Kentucky
Provider Communications

Provider Spotlight

Jan 13, 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.

Jan 8, 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.

Dec 30, 2020

Information from Anthem for Care Providers about COVID-19 (Updated December 30, 2020)

We’ve updated information about cost share waivers for COVID-19 treatment as well as cost share information for telehealth and telephonic-only care.


Articles Recent

Title Publication Category Date

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

Information from Anthem for Care Providers about COVID-19 (Updated December 30, 2020)

We’ve updated information about cost share waivers for COVID-19 treatment as well as cost share information for telehealth and telephonic-only care.
COVID-19 Information - Kentucky Administrative Dec 30, 2020

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

Reimbursement policy update: DRG newborn inpatient stays (Facility)

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

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
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