Kentucky
Provider Communications

November 2022 Anthem Provider News - Kentucky

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Title Category

CAA: Keep your provider directory information up to date

Administrative

Claims status message enhancements: providing clear descriptions and actionable next steps

Digital Tools

Authorization application enhancements: faster, easier, and more efficient

Digital Tools

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

Digital Tools

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

Digital Tools

Visit the Provider Learning Hub to view our latest learning opportunities

Digital Tools

Specialty pharmacy updates - November 2022

Pharmacy

Medical policy and clinical guideline updates - November 2022

Medical Policy & Clinical Guidelines

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Correction to reimbursement policy: Place of Service - Facility

Reimbursement Policies

Keep up with Medicaid News - November 2022

- Prior authorization requirement changes effective November 1, 2022
- Provider notice for COVID-19 testing
- New phone number for AIM Specialty Health
- Prior authorization requirement changes
- Mental health needs during the eastern Kentucky flood
- New specialty pharmacy medical step therapy requirements
Medicaid

Enhancing claims attachment processes through digital applications

Medicaid

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

Medicaid

Alcohol use disorders often coexist with psychiatric disorders

Medicaid

Guidance for coding evaluation and management services for new and established patients

Medicaid

Keep up with Medicare News - November 2022

- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
- Provider notice for COVID-19 testing
Medicare

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

Medicare

Personalized Match

Medicare

Enhancing claims attachment processes through digital applications

Medicare
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