Kentucky
Provider Communications

Articles

Title Publication Category Date

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

CAHPS education for providers

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

Updates to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

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

Notifications on the Availity Portal

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

Resources to support your pregnant and postpartum patients and their families

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

Policy Reminder: Nurse Practitioner and Physician Assistant Services, Professional

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

Digital transactions cut administrative tasks in half

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

Access requirements for behavioral health care services

December 2020 Anthem Provider News - Kentucky Behavioral Health Dec 1, 2020

AIM IVR changes for non-oncology medical specialty drug reviews effective Jan. 1, 2021

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

Access to claim denial information is now self-service

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

2-minute videos to engage patients about preventive care

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

Anthem makes going digital easy with the Provider Digital Engagement Supplement

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

PCP after-hours access requirements

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

Coordination of care

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

Members’ rights and responsibilities

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

Important information about utilization management

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

Case management program

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

Anthem expands hospice policy

December 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

December 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2020

2021 Medicare Advantage individual benefits and formularies

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

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

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

Medical policies and clinical utilization management guidelines update

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

Policy Update: Emergency Department: Leveling of Evaluation and Management Services

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

Digital transactions cut administrative tasks in half

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

IngenioRx Introduces new pharmacy network in 2021

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

Prior authorization updates for specialty pharmacy are available - November 2020

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

Availity attachment tools for Anthem and affiliate payers - Live Webinars

Sign up for upcoming webinars!
November 2020 Anthem Provider News - Kentucky Administrative Nov 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) Number - Additional Information

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

Digital transactions cut administrative tasks in half

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

Get the full picture of your patient’s health through their smartphone

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

Medical policy and clinical guideline updates - November 2020

November 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2020

US Antibiotic Awareness Week

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

Correction to Prior Authorization Update for Commercial business

November 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2020

New reimbursement policy: Documentation standards for episodes of care (Professional)

November 2020 Anthem Provider News - Kentucky Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)

November 2020 Anthem Provider News - Kentucky Reimbursement Policies Nov 1, 2020

Reminder: Post-service reviews using AIM

November 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2020

Reimbursement policy update: Modifier rules (Professional)

November 2020 Anthem Provider News - Kentucky Reimbursement Policies Nov 1, 2020

Attention: Updated laboratory fee schedule

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

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

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

Digital transactions cut administrative tasks in half

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

Provider transparency update

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

Medicare News - November 2020

View these Medicare articles:
- AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020
- Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines
- AIM Musculoskeletal program expansion postponed
November 2020 Anthem Provider News - Kentucky Medicare Nov 1, 2020

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

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

Digital transactions cut administrative tasks in half

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

FDA approvals and expedited pathways used - new molecular entities

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

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum invitation - Kentucky Behavioral Health Oct 14, 2020

Anthem updates formulary lists for commercial health plan pharmacy benefit

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

Updated coverage for breast cancer prevention medications

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

FDA approvals and expedited pathways used - New Molecular Entities (NMEs)

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

Anthem Chat: A fast, easy way to have your questions answered

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

New medical claim attachment webinars: Register today

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

Electronic member ID cards available on the Availity portal

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

What Matters Most: Improving the patient experience

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: New guidance on telephone-only service CPT codes for risk adjustment program

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

Transition to AIM rehabilitative service clinical appropriateness guidelines

October 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Oct 1, 2020

Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Oct 1, 2020

Reimbursement policy update: Claims requiring additional documentation policy (Facility)

October 2020 Anthem Provider News - Kentucky Reimbursement Policies Oct 1, 2020

Medicare News - October 2020

View these Medicare articles:
- Evaluation and management services correct coding
- Medical policies and clinical utilization management guidelines update
- Prior authorization requirements for the below codes effective January 2021
October 2020 Anthem Provider News - Kentucky Medicare Oct 1, 2020

Medical drug benefit clinical criteria updates

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

Prior authorization requirements for the below codes effective January 1, 2021

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

Social determinants of health support expanding with GroundGame Health

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

Provider transparency update

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

Prior authorization updates for specialty pharmacy are available - October 2020

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

Pharmacy information available at anthem.com

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

National Accounts 2021 Pre-certification list

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

Medical policy and clinical guideline updates - October 2020

October 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Oct 1, 2020

Prior authorization update for Commercial Individual Business

October 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Oct 1, 2020

Reimbursement policy update: Emergency department - leveling of Evaluation and Management services (Facility)

October 2020 Anthem Provider News - Kentucky Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Laboratory and venipuncture (Professional)

October 2020 Anthem Provider News - Kentucky Reimbursement Policies Oct 1, 2020

Federal Employee Program® expands specialty pharmacy prior authorization list

October 2020 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Oct 1, 2020

Updated Provider Manual now available

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

New behavioral health discharge call-in line

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

Patient360 enhancement for medical providers

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

Site of care medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020

September 2020 Anthem Provider News - Kentucky Products & Programs Sep 1, 2020

Meet your Cancer Care Navigator

Anthem’s new cancer support program helps improve outcomes while easing burdens for you and your patients.
September 2020 Anthem Provider News - Kentucky Products & Programs Sep 1, 2020

Predictive analytics guide proactive support to patients undergoing chemotherapy resulting in lowered admissions

September 2020 Anthem Provider News - Kentucky Products & Programs Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Specialty pharmacy updates are available - September 2020

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

New provider directory indicators for medication assisted treatment (MAT) providers

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

Attention workers’ compensation network providers

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

Inclusion of AIM-reviewed services in UM reimbursement penalties

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

EDI Gateway migration deadline is September 15, 2020

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

Providers can now receive and respond to medical record requests for post-pay audit via Change Healthcare’s Assurance Attach Assist Module

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

Enhanced medical records submission process to support claims processing

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

Patient360 adds care gap alert feedback for medical providers

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2020 Prospective Program continues

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

Reimbursement policy update: Distinct Procedural Services- Modifiers 59, XE, XP, XS, XU (Professional)

September 2020 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Frequency Editing (Professional)

September 2020 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2020

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

What Matters Most online training course: Improving patient experience

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

Update: Notice of changes to the AIM musculoskeletal program

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

Medical drug benefit clinical criteria updates

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Voluntary site of care outreach for oncology checkpoint inhibitors beginning August 1, 2020

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

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

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

Pharmacy information available on anthem.com

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

Provider contract and fee schedule notifications coming soon

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

Resources to support diverse patients and communities

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

Evaluation and management services correct coding (Professional)

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