Kentucky
Provider Communications

December 2020 Anthem Provider News - Kentucky

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Title Category

Access requirements for behavioral health care services

Behavioral Health

Prior authorization updates for specialty pharmacy are available - December 2020

Pharmacy

AIM IVR changes for non-oncology medical specialty drug reviews effective Jan. 1, 2021

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

Blue High Performance Network launching Jan. 1, 2021

Administrative

Access to claim denial information is now self-service

Administrative

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

Administrative

2-minute videos to engage patients about preventive care

Administrative

Anthem makes going digital easy with the Provider Digital Engagement Supplement

Administrative

Anthem contracted air ambulance providers for Kentucky

Administrative

PCP after-hours access requirements

Administrative

Coordination of care

Administrative

Members’ rights and responsibilities

Administrative

Important information about utilization management

Administrative

Case management program

Administrative

Medical policy and clinical guideline updates - December 2020

Medical Policy & Clinical Guidelines

Anthem expands hospice policy

Medical Policy & Clinical Guidelines

Updates to AIM Cardiology clinical appropriateness guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Advanced Imaging clinical appropriateness guideline

Medical Policy & Clinical Guidelines

Updates to AIM Radiation Oncology clinical appropriateness guideline

Medical Policy & Clinical Guidelines

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

Medical Policy & Clinical Guidelines

Clinical practice and preventive health guidelines available on anthem.com

Medical Policy & Clinical Guidelines

Reimbursement policy update: Bundled services and supplies (Professional)

Reimbursement Policies

Reimbursement policy update: DRG newborn inpatient stays (Facility)

Reimbursement Policies

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

Medicaid

CAHPS education for providers

Medicaid

Updates to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

Medicaid

Notifications on the Availity Portal

Medicaid

Resources to support your pregnant and postpartum patients and their families

Medicaid

Policy Reminder: Nurse Practitioner and Physician Assistant Services, Professional

Medicaid

Digital transactions cut administrative tasks in half

Medicaid

2021 Medicare Advantage individual benefits and formularies

Medicare

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

Medicare

Medical policies and clinical utilization management guidelines update

Medicare

Policy Update: Emergency Department: Leveling of Evaluation and Management Services

Medicare

Digital transactions cut administrative tasks in half

Medicare
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