Kentucky
Provider Communications

Articles Recent

Title Publication Category Date

Controlling High Blood Pressure and Submitting Compliant Readings

February 2023 Anthem Provider News - Kentucky Administrative Feb 1, 2023

Enhancing Provider News website and email communications

February 2023 Anthem Provider News - Kentucky Digital Tools Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Anthem Provider News - Kentucky Administrative Feb 1, 2023

Medical Policies and Clinical Guidelines updates - February 2023

February 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Feb 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

February 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Anthem Provider News - Kentucky Digital Tools Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

February 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Feb 1, 2023

Specialty pharmacy updates - February 2023

February 2023 Anthem Provider News - Kentucky Pharmacy Feb 1, 2023

Monkeypox and smallpox vaccines: Product code on claims

February 2023 Anthem Provider News - Kentucky Medicaid Feb 1, 2023

Childhood Immunization Status and Lead Screening in Children for HEDIS

February 2023 Anthem Provider News - Kentucky Medicaid Feb 1, 2023

Keep up with Medicaid News - February 2023

- Clinical Criteria updates
- This is Quitting: Helping teens and young adults quit vaping
- Billing for sports physical exams
- Prior authorization updates for medications billed under the medical benefit (Enjaymo, Kimmtrak, Tezspire, Voxzogo)
- Prior authorization updates for medications billed under the medical benefit (Releuko, Vabysmo)
- Introducing the Provider Learning Hub
February 2023 Anthem Provider News - Kentucky Medicaid Feb 1, 2023

Keep up with Medicare News - February 2023

- Introducing the Provider Learning Hub
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Fylnetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
February 2023 Anthem Provider News - Kentucky Medicare Feb 1, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Kentucky Medicare Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Feb 1, 2023

Important reminder: New ID cards for many of our Anthem Blue Cross and Blue Shield members

New ID cards for Anthem Blue Cross and Blue Shield members - Kentucky Administrative Jan 19, 2023

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Kentucky Administrative Jan 11, 2023

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 30, 2022

Specialty pharmacy updates

January 2023 Anthem Provider News - Kentucky Pharmacy Dec 30, 2022

Standing Orders for Administering Human Papillomavirus Vaccine to Children and Teens

January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

10 Steps to Implementing Standing Orders for Immunization in Your Practice Setting

January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

Using Standing Orders for Administering Vaccines: What You Should Know

January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

HPV Vaccination Starts at 9: Provider and Health Systems Toolbox

January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

HPV Vaccine Provider Incentive Program ages 9 to 13

January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

Attention physicians and lab providers: COVID-19 update regarding reimbursement

January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

Keep up with Medicaid News - January 2023

- Medical drug benefit Clinical Criteria updates
January 2023 Anthem Provider News - Kentucky Medicaid Dec 30, 2022

Keep up with Medicare news - January 2023

- Prior authorization requirement changes
- New specialty pharmacy medical step therapy requirements (Inflectra & Renflexis)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Cimerli)
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
January 2023 Anthem Provider News - Kentucky Medicare Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

January 2023 Anthem Provider News - Kentucky Administrative Dec 30, 2022

Cleveland-Cliffs offers Medicare Advantage option

January 2023 Anthem Provider News - Kentucky Medicare Dec 30, 2022

Outpatient facility revenue code billing requirements

January 2023 Anthem Provider News - Kentucky Reimbursement Policies Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

January 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change

January 2023 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases

January 2023 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Dec 30, 2022

Professional system updates for 2023

January 2023 Anthem Provider News - Kentucky Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Anthem Provider News - Kentucky Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Anthem Provider News - Kentucky Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Kentucky Administrative Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

December 2022 Anthem Provider News - Kentucky Administrative Dec 1, 2022

Coordination of care

December 2022 Anthem Provider News - Kentucky Administrative Dec 1, 2022

Case management program

December 2022 Anthem Provider News - Kentucky Administrative Dec 1, 2022

Important information about utilization management

December 2022 Anthem Provider News - Kentucky Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Kentucky Administrative Dec 1, 2022

Remote EMR access service for HEDIS

December 2022 Anthem Provider News - Kentucky Digital Tools Dec 1, 2022

Medical Policies and Clinical Guidelines updates - December 2022

December 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional

December 2022 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

December 2022 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Anthem Provider News - Kentucky Administrative Dec 1, 2022

Keep up with Medicaid News - December 2022

- Prior authorization updates for medications billed under the medical benefit (Fyarro, BESREMi, Vyvgart, Adbry, Leqvio)
- New specialty pharmacy medical step therapy requirements (Mvasi, Avastin, Zirabev)
December 2022 Anthem Provider News - Kentucky Medicaid Dec 1, 2022

Monkeypox resources and recommendations for our care providers

December 2022 Anthem Provider News - Kentucky Medicaid Dec 1, 2022

Important information about utilization management

December 2022 Anthem Provider News - Kentucky Medicaid Dec 1, 2022

Keep up with Medicare News - December 2022

- Medical drug benefit Clinical Criteria updates
- Medical Policies and Clinical Utilization Management Guidelines update
December 2022 Anthem Provider News - Kentucky Medicare Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Kentucky Medicare Dec 1, 2022

Specialty pharmacy updates - December 2022

December 2022 Anthem Provider News - Kentucky Pharmacy Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Anthem Provider News - Kentucky Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Anthem Provider News - Kentucky Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Anthem Provider News - Kentucky Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Anthem Provider News - Kentucky Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Anthem Provider News - Kentucky Administrative Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Kentucky Pharmacy Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Kentucky Medicare Dec 1, 2022

For provider enrollment, use the Digital Provider Enrollment tool in Availity, not the Provider Maintenance Form

For provider enrollment, use the Digital Provider Enrollment tool in Availity Digital Tools Nov 15, 2022

PCP searches in Find Care

PCP searches in Find Care - Kentucky Administrative Nov 2, 2022

Claims status message enhancements: providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Kentucky Digital Tools Nov 1, 2022

Authorization application enhancements: faster, easier, and more efficient

November 2022 Anthem Provider News - Kentucky Digital Tools Nov 1, 2022

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

November 2022 Anthem Provider News - Kentucky Digital Tools Nov 1, 2022

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Anthem Provider News - Kentucky Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Anthem Provider News - Kentucky Digital Tools Nov 1, 2022

Medical policy and clinical guideline updates - November 2022

November 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2022

Correction to reimbursement policy: Place of Service - Facility

November 2022 Anthem Provider News - Kentucky Reimbursement Policies Nov 1, 2022

Keep up with Medicaid News - November 2022

- Prior authorization requirement changes effective November 1, 2022
- Provider notice for COVID-19 testing
- New phone number for AIM Specialty Health
- Prior authorization requirement changes
- Mental health needs during the eastern Kentucky flood
- New specialty pharmacy medical step therapy requirements
November 2022 Anthem Provider News - Kentucky Medicaid Nov 1, 2022

Personalized Match

November 2022 Anthem Provider News - Kentucky Medicare Nov 1, 2022

Enhancing claims attachment processes through digital applications

November 2022 Anthem Provider News - Kentucky Medicaid Nov 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

November 2022 Anthem Provider News - Kentucky Medicaid Nov 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

November 2022 Anthem Provider News - Kentucky Medicaid Nov 1, 2022

Guidance for coding evaluation and management services for new and established patients

November 2022 Anthem Provider News - Kentucky Medicaid Nov 1, 2022

Specialty pharmacy updates - November 2022

November 2022 Anthem Provider News - Kentucky Pharmacy Nov 1, 2022

Keep up with Medicare News - November 2022

- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
- Provider notice for COVID-19 testing
November 2022 Anthem Provider News - Kentucky Medicare Nov 1, 2022

Enhancing claims attachment processes through digital applications

November 2022 Anthem Provider News - Kentucky Medicare Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Anthem Provider News - Kentucky Administrative Nov 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

November 2022 Anthem Provider News - Kentucky Medicare Nov 1, 2022

Information from Anthem for Care Providers about COVID-19 – RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.
Future updates regarding COVID-19 will appear in the monthly Provider News publication.
COVID-19 Information - Kentucky – Publication RETIRED as of November 8, 2022 Administrative Oct 13, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Kentucky Administrative Oct 7, 2022

National Accounts 2023 Precertification list

October 2022 Anthem Provider News - Kentucky Administrative Oct 1, 2022

The Provider Learning Hub is here

October 2022 Anthem Provider News - Kentucky Administrative Oct 1, 2022

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 9/1/22

October 2022 Anthem Provider News - Kentucky Administrative Oct 1, 2022

CAA: Review your online provider directory information

October 2022 Anthem Provider News - Kentucky Administrative Oct 1, 2022

New Strategic Provider System implementation in August 2022

October 2022 Anthem Provider News - Kentucky Digital Tools Oct 1, 2022

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

October 2022 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Oct 1, 2022

Keep up with Medicare News - October 2022

  • Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
  • Anthem expands specialty pharmacy precertification list-1
  • Anthem expands specialty pharmacy precertification list-2
  • Consultation codes
October 2022 Anthem Provider News - Kentucky Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

October 2022 Anthem Provider News - Kentucky Medicare Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Anthem Provider News - Kentucky Medicare Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Provider News - Kentucky Administrative Oct 1, 2022

New Digital Provider Enrollment tool added to Availity

October 2022 Anthem Provider News - Kentucky Digital Tools Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Anthem Provider News - Kentucky Pharmacy Oct 1, 2022

Specialty pharmacy updates - October 2022

October 2022 Anthem Provider News - Kentucky Pharmacy Oct 1, 2022
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