December 30, 2022

January 2023 Anthem Provider News - Kentucky

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Administrative

AdministrativeCommercialDecember 30, 2022

Professional system updates for 2023

AdministrativeCommercialDecember 30, 2022

Outpatient system updates for 2023

AdministrativeCommercialMedicare AdvantageDecember 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

AdministrativeCommercialMedicare AdvantageDecember 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

Policy Updates

Medical Policy & Clinical GuidelinesCommercialDecember 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

Medical Policy & Clinical GuidelinesCommercialDecember 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesCommercialMedicare AdvantageDecember 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesCommercialDecember 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change

Medical Policy & Clinical GuidelinesCommercialMedicare AdvantageDecember 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines

Reimbursement PoliciesCommercialDecember 30, 2022

Outpatient facility revenue code billing requirements

Products & Programs

Federal Employee Program (FEP)CommercialDecember 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases

PharmacyCommercialDecember 30, 2022

Specialty pharmacy updates

State & Federal

State & FederalMedicaidDecember 30, 2022

HPV Vaccination Starts at 9: Provider and Health Systems Toolbox

State & FederalMedicaidDecember 30, 2022

HPV Vaccine Provider Incentive Program ages 9 to 13

State & FederalMedicaidDecember 30, 2022

Keep up with Medicaid News - January 2023
- Medical drug benefit Clinical Criteria updates

State & FederalMedicare AdvantageDecember 30, 2022

Cleveland-Cliffs offers Medicare Advantage option

State & FederalMedicare AdvantageDecember 30, 2022

Keep up with Medicare news - January 2023
- Prior authorization requirement changes
- New specialty pharmacy medical step therapy requirements (Inflectra & Renflexis)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Cimerli)
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines