Kentucky
Provider Communications


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Enhanced search and download options allow easy access to information at your fingertips

Oct. 9, 2019 Anthem Provider News - Kentucky Administrative Oct 9, 2019

National Accounts 2020 Pre-certification list

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

Pharmacy information available at anthem.com

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

Reimbursement Policy update: Place of Service- Professional

October 2019 Anthem Provider News - Kentucky Reimbursement Policies Oct 1, 2019

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review

October 2019 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification information for the Federal Employee Program

October 2019 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Oct 1, 2019

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

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

Medicaid News -- October 2019

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

UPDATE: new AIM Rehabilitative Program will begin November 1, 2019

October 2019 Anthem Provider News - Kentucky Products & Programs Oct 1, 2019

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

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

Anthem launches additional changes to anthem.com

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

Important update to Anthem’s commercial drug lists

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

Anthem specialty pharmacy medical step therapy drug list- clarification

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

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Oct 1, 2019

Medicare News -- October 2019

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

Aspire Telehealth Palliative Care program

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

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

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

Update: 2019 risk adjustment provider trainings

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

Medicare preferred continuous glucose monitors

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

Medical drug Clinical Criteria updates

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

Prior authorization requirements changes effective November 1, 2019

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

Clinical Guideline Updates -- September 2019

September 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Sep 1, 2019

New Reimbursement Policies: Maternity Services and Multiple Delivery - Professional

September 2019 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2019

New Reimbursement Policy: Intensity Modulated Radiation Therapy Planning and Delivery - Professional

September 2019 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2019

Unspecified diagnosis code update

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

Provider payment schedule updates

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

Clinical Criteria updates

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

2019 Provider Satisfaction Survey: We need your help!

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

Clinical criteria and prior authorization updates for specialty pharmacy are available

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

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2019

Medicare News -- September 2019

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

Coming soon: Electronic attachments

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

Clinical Criteria updates

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

Customizations to the 23rd edition of the MCG Care Guidelines

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

Changes to prior authorization (PA) requirements

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

Pharmacy benefit manager change to IngenioRx

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

Reminder: Changes to timely filing requirements coming in October

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

Provider Transparency Update

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

Anthem launches Sydney on September 1; new app offers better digital health care support to members

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

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

Claims requiring additional documentation facility reimbursement policy update

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

PCP after-hours access requirements

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

Access requirements for behavioral health care services

September 2019 Anthem Provider News - Kentucky Behavioral Health Sep 1, 2019

Clinical criteria and prior authorization updates for specialty pharmacy are available

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

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

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

Pharmacy information available at anthem.com

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

Medical Policy and Clinical Guideline Updates -- August 2019

August 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2019

Anthem customizations to MCG care guidelines 23rd edition

August 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

August 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2019

Reimbursement Policy Update: Bundled Services-Professional

August 2019 Anthem Provider News - Kentucky Reimbursement Policies Aug 1, 2019

Reimbursement Policy Update: Frequency Editing-Professional

August 2019 Anthem Provider News - Kentucky Reimbursement Policies Aug 1, 2019

Medicare News -- August 2019

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

New service types added to Availity

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

New Reimbursement Policy: Drug Screen Testing

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

AIM Specialty Health programs may require documentation

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

Special needs plans - provider training required

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

Medicaid News -- August 2019

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

Coming soon: electronic attachments

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

Pharmacy management information

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

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

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

Update: Sepsis Coding

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

New location for Provider Manuals on anthem.com

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

Updated Provider Manual now available

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

UPDATE: New Rehabilitative Program remains temporarily delayed

Anthem Kentucky UPDATE: New Rehabilitative Program remains temporarily delayed Products & Programs Jul 16, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019

Anthem Kentucky UPDATE: new Rehabilitative Program now effective August 1, 2019 Products & Programs Jul 3, 2019

Clinical Criteria coding updates for specialty pharmacy are available

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

Clinical criteria updates for specialty pharmacy

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

Reminder to providers: Fee schedule information

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

Update to Provider UM reimbursement penalties and corresponding update to Provider Manual*

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

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

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

Make the move to the Availity EDI Gateway today

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression -- What’s in it for you and your patients?

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

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

July 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jul 1, 2019

Modifier 79 reminder: Professional

July 2019 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2019

Modifier 63 reminder: Professional

July 2019 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2019

ICD-10-CM Coding Guidelines and Laterality: Professional

July 2019 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2019

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

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

Home health billing guidelines for contracted providers

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

Electronic claim payment reconsideration

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

Keep up with Medicare News -- July 2019

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

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

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

New service types added to Availity

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

Latest updates to Electronic Data Interchange Gateway migration

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

Coding Spotlight: Hypertension

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- July 2019

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
July 2019 Anthem Provider News - Kentucky Administrative Jul 1, 2019

Anthem to acquire Beacon Health Options

N/A Behavioral Health Jun 6, 2019

Reminder and update: new Rehabilitative Program effective July 1, 2019

June 2019 Anthem Provider Newsletter - Kentucky Products & Programs Jun 1, 2019

Anthem expands specialty pharmacy prior authorization list*

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

Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019

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

AIM programs may require additional prior authorization documentation*

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program begins; benefits of direct connection access to your EMR

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

Find A Doctor -- New Sort Option

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

Coming Soon: Anthem Electronic Attachments

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

New ICR Immediate Decision List posted on Availity Payer Spaces

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

Anthem launches additional changes to anthem.com for Q2

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

Medical Policy and Clinical Guideline Updates -- June 2019*

June 2019 Anthem Provider Newsletter - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2019

New Clinical Guideline: Inpatient Inter-Facility Transfers effective September 1, 2019*

June 2019 Anthem Provider Newsletter - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2019
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