Kentucky
Provider Communications

March 2022 Anthem Provider News - Kentucky

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Title Category

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates

Medical Policy & Clinical Guidelines

Annual wellness visits for Medicare Advantage members

Medicare

CAA: Have you reviewed your online provider directory information lately?

Administrative

Change to the Federal Employee Program clinical grievance and appeal address

Federal Employee Plan (FEP)

Changes to precertification

Medicaid

Clinical criteria updates

Medicare

Correction to February 2022 specialty pharmacy updates

Pharmacy

Enhancements to the Availity Authorization application are now available

Digital Tools

Evaluation and management services correct coding reminder (professional)

Medicare

HEDIS 2022 Federal Employee Program medical record request requirements

Federal Employee Plan (FEP)

It is CAHPS survey time!

Medicaid

Keep up with Medicaid News - March 2022

- Medical drug benefit clinical criteria updates
- InterQual 2021.1 revisions
- Prior authorization updates for medications billed under the medical benefit
Medicaid

Keep up with Medicare News - March 2022

- Medical step therapy updates
Medicare

Member benefit lookup by procedure code

Digital Tools

New reimbursement policy: Multiple and Bilateral Surgery Processing - Facility

Reimbursement Policies

New! Vaccination resource page for providers

Administrative

Pharmacy: Medication adherence

Medicare

Provider notification for utilization management authorization rule operations workgroup item 2662

Medicare

Simplifying requests for additional information

Digital Tools

Specialty pharmacy updates - March 2022

Pharmacy

Understanding your patients’ differences is lifesaving

Administrative

Updated preventive care guidance regarding screening colonoscopies

Administrative

Urinary tract infection toolkits are on the way

Medicaid

Your influence matters: Recommending cancer screenings to your patients

Administrative
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