Kentucky
Provider Communications

January 2022 Anthem Provider News - Kentucky

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Title Category

Well-child visits: Know the numbers

Administrative

Reminder: Blue High Performance Network name changing for 2022

Administrative

Reimbursement policy update: Multiple diagnostic imaging facility

*Material Adverse Change (MAC)
Reimbursement Policies

2022 FEP benefit information available online

Federal Employee Plan (FEP)

Keep up with Medicaid News - January 2022

- New department for Medicaid services MAP form available for providers
- Cancer Care Navigator
- Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines
- Medical Policies and Clinical Utilization Management Guidelines update
- Specialty pharmacy site of care
- Prior authorization updates for medications billed under the medical benefit
Medicaid

Unspecified diagnosis reminder

Medicaid

Keep up with Medicare News - January 2022

- AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update
- Medical step therapy updates
- Anthem expands specialty pharmacy precertification list
Medicare

Important update on Botox® for Anthem Medicare members

Medicare

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

Medicare
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