Kentucky
Provider Communications

September 2019 Anthem Provider News - Kentucky

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Title Category

Reminder: Changes to timely filing requirements coming in October

Administrative

Provider Transparency Update

Administrative

Anthem launches Sydney on September 1; new app offers better digital health care support to members

Administrative

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

Administrative

Claims requiring additional documentation facility reimbursement policy update

Administrative

PCP after-hours access requirements

Administrative

Access requirements for behavioral health care services

Behavioral Health

Clinical criteria and prior authorization updates for specialty pharmacy are available

Pharmacy

Clinical Guideline Updates -- September 2019

Medical Policy & Clinical Guidelines

New Reimbursement Policies: Maternity Services and Multiple Delivery - Professional

Reimbursement Policies

New Reimbursement Policy: Intensity Modulated Radiation Therapy Planning and Delivery - Professional

Reimbursement Policies

Claim editing update for Excludes1 notes

Reimbursement Policies

Medicare News -- September 2019

Medicare

Coming soon: Electronic attachments

Medicare

Clinical Criteria updates

Medicare

Customizations to the 23rd edition of the MCG Care Guidelines

Medicare

Changes to prior authorization (PA) requirements

Medicare

Pharmacy benefit manager change to IngenioRx

Medicare

Unspecified diagnosis code update

Medicaid

Provider payment schedule updates

Medicaid

Clinical Criteria updates

Medicaid

2019 Provider Satisfaction Survey: We need your help!

Medicaid
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