Kentucky
Provider Communications

October 2022 Anthem Provider News - Kentucky

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Title Category

National Accounts 2023 Precertification list

Administrative

Monkeypox and smallpox vaccines: Product code on claims

Administrative

The Provider Learning Hub is here

Administrative

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 9/1/22

Administrative

CAA: Review your online provider directory information

Administrative

New Digital Provider Enrollment tool added to Availity

Digital Tools

New Strategic Provider System implementation in August 2022

Digital Tools

IngenioRx will become CarelonRx on January 1, 2023

Pharmacy

Specialty pharmacy updates - October 2022

Pharmacy

Pharmacy information available on provider website

Pharmacy

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Reimbursement Policies

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

Reimbursement Policies

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

Federal Employee Plan (FEP)

Keep up with Medicaid News - October 2022

  • Prior authorization update for select durable medical equipment (DME) items
  • Prior authorization updates for medications billed under the medical benefit-1
  • Prior authorization updates for medications billed under the medical benefit-2
  • HPV Vaccine Provider Incentive program for members aged 13
Medicaid

Medical drug benefit Clinical Criteria updates

Medicaid

New Digital Provider Enrollment tool added to Availity

Medicaid

Clinical Criteria updates

Medicaid

Members’ Rights and Responsibilities section

Medicaid

Updates for medication codes billed under the medical benefit

Medicaid

Keep up with Medicare News - October 2022

  • Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
  • Anthem expands specialty pharmacy precertification list-1
  • Anthem expands specialty pharmacy precertification list-2
  • Consultation codes
Medicare

New Digital Provider Enrollment tool added to Availity

Medicare

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

Medicare

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare
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