March 1, 2021

March 2021 Anthem Provider News - Kentucky

Filter By: AllCommercial

Administrative

AdministrativeCommercialMarch 1, 2021

Medical attachment capability now includes itemized bills and more!

Policy Updates

Medical Policy & Clinical GuidelinesCommercialMarch 1, 2021

Update: Notice of changes to the AIM Small Joint Surgery guideline

Reimbursement PoliciesCommercialMarch 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

Products & Programs

PharmacyCommercialMarch 1, 2021

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

PharmacyCommercialMarch 1, 2021

Updates for specialty pharmacy are available - March 2021

PharmacyCommercialMarch 1, 2021

Some HIV medication combinations may require prior authorization

State & Federal

State & FederalMedicaidMarch 1, 2021

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID cards

State & FederalMedicaidMarch 1, 2021

Prior authorization required for radiotherapies and radioimmunotherapies effective March 1, 2021

State & FederalMedicaidMarch 1, 2021

Prior authorization requirement changes effective April 1, 2021

State & FederalMedicare AdvantageMarch 1, 2021

Medicare News - March 2021
View these Medicare articles:
- MCG Care Guidelines 24th edition customization
- DME checklist of information needed from providers

State & FederalMedicare AdvantageMarch 1, 2021

New provider directory indicator for telehealth services

State & FederalMedicare AdvantageMarch 1, 2021

Medical policies and clinical utilization management guidelines update