Kentucky
Provider Communications

January 2023 Anthem Provider News - Kentucky

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Title Category

Professional system updates for 2023

Administrative

Outpatient system updates for 2023

Administrative

Notification regarding reimbursement changes to COVID-19 laboratory services codes

Administrative

Childhood Immunization Status and Lead Screening in Children for HEDIS

Administrative

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

Administrative

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Outpatient facility revenue code billing requirements

Reimbursement Policies

Specialty pharmacy updates

Pharmacy

Standing Orders for Administering Human Papillomavirus Vaccine to Children and Teens

Medicaid

10 Steps to Implementing Standing Orders for Immunization in Your Practice Setting

Medicaid

Using Standing Orders for Administering Vaccines: What You Should Know

Medicaid

HPV Vaccination Starts at 9: Provider and Health Systems Toolbox

Medicaid

HPV Vaccine Provider Incentive Program ages 9 to 13

Medicaid

Attention physicians and lab providers: COVID-19 update regarding reimbursement

Medicaid

Keep up with Medicaid News - January 2023

- Medical drug benefit Clinical Criteria updates
Medicaid

Cleveland-Cliffs offers Medicare Advantage option

Medicare

Keep up with Medicare news - January 2023

- Prior authorization requirement changes
- New specialty pharmacy medical step therapy requirements (Inflectra & Renflexis)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Cimerli)
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
Medicare

Federal Employee Program observation conversion for musculoskeletal cases

Federal Employee Plan (FEP)
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