Kentucky
Provider Communications

Provider Spotlight

Apr 6, 2021

Information from Anthem for Care Providers about COVID-19 (updated April 6, 2021)

We recently updated information about reimbursement for the COVID-19 vaccine.

Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings


Articles Recent

Title Publication Category Date

Update for specialty pharmacy: Change in clinical criteria

April 2021 Provider News - Specialty pharmacy update: Change in clinical criteria - Kentucky Pharmacy Apr 14, 2021

Information from Anthem for Care Providers about COVID-19 (updated April 6, 2021)

We recently updated information about reimbursement for the COVID-19 vaccine.
COVID-19 Information - Kentucky Administrative Apr 6, 2021

The health of millennials: Trends in behavioral health conditions

April 2021 Anthem Provider News - Kentucky Behavioral Health Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

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

Updates for specialty pharmacy are available - April 2021

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

Pharmacy information available at anthem.com

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

Does your practice offer telehealth services? Let us know!

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

Information Center - Access important policies, forms and helpful resources

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

Understanding Availity roles for electronic data interchange (EDI)

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

Make the change to digital authorization/referral and hospital admission notifications using EDI

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

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

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

Chat directly with a prior authorization specialist

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

Keeping up with routine vaccination during COVID-19

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

Interactive bilingual website taking action for our health

Exclusively developed for the Latino Community
April 2021 Anthem Provider News - Kentucky Administrative Apr 1, 2021

Join Anthem in talking about racism and its impact on health

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

Medical policy and clinical guideline updates - April 2021

April 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2021

Update: Clinical guideline adoption postponed

April 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2021

MCG Care Guidelines 25th Edition available

April 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2021

Update for Commercial providers: AIM sleep program CPT code E1399, NOC: Durable medical equipment, miscellaneous

April 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Apr 1, 2021

Medical drug benefit clinical criteria updates - April 2021

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

Access to more claim denial information is now self-service

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

Does your practice offer telehealth services? Let us know!

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

Access to more claim denial information is now self-service

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

In-Office Assessment program

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

Oncology dose reduction program beginning July 1, 2021

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

Clinical criteria updates notification - November 2020

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

Clinical criteria updates notification - December 2020

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

Some HIV medication combinations may require prior authorization

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

Medical attachment capability now includes itemized bills and more!

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

Update: Notice of changes to the AIM Small Joint Surgery guideline

March 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Mar 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

March 2021 Anthem Provider News - Kentucky Reimbursement Policies Mar 1, 2021

Medicare News - March 2021

View these Medicare articles:
- MCG Care Guidelines 24th edition customization
- DME checklist of information needed from providers
March 2021 Anthem Provider News - Kentucky Medicare Mar 1, 2021

New provider directory indicator for telehealth services

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

Medical policies and clinical utilization management guidelines update

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

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

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

Updates for specialty pharmacy are available - March 2021

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

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

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

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

Prior authorization requirement changes effective April 1, 2021

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Prior authorization updates for specialty pharmacy are available - February 2021

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

Pharmacy information available at anthem.com

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

New provider directory indicator for telehealth services

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

New Anthem utilization management tool now available on Availity: Authorization Rules Lookup tool

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

Medical Policy and Clinical Guideline Updates - February 2021

February 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Feb 1, 2021

Reimbursement policy update: Emergency Room Transfers - Facility

February 2021 Anthem Provider News - Kentucky Reimbursement Policies Feb 1, 2021

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

February 2021 Anthem Provider News - Kentucky Reimbursement Policies Feb 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

Medical drug benefit clinical criteria updates - February 2021

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

CAHPS® survey

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

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

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

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

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

PN for UM AROW Item 1330

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

Medical drug benefit clinical criteria updates - February 2021

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

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

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

Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and the importance of allies.
The Road to Allyship Forum Invitation Administrative Jan 21, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 13, 2021)

Prior authorization requirements updated for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Kentucky Administrative Jan 13, 2021

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information - Kentucky Administrative Jan 8, 2021

Prior authorization updates for specialty pharmacy are available - January 2021

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

Medical Policy and Clinical Guideline Updates - January 2021

January 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jan 1, 2021

MCG Care Guidelines 24th Edition Customization

January 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jan 1, 2021

Reimbursement policy update: Multiple diagnostic imaging procedures - Professional

January 2021 Anthem Provider News - Kentucky Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Frequency editing - Professional

January 2021 Anthem Provider News - Kentucky Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional

January 2021 Anthem Provider News - Kentucky Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Modifier Rules - Professional

January 2021 Anthem Provider News - Kentucky Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional

January 2021 Anthem Provider News - Kentucky Reimbursement Policies Jan 1, 2021

IngenioRx introduces new pharmacy network in 2021

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

Join the Anthem Foundation and Dare to Care Hunger Challenge in Kentuckiana

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

It is almost CAHPS survey time!

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

Evaluation and management changes 2021

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

Blue High Performance Network launching January 1, 2021

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

Outpatient system updates for 2021 - Facility

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

Professional system updates for 2021

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

New features added to Interactive Care Reviewer

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

Procedure searches in Find Care: New sort option

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

Availity attachment tools for Anthem and affiliate payers - Live webinars

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

Self-service, digital transactions are fast and easy

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

2021 FEP® benefit information available online

January 2021 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Jan 1, 2021

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

Disease Management/Population Health program

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

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

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

Keep up with Medicare news - January 2021

View these Medicare articles:
- Medicare Advantage Group Retiree Quick Reference Guide and FAQ
- Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ
- SNF admission reporting requirements for D-SNP plans
- Policy Update: Nurse Practitioner and Physician Assistant Services – Professional
- Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology
January 2021 Anthem Provider News - Kentucky Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

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

Updates to AIM clinical appropriateness guidelines for Advanced Imaging

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

Updates to AIM Specialty Health Cardiac clinical appropriateness guidelines

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

Medical drug benefit clinical criteria updates

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

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

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

Prior authorization updates for specialty pharmacy are available - December 2020

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

Pharmacy information available at anthem.com

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

Blue High Performance Network launching Jan. 1, 2021

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

Updated BlueCard® Program Provider Manual available Jan. 1, 2021

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

Anthem contracted air ambulance providers for Kentucky

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

Medical policy and clinical guideline updates - December 2020

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

Updates to AIM Cardiology clinical appropriateness guidelines

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

Updates to AIM Advanced Imaging clinical appropriateness guideline

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

Updates to AIM Radiation Oncology clinical appropriateness guideline

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

Reimbursement policy update: Bundled services and supplies (Professional)

December 2020 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2020
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