Kentucky
Provider Communications

February 2021 Anthem Provider News - Kentucky

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Title Category

Reimbursement policy update: Emergency Room Transfers - Facility

Reimbursement Policies

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

Reimbursement Policies

Anthem to update formulary lists for commercial health plan pharmacy benefit

Pharmacy

Prior authorization updates for specialty pharmacy are available - February 2021

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

PN for UM AROW Item 1330

Medicare

Medical drug benefit clinical criteria updates - February 2021

Medicare

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

Medicare

Medical Policy and Clinical Guideline Updates - February 2021

Medical Policy & Clinical Guidelines

Medicaid News - February 2021

View these Medicaid articles:
- InterQual 2020.1 update
- New specialty pharmacy medical step therapy requirements-1
- New specialty pharmacy medical step therapy requirements-2
- Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging
- Sign up to receive email from Anthem Blue Cross and Blue Shield Medicaid
Medicaid

CAHPS® survey

Medicaid

FDA approvals and expedited pathways used - new molecular entities (NMEs)

Medicaid

Medical drug benefit clinical criteria updates - February 2021

Medicaid

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

Medicaid

New provider directory indicator for telehealth services

Administrative

New Anthem utilization management tool now available on Availity: Authorization Rules Lookup tool

Administrative
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