experience

September 2020 Anthem Provider News - Kentucky Medicaid Sep 1, 2020

Verifying and updating your provider information

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

Vaginal birth after cesarean (VBAC) shared decision-making aid available

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

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

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

Use of Imaging Studies for Low Back Pain (LBP)

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

Updates to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

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

Update: Evaluation and Management with Modifier 25

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

Update: Drug Screen

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Unspecified diagnosis reminder

January 2022 Anthem Provider News - Kentucky Medicaid Jan 1, 2022

Unspecified diagnosis code update

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

Submitting prior authorizations is getting easier

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

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

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

Streamline workflow with solicited medical attachments

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Sign up to receive email from Anthem Blue Cross and Blue Shield Medicaid

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

Services requiring prior authorization

January 2019 Anthem Kentucky Provider Newsletter Medicaid Jan 1, 2019

Review of professional claims with emergency department level 5 E&M codes

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

Resources to support your pregnant and postpartum patients and their families

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

Resources to support your diverse patient panel

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

Resources to support your diverse patient panel

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

Reminder: Mid-level practitioners are required to file using their NPI

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

Reminder: Appointment availability and after-hours access requirements

February 2019 Anthem Kentucky Provider Newsletter Medicaid Feb 1, 2019

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

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

Reimbursement Policy Update: Modifier 25

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

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

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

Reimbursement Policy Update: Claims Requiring Additional Documentation

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Quarterly Pharmacy Formulary Change Notice

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Provider transparency update

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

Provider surveys

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

Provider payment schedule updates

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

Provider education program survey: Your Voice Counts

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

Provider Chat: A fast, easy way to get your questions answered

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

Provider Chat: A fast, easy way to get your questions answered

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

Prior authorization requirements: New 2020 codes for coverage and precertification

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

Prior Authorization Requirements for Sublocade

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Prior Authorization Requirements for Somatrem

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Prior authorization requirements for Interferon beta-1a

January 2019 Anthem Kentucky Provider Newsletter Medicaid Jan 1, 2019

Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for Emicizumab-kxwh injection

January 2019 Anthem Kentucky Provider Newsletter Medicaid Jan 1, 2019

Prior authorization requirements for Darzalex (daratumumab) drug

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for Cabazitaxel (Jevtana)

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements changes effective November 1, 2019

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

Prior authorization requirement changes effective April 1, 2021

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

Prior authorization required for radiotherapies and radioimmunotherapies effective March 1, 2021

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

Practitioners’ rights during credentialing process

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

Postponed - Review of professional claims with emergency room level 5 E/M codes

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

Policy Reminder: Nurse Practitioner and Physician Assistant Services, Professional

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

Pharmacy management information

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

Patient360 enhancement for medical providers

October 2020 Anthem Provider News - Kentucky Medicaid Oct 1, 2020

Notifications on the Availity Portal

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

New! Provider manual now available

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

New specialty pharmacy medical step therapy requirements

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

New specialty pharmacy medical step therapy requirements

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

New specialty pharmacy medical step therapy requirements

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

New service types added to Availity

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

New reimbursement policy: Modifier 90 Reference (Outside) Laboratory and Pass-Through Billing effective November 1, 2021

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

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

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

New behavioral health discharge call-in line

October 2020 Anthem Provider News - Kentucky Medicaid Oct 1, 2020

Neonatal intensive care unit post-traumatic stress disorder program

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

NCQA: Practitioners’ Rights during Credentialing Process

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

NCQA: Pharmacy Management Information

December 2018 Anthem Kentucky Provider Newsletter Medicaid Dec 1, 2018

Modifier use reminders

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

Modifier use reminders

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

Miscellaneous durable medical equipment (DME) billing guidelines

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

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

Members’ Rights and Responsibilities Statement

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

Member Rights’ and Responsibilities Statement

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

Member rights’ and responsibilities statement

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

Medical Policies and Clinical Utilization Management Guidelines Update -- June 2019

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

Medical Policies and Clinical Utilization Management Guidelines update - May 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

Medical Policies and Clinical Utilization Management Guidelines update - January 2018

October 2018 Anthem Kentucky Provider Newsletter Medicaid Sep 28, 2018

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 drug benefit Clinical Criteria updates - November 2019

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

Medical drug benefit clinical criteria updates - February 2021

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

Medical drug benefit clinical criteria updates - April 2021

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

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

Medicaid News -- October 2019

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

Medicaid News -- June 2019

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

Medicaid News -- January 2020

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

Medicaid News -- December 2019

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

Medicaid News -- August 2019

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

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 - 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 - May 2019

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

Medicaid News - March 2020

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

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 - 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 - 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 - February 2020

February 2020 Anthem Provider News - Kentucky Medicaid Feb 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 - 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 - April 2020

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

May 2021 medical policies and utilization management guidelines update

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

March 2020 medical drug benefit clinical criteria updates

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

Let’s Vaccinate

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

Latest updates to Electronic Data Interchange Gateway migration

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