Kentucky
Provider Communications

June 2020 Anthem Provider News - Kentucky

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Title Category

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
Administrative

Anthem enhances process for submitting behavioral health authorizations - now available

Behavioral Health

Quality Corner: Follow-Up after Hospitalization for Mental Illness

Behavioral Health

Anthem prior authorization updates for specialty pharmacy are available - June 2020

Pharmacy

Reminder: Anthem requires National Drug Code for professional and facility outpatient claims effective June 15, 2020

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Administrative

Updated Provider Manual now available

Administrative

Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program Continues

Administrative

Availity Portal Notification Center

Administrative

Quality Corner: CPT® Category II Codes - Collaborating for enhanced patient care

Administrative

Medical Policy and Clinical Guideline Updates - June 2020

Medical Policy & Clinical Guidelines

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

REMINDER: AIM Rehabilitative Program Pediatric Exclusions

Medical Policy & Clinical Guidelines

New Reimbursement Policies - Nurse Practitioner and Physician Assistant Services (Professional)

Reimbursement Policies

Medical drug benefit Clinical Criteria updates - November 2019

Medicaid

Modifier use reminders

Medicaid

2020 affirmative statement concerning utilization management decisions

Medicaid

Follow-Up After Hospitalization for Mental Illness

Medicaid

Complex Case Management program

Medicaid

Important information about utilization management

Medicaid

Member Rights’ and Responsibilities Statement

Medicaid

Medicare News - June 2020

View these Medicare articles:
- Acquisition of Beacon Health Options
- MCG care guidelines – 24th edition
Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medicare

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

Medicare

Modifier use reminders

Medicare

Diabetes HbA1c < 8 HEDIS guidance

Medicare
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