Kentucky
Provider Communications

February 2019 Anthem Kentucky Provider Newsletter

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Title Category

Use grouped CPT codes for AIM Specialty Health authorizations

Medicare

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

Update regarding E/M with modifier 25 - Professional*

Reimbursement Policies

Reminder: Verify member eligibility on each office visit

Administrative

Reminder: Appointment availability and after-hours access requirements

Medicaid

Reminder: Anthem follows Original Medicare policies

Medicare

Reimbursement Policy Updates: February 2019*

Reimbursement Policies

Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*

Reimbursement Policies

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

Medical Policy & Clinical Guidelines

Pharmacy information available at anthem.com

Pharmacy

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: February 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.
Administrative

New specialty Medicare Part B device preferred product program

Medicare

Medical Policy and Clinical Guidelines: February 2019*

Medical Policy & Clinical Guidelines

Keep up with Medicare news

Medicare

HEDIS® 2019: Controlling High Blood Pressure (CBP)

Administrative

HEDIS 2019 Federal Employee Program® medical record request requirements

Federal Employee Plan (FEP)

Clinical criteria updates for specialty pharmacy*

Pharmacy

Anthem eye refraction and routine eye exam billing information

Medicare

Anthem expands specialty pharmacy prior authorization list*

Pharmacy

Anthem expands specialty pharmacy medical step therapy drug list*

Pharmacy
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