Category: Medicaid


On February 22, 2019 and March 14, 2019, the Pharmacy and Therapeutic (P&T) Committee approved changes to Clinical Criteria applicable to the medical drug benefit for Anthem Blue Cross and Blue Shield Medicaid. These policies were developed, revised or reviewed to support clinical coding edits.


The Clinical Criteria is publicly available on the provider website (, and the effective dates will be reflected in the Clinical Criteria Q1 web posting. Visit Clinical Criteria to search for specific policies.


For questions or additional information, email us at


Featured In:
November 2019 Anthem Provider News - Kentucky