Policy Updates Medical Policy & Clinical GuidelinesMedicaidDecember 18, 2023

Medical Policies and Clinical Utilization Management Guidelines update for May 2023

The Medical Policies, Clinical Utilization Management (UM) Guidelines and Third-Party Criteria below were developed and/or revised to support clinical coding edits. Note, several policies and guidelines were revised to provide clarification only and are not included. Existing precertification requirements have not changed.

Please share this notice with other providers in your practice and office staff.

To view a guideline, visit anthem.com/provider/policies/clinical-guidelines/search

Medical Policies

On May 11, 2023, the Medical Policy and Technology Assessment Committee (MPTAC) approved the following Medical Policies applicable to Anthem Blue Cross and Blue Shield Medicaid. These medical policies take effect January 22, 2024.

Publish Date

Medical Policy Number

Medical Policy Title

New or Revised

7/18/2023

MED.00135

Gene Therapy for Hemophilia

Revised

Anthem Blue Cross and Blue Shield Medicaid is the trade name of Anthem Kentucky Managed Care Plan, Inc., independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

KYBCBS-CD-044161-23-CPN43701

PUBLICATIONS: January 2024 Provider Newsletter